Please complete the form below and submit. An ATS associate will promptly contact you to discuss customizing a solution for your healthcare organization, allowing you and your peers to eliminate missed charges, accelerate reimbursement from third-party payors, sharply reduce denials and increase physician productivity.
Name
Organization
Address
City
State/Province	Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon
Zip Code
Phone
Email Address
What is your annual budget for transcription?	Less than $5,000 $5,000 - $25,000 $25,000 - $50,000 $50,000 - $100,000 $100,000 - $250,000 $250,000 - $500,000 Over $500,000
When does your current contract expire?	0-3 months 3-6 months 6-12 months More than 12 months No current contract
Describe your total volume of transcription/dictation.	Less than 1,000 reports per year 1,000 - 5,000 reports per year 5,000 - 25,000 reports per year 25,000 - 50,000 reports per year 50,000 - 100,000 reports per year 100,000 - 250,000 reports per year 250,000 - 500,000 reports per year Over 500,000 reports per year
How are you currently processing your transcriptions?	Inhouse Outsourced
What kind of Internet connection do you have?	Phone Line Cable DSL T1
What method of dictation do you prefer?	Digital Recorder PC Microphone Telephone
How many characters per line are your reports based on?	50 65
What is your current cost per line?	9 cents 10 cents 11 cents 12 cents 13 cents 14 cents 15 cents 16 cents 17 cents 18 cents 19 cents 20 cents 21 cents 22 cents 23 cents 24 cents
What are your turn around time requirements?	12 Hours 24 Hours 48 Hours 72 Hours
What amount of work do you currently outsource?	100% 90% 80% 70% 60% 50% 40% 30% 20% 10% None
What amount of work would you like ATS to bid upon?	100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Overflow only Occasional Work After Hours/Weekend Coverage
Describe the major problem areas with your current transcription process.
Questions or Comments