medical transcription services,medical word list,disease list

Please fill out the form below or simply send your request to admin@haustranscription.com . We will respond with your price quote within 24 hours.

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Contact Information

Name and Title:
Facility Name:
Street Address:
City:
State:
ZIP:
Phone:
Fax:
Email:

01)

Who makes the decision to use or change transcription service?

	I make the decision
	Other	Specify

02)

How much are you spending per year for transcription services?

03)

How soon do you need Haus Transcription service?

	Immediately		Within One Month
	Within Two To Four Months		Long Range

04)

What is your required turnaround time for your transcribed reports (transcription)?

Irrespective of the TAT you choose, you can convert, at any time, any dictation into a STAT dictation which will be transcribed and sent to you within hours. Haus Transcription's TAT is verifiable and part of our Transcription Service Agreement.
	Less than a day	Specify hours
	Next Day		1 to 2 Days	1 to 3 Days

05)

What is your most preferred mode of dictation (audio recording)?

At no cost, use Haus Transcription's
	Phone-in system	Digital Recorders
		Combination

06)

What is the maximum period you'll sign up with Haus Transcription Service?

Three Years	Two Years
One Year	Six Months
Month to Month	Other	Specify

07)

How are you presently handling your transcription service needs?

In-house	Home Workers
Handwritten	Speech Recognition
EMR	Other	Specify
Outsourced / Contracted out

08)

How are you currently charged for transcription services and how much?

Per ( )-Character Gross Line Per( )-Character Gross Line	Per 65-characters
Per Word	Per Page
Per Report	Per Hour
Per Year	Not Sure	Specify Enter Rate

Nature of your transcription service needs?

	Outsource All		Outsource Some
	Overflow/Backlog		Fill-in

10)

What is the type of your facility that is in need of transcription service?

Hospital	Number of beds	Emergency Room		Number of Providers
Clinic	Number of Providers	Practice
Nursing Home	Number of beds	Other	Specify

11)

HT provides 24/7 online availability of your transcribed text (document file) for a minimum of 1 year with full text search feature (free with all subscriptions). Would you like this free service?

Yes

12)

What method do you prefer for receiving invoices?

Your invoices and detailed statements are always available on-line.
	On-Line	E-Mail
	Fax	E-mail & Fax

13)

What is your preferred method of payment?

	Check		Wire Transfer
	VISA/MasterCard

14)

How would you like to send us your patient schedule? (E-mail, data file, fax, etc). By making the patient schedule available to us, we can ensure that the patient demographic information like Name, DOB, Unique ID, DOS will be more accurate.

15)

Do you have any special requests,?

16)

How did you hear about us?

Name

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