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FREQUENTLY ASKED QUESTIONS - FAQ

At US MedTrans, we've done our best to create a Web site that anticipates and satisfies our customers' needs. With that goal in mind, we've compiled a list of frequently asked questions. If you do not find an answer to your question here, contact us at 406-443-8841 or sales@usmedtrans.com

Our Typical Customers
   What size facilities can US MedTrans support?
   What is the typical US MedTrans user profile?
   Can US MedTrans provide partial medical transcription support?
 
Getting Started
   How do I sign up?
   How do I initiate activation of a new account?
   Is there a contract?
   How long does it take to get started?
   Is there a trial period for US MedTrans?
   What does the standard package include?
   How many templates are included?
   How long does it take to install the software?
 
Hardware and Operating System Requirements
   What kind of hardware and software is needed?
   What hardware does US MedTrans provide?
 
Dictation
   What kinds of input devices are supported for dictation?
   Are custom voice menus offered for telephone dictation?
   Is an 800 number used for telephone dictation?
   Can multiple physicians share a digital Olympus device for Dictation?
 
Medical Transcription Reports
   What format are the transcribed files?
   If there is a problem with the report, who fixes it?
   Can US MedTrans files integrate with EMR programs?
 
Quality
   How does US MedTrans ensure accurate reports?
   How many years of experience are required for US MedTrans medical transcriptionists?
   Are medical transcriptionists assigned to specific accounts?
   Who does the quality reviews?
   What is the multi-level review process?
   How is accuracy measured?
   Who determines if a medical transcription is sufficiently accurate?
   What factors can limit the ability to deliver error free reports?
 
Transcription Turnaround
   What is the standard turnaround?
   Is STAT turnaround offered?
 
Cost
   What are the US MedTrans pricing options?
   What is the advantage of per-line pricing?
   What is the definition of a US MedTrans line?
   Why is it difficult to compare per-line pricing methods?
   Why is it difficult to compare other pricing methods?
   Does US MedTrans support and follow the MTIA billing principles?
   Is the line counting software used by US MedTrans available to clients?
   Is there a setup fee?
   What is meant by fully loaded costs when comparing in-house versus outsourced medical transcription?
 
HIPAA Compliance
   Is US MedTrans HIPAA compliant?
   What is a Business Associate Agreement?
   Why should I care about HIPAA?
 
File Archive
   How long are files stored?
   How are archived files accessed?
 
Customer Support
   Can I get help getting started?
   What does the US MedTrans Customer Support staff do?
   How do I contact Customer Support?

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Our Typical Customers

What size facilities can US MedTrans support?
US MedTrans provides medical transcription services to a wide range of practices and organizations, from single physician offices and small clinics through physician groups and large hospitals. There is no minimum number of doctors required to sign up for US MedTrans service. Our service also scales well for large organizations.

What is the typical US MedTrans user profile?
Physicians of all types use US MedTrans services, but examples include Cardiologists, Internal Medicine Specialists, Surgeons, Chiropractors, and Pathologists.

Can US MedTrans provide partial medical transcription support?
Yes. In fact, we encourage any physician group or facility to consider using US MedTrans as a back up to an existing service or for overflow activity resulting from vacation, illness, or shortage of staff. Ours is an excellent solution to balance your staffing needs. Of course, we can also provide a full medical transcription solution; the choice is yours.

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Getting Started

How do I sign up?
Contact US MedTrans, Sales, via
email or phone 406-443-8841.

How do I initiate activation of a new account?
A customer's activation is put in process by contacting US MedTrans at 406-443-8841.

Is there a contract?
Yes. This is typical in the industry and is used for staffing purposes. US MedTrans is committed to ensuring that we have the qualified resources to support our clients' transcription needs.

How long does it take to get started?
US MedTrans services usually can be implemented within 48 hours of the time the client activation form is completed and faxed to us.

Is there a trial period for US MedTrans?
A customer may try the US MedTrans service for 45 days and pay only for the number of lines transcribed. Throughout this period, a client can cancel US MedTrans service if US MedTrans does not meet the customer's expectations.

What does the standard package include?
The standard package includes a new digital recorder with memory card, and a card reader. It also includes US MedTrans software, hard copy documentation, templates, software installation and support.

How many templates are included?
Up to eight custom templates are created and the customer has access to twelve standard templates as part of the standard package. More custom templates can be provided for a modest fee.

How long does it take to install the software?
Software installation takes under ten minutes. It is a simple process.

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Hardware and Operating System Requirements

What kind of hardware and software is needed?
The US MedTrans software must reside on a personal computer (PC), provided by the client.

US MedTrans requires the following minimum software and hardware configuration:

  • Operating system: Microsoft Windows XP or Windows 2000.
  • RAM: Minimum 128 MB.
  • Hard drive space: Minimum 20 MB (1 GB recommended).
  • Internet connectivity, 56 kbps or higher recommended.
  • Parallel port (USB recommended).
  • Browser: Internet Explore 5.5 or later, with 128 bit encryption.
  • Microsoft Word.

What hardware does US MedTrans provide?
If using a digital recorder for input, the standard package includes a new Olympus DS-2000 digital recorder with a 16 MB memory card that holds up to 5 hours of recording. We also include a card reader device with a USB connection.

If using a telephone call in system, US MedTrans provides the necessary phone in devices that interface with the US MedTrans' server environment.

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Dictation

What kinds of input devices are supported for dictation?
The US MedTrans medical transcription solution supports digital recorder and telephone dictation. It supports the iPac PDA. It also supports dictation using a microphone, directly into your PC. The digital recorder provided in our standard package, for clients who choose a recording device rather than a telephone, is the Olympus DS-2000, the Olympus DS-2330, or the Olympus DS-3000 Digital Voice Recorder. Other Olympus recorders are also compatible.

Are custom voice menus offered for telephone dictation?
Yes, Voice menus are customized for each facility and for each physician.

Is an 800 number used for telephone dictation?
Yes. Your calls to our secure number are completely free.

Can multiple physicians share a digital Olympus device for Dictation?
Yes, multiple physicians can share a single device. US MedTrans, however, generally recommends using different smart card (memory cards) for each physician to better keep track of voice files.

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Medical Transcription Reports

What format are the transcribed files?
Reports are returned in Microsoft Word format files, making them editable and searchable.

If there is a problem with the report, who fixes it?
If there is a problem with the accuracy of a report, clients can choose to have us fix it. Since reports are in a standard format, they are editable and some clients choose to modify reports themselves.

Can US MedTrans files integrate with EMR programs?
Yes. US MedTrans files integrate with EMR programs that accept an HL7 file or can import a MS-Word file.

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Quality

How does US MedTrans ensure accurate reports?
This is covered more fully on our
medical transcription quality page. We take the time to understand what is important to each of our customers and have a company wide commitment to delivering highly accurate medical transcription documents. We have strict requirements for medical transcriptionists and editors. We have a multi-level quality assurance process. We understand that when we deliver accurate reports, you spend less time on them and can get on with your business.

How many years of experience are required for US MedTrans medical transcriptionists?
A minimum of five (5) years.

Are medical transcriptionists assigned to specific accounts?
Yes. We have found that familiarity improves translation quality.

Who does the quality reviews?
Our quality assurance editors are all US MedTrans employees. The review process is never sub-contracted out.

What is the multi-level review process?
A medical transcription document goes through up to three levels of review. If a report is found to have errors, they are corrected and a second review occurs. If a report is found to still have errors or contains anything the second level editor is uncomfortable with, then it must go to the level three review process. Only after being approved by the level three reviewer will the report be made available for delivery.

Reports, once they pass the above quality review, are also subject to random sampling throughout the day. The percentage subject to random sampling is set in the contract.

We take quality assurance very seriously and believe that this is an industry leading quality control process.

How is accuracy measured?
A precise set of client approved guidelines is specified in the contract. Basically, there is a sliding scale with penalties set per error; more severe errors receive greater penalties. Severity follows the AAMT guidelines. The length of the document is factored in, but the effect is that a very minimal number of errors disqualify a report from achieving the required 98% accuracy.

Who determines if a medical transcription is sufficiently accurate?
The client. If you are not satisfied, regardless of the metric accuracy, then we are not satisfied and we will correct the problem.

What factors can limit the ability to deliver error free reports?
While we always strive to deliver a fully accurate transcription, there are factors that make it difficult for any transcriptionist to get the report 100% accurate. The quality of the output (report) is limited by the quality of the input (dictation). This is why we recommend the Olympus Digital Recorder, which has excellent sound quality. Phone dictations can be problematic if mobile (cell) phones are used. Dictations that are too rapid or have a strong accent can also pose difficulties.

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Transcription Turnaround

What is the standard turnaround?
The US MedTrans medical transcription service generally delivers overnight turnaround, with twenty four (24) hour turnaround guaranteed.

Is STAT turnaround offered?
No, we currently do not offer STAT service.

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Cost

What are the US MedTrans pricing options?
The US MedTrans medical transcription service offers the traditional pricing option of cost per line.

What is the advantage of per-line pricing?
Familiarity. This is the traditional way of paying for medical transcription. It is most appropriate for customers who use the US MedTrans medical transcription service to handle in-house transcription overflow or to augment another service.

What is the definition of a US MedTrans line?
A line is defined as 65 characters, including spaces and special characters.

Why is it difficult to compare per-line pricing methods?
Historically there have been many definitions of lines. Lines can be visible lines or can consist of some number of characters. A given amount of text occupies a varying number of lines when the text font size is changed or when the page's margins change. There is no standard number of characters per line. There are also various ways of counting characters, with some characters being counted twice to reflect formatting (boldface, italics, etc.)

Sound confusing? It is, and that is why it is important to understand what is actually being counted and make sure that comparisons are counted the same way.

Why is it difficult to compare other pricing methods?
Less popular pricing methods that we do not offer include per page, per report, and minutes of dictation. The per page and per report pricing methods suffer from the variability introduced when text font size is changed and when margin sizes are changed. The minutes of dictation method is also imprecise because different individuals dictate at different rates. A rapid speaker would cram more dictation into fewer minutes, but report accuracy could suffer as a result.

Does US MedTrans support and follow the MTIA billing principles?
Yes.

Is the line counting software used by US MedTrans available to clients?
Yes. For further information, please contact
sales.

Is there a setup fee?
Yes, there is a nominal one time charge.

What is meant by fully loaded costs when comparing in-house transcription to outsourced medical transcription?
Fully loaded costs refer to total expenses, including both direct and indirect costs.

Some of these are typically overlooked when calculating the true cost of in-house transcriptionists. Comparing to these true costs generally makes a strong case for outsourcing medical transcription with cost savings typically estimated to be in the 20-40% range.

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HIPAA Compliance

Is US MedTrans HIPAA compliant?
US MedTrans meets all HIPAA privacy and security requirements. It is verified on the Internet with Verisign®. File transmission uses 128 bit triple-DES encryption over an SSL connection. Every modification and access of the report is tracked. (See also, our
HIPAA discussion.)

What is a Business Associate Agreement?
A medical transcription service provider such as US MedTrans is a Business Associate (BA) of its clients. Our client, the healthcare organization, is called a Covered Entity (CE). The Business Associate Agreement is a contract specifying, amongst other things, the privacy requirements that a BA must meet. Naturally, the BA must ensure that all sub-contractors and employees abide by the agreement.

Why should I care about HIPAA?
Assuming you represent a healthcare organization that handles anything electronically, even one bill, you have no choice. It's required by law. Having said that, the general concept of preserving patient privacy and ensuring the secure retention of records is undoubtedly the right thing to do. The movement to electronic records that HIPAA strives to encourage and protect, offers other benefits as well. These include making it easier for physicians to access patient information and making it easier to track activities for insurance and litigation purposes.

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File Archive

How long are files stored?
Voice dictation files are stored for 30 days. Transcribed files are available and stored on-line for two years and are stored off-line for an additional eight years.

How are archived files accessed?
On-line transcribed files are accessed using the standard US MedTrans software. Off-line, archived files can be requested by contacting customer support.

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Customer Support

Can I get help getting started?
Absolutely. Although we have designed our software to be intuitive, we understand that sometimes there are a few surprises and we're here to ensure a smooth transition. We can help with installation and training. We can also help if you have any difficulties setting up your digital recorder. We are a service oriented organization and we want our medical transcription service to be extremely easy and trouble free for our clients.

What does the US MedTrans Customer Support staff do?
Our friendly, service-oriented professionals are there to assist you with account activation, software installation, and technical and support questions. We understand that sending and retrieving transcribed reports is critical to daily operations, and are there to help quickly resolve any technical and functional issues that may arise.

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