Converting a "tape" client to digital (sm)
Posted By: midwestMT on 2008-06-26
In Reply to:
Can someone point me in the direction to find information on purchasing equipment for a doctor to try digital dictation for the first time? He's currently using tapes and is interested in digital dictation.
I have express scribe and a wav pedal, I realize I'll need to get FTP set up on my webspace but I'll need to purchase him the handheld, etc. and I'm really not sure what the best setup is. Being only one person, I can't afford thousands of $ but would like to be able to offer that type of service.
Help?
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How do I set up a digital client??
Hi,
I just got an offer to do transcription for a doctor about 20 miles away. Only problem is this is a pick up tape deal and I do not want to have to travel especially with winter/snow coming on. I'm sure this isn't a big money maker account, but I would like to be able to have the voice files come to me encrypted and deliver the work that way too. I am not very good at things that are overly complicated, so any help as to what to suggest for a recorder and such would be greatly appreciated. I am hoping they will go along with buying digital, but if need be, I suppose I could provide it just to save driving. Help please. Thank you.
Converting voice files to digital files
I have a Voice Solutions dictation system that will happily convert DS4000 voice files to digital when they are downloaded (wave files). However, it will not recognize any other files for conversion. I had a physician download .WAM files from his DS-30 and my dictation system would not convert it. Anyone have any suggestions? I would greatly appreciate any input.
Thanks!!!
I'll take my "tape" jobs anyday!
could come in handy! 
I do tapes and digital. And I was told if I'm not logged into the digital system, they assume I&
BUT she wants me logged into the system by 9:30 a.m. So I'm confused too. I've decided that I may come back to her and just say I'm not going to do the tapes anymore. I hate the tapes anyway. The voice quality is horrible, it fades in and out. It takes me twice as long to transcribe their tapes than the digital.
Converting DSS to WAV
I heard there are free tols on the internet that can convert a DSS files to a WAV file. Does anyone know where to find a good one? I just used the DSS software that came with my handheld to do it, and it went from a 2 MB DSS file to a 35 MB WAV file, which is unwieldy. Am I supposed to now zip the WAV file? How do you do that?
Thanks a lot.
Dave
Converting to Wav
Unfortunately, wav files are incredibly large compared to their dss counterparts. 35MB for a wav file is quite common, and there is not much that can be done about that. Once converted to wav, however, you can then convert it again to either mp3 or wma (windows media audio), both of which are much smaller files and are compatible with most software out there.
Converting SH to AC
You may want to visit the Productivity Talk board and look at the thread about this topic called Autocorrectutilities ...
Converting fractions
16/1000 = 0.016
I'd put 0.016-inch split-thickness graft.
Converting tapes to FTP - help please
Can someone help me. I'm starting to get a lot of tapes in, and I want to start getting some help and outsource some of this, but I haven't the first clue on how to convert tapes to an FTP site. I've tried talking to computer whizzes, but they lose me after a couple of seconds. So I thought I would try this avenue ... have any MTs out there been able to take mini tapes or standard cassette tapes and convert them to an FTP site to be downloaded anywhere in the country for someone else to transcribe?? I do not know the first thing about it, and I would really appreciate any input.
Please email me. Thanks! 
Converting dss.gxe files to dss
Does anyone know if this is possible? I'm trying to get my WAV pedal to play these Gear Export files. The extension is dss.gxe and I think the gxe is preventing my WAV pedal from being able to open them. Thanks in advance!
Let me know how you do with converting from Smartype to IT
I tried and failed miserably. I'd love to hear your experiences with converting to it. Maybe I didn't give it enough of a chance.
converting minutes
As a starting point, I would say maybe 10 minutes an hour. Straight transcription should be more, but, for example, where I work, we have access to the EMR and are expected to do a lot of clerical work to get the job done. Longer reports really work in our favor, but the short ones kill me production-wise. What it all will come down to in the end is how much are you able to make an hour.
Converting files to other formats
I'd like some help.
I have a file sent to me which was supposed to be sent in text format. Instead, the tech apparently sent it as an ACL file.
I'm supposed to send it on, but need to convert it first in text format. Can anybody coach me? I'm feeling rather "techno-challenged".
Thx.
I have had trouble converting to Word as well.
When I started with WP 5.1 I was inhouse, so I had some help in learning the ropes. With Word I am on my own. I have ordered some training materials, but have little time to use them. Kimberly, as far as interruptions go, it is all a trade-off. You have interruptions inhouse too. Do everything you can think of to increase production when you are working. Make a decision whether it is more important to you right now to draw a bigger paycheck or spend time with your child, and then do not beat yourself to death for your decision. No one can make this decision for you, nor should they judge you for the decision you make.
question on converting a disk - please help
I have a CD that I am supposed to transcribe. It came to me in as a .cda format, and it won't play whatsoever. Not on my laptop, not on my CD player, nothing. I see online that there are ways to convert the cda to an mp3, but I'm not sure which are hoaxes/bogus and which are for real.
Does anyone know how to do a conversion of cda to mp3? Please help. Thanks so much
Has anyone had trouble converting documents
Word 2000. These seem to be putting a .doc extension after all of my documents now. Anyone have a fix? I have an account that I can't use the .doc extension, and when I back that extension off, I get a message saying "this document may not be usable". Is this a Vista issue? Any help would be greatly appreciated.
 in advance for any help in this OMG matter! I'm about ready to  , and I have just gotten it to grow to a length that I like.
converting voice files
Thanks for the input. I will definetely look that up on the net. I just hope it does the same thing for my voice files as it did for your MP3 files.
Converting Shorthand to AutoText
Well I have used my trial versions of Shorthand. Speedtype has not responded to my trial version request. So is there a way to convert my ShortHand dictionary so that I can use it in AutoText? Not Autocorrect but AutoText. Thanks
Converting Instant Text to SpeedType
A friend loaned me an trial version of SpeedType. I have tried to get my Instant Text glossaries to convert over and it will not separate the keyword from the entry. The SpeedType then assigned the entries keywords of 5001, 5002, etc. Is there anyway I can fix this?
Harika - marketing/converting clients
is a numbers game. You just have to keep promoting your business over and over and over again. Work on promotion for 1-2 hours per day so you don't get burned out on it.
There are many tasps out there. I see them on the banners on this board all the time. Some are basically pay as you go. The one I have is less than $100 per month with unlimited uploading and downloading. All the doc needs is a recorder or you can use a tasp with a call in system. I think the call in systems are high $ though. Nobody answer my post last week why the call in rates were so high! If you go to affiliates on the left there are tasps on there.
To me the tasps really remove the need for a middle man taking a 60% cut like the big nationals.
Can someone help me in converting my SH entries to the Chartscript expander? SM
I thought SH would work with Chartscript, but the tech guy says that their Chartscript Expander and all the abbreviations reside on the hospital's server, and my abbreviations are on my own PC which is why it won't work. Can anybody help get around this somehow or convert my entries and how to load into Chartscript? The tech guy says he doesn't know anything about SH. Thank you.
You need an expander like Instant Text or Shorthand so you don't have to keep converting every ti
xx
Converting C-Phone to keyboard versus foot pedal rewinding and fast-forwarding
Hi there:
I have some as-yet-undiagnosed neuropathy that began with my eighth injection of inteferon for hepatitis C. I initially had severe numbness from the waist down (felt like tourniquets on my legs) that is now controlled somewhat with high-dose Neurontin, but now I have moderate to severe pain in the lower back and buttocks if I sit for very long. I'm on a mild narcotic/analgesic, but I still have pain and discomfort long before it is time to take the next dose. I'm currently only earning about 60-80% of my normal income.
My question is this: Does anyone out there know of a way to convert the foot pedal functions of the C-phone to a keyboard, other than having an integrated system, which the hospital I work for does not have?
There must be some way for handicapped people, like those in a wheelchair, to do medical transcription without the use of a foot pedal, but my guess is that you would have to do away with the Dictaphone dication system completely, which I doubt my employer would do unless I threatened some sort of legal action.
Any info on converting a dictaphone 2-prong headset adaptor? I need to find a noise cancelling head
If anyone knows where I can find this, please let me know. thanks
FTP Client
I still don't know what an FTP client is that was asked in the original question?
the client always wants a little something...sm
The client always wants a little something for nothing.....so I give them a free line if there is only one word on the line...I give them a 68-72 character line (spaces I do count). I have never upped them in 9 years, but on my 10th anniversary I am upping them to 13 CPL. I also give them their 5 line headings for nothing as it's only 2 Keystrokes for me. They are good to me so I bake for the offices a couple of times a year and give the offices a gift during the winter holidays.
I do for one client
One of my clients requested that I charge this way. We do 10 words = 1 line, so basically a penny per word. From what I have figured, I'm doing okay when compared to the character count way of charging on this account. I think they requested charges calculated this way because of being ripped off by their last MT. Once I send their files, they can check the word count and keep a running tab to compare with my statement. They're satisfied and I'm satisfied, so it works well.
Have your client do it. SM
Call the office of your client and have them fax/e-mail to you samples of their prior surgeries. There's certainly nothing wrong with asking for this.
the client does not have to have it-- sm
The client can unzip using WinZip or whatever program they have installed, but MP Tools is so easy, some clients may want to use it. I have a couple who are interested in purchasing it just for the printing function, which works really well.
I had a client ask me to look
They provided a patient list for the date of service, but if the patient was not on there, then I had to view on-line the past week of patient lists to look for the name. Yeah right - that took 15 or 20 minutes sometimes uploading and viewing. So now, they get an inaccurate spelling of the patient name with a comment when I send there report, pt. not on list. Hello? Like the low wage isn't bad enough, and then add in that kind of junk. It is pathetic.
What the client says is law, if that is what they want, then
that is what they expect and they have the right to tell an MTSO who can and cannot work on their accounts.
Even with this, the client is always
BOS is a style guide, which I do not own. However, I aim to please the client. So, if the doctor wants to spell something his own way, then so be it. He went to medical school, not me! A book of style means absolutely nothing to a client who wants things a certain way. End of story. 
It is just according to what the client
wants. Most do I would think, but some want them in a paragraph form and not captialized. Need to check with your supervisor or client.
Oh my! Do you have your own client? sm
I don't know of any MTSOs who pay 13 cpl. If you found one please share.
I'm not sure, but if the client does not
get a cut for using ASR, they why would they care whether their physicians use it or not????
We would be a lot more valued if they all thought ASR was as good as originally touted and had no editors to fix the darn reports it spits out.
First off..there is no way the client is getting a
And ASR is NO WAY 3 times faster...that will never happen. Most transcriptionists type the speed of the dictator to begin with. ASR could be a great tool for those of us needing a break from transcription, but it does not warrant ripping off our cpl's..ESPECIALLY when the client is charged the same...the have NO WAY of knowing whether the report is goes to ASR or not. Lastly, an ASR Editor needs YEARS of transcription experience, becuase to insure a correct report
It would be according to what the client
wants. We just type the numbers if they are dictated that way.
Unless specified by the client, I only
expand in diagnoses, procedures, impression, etc. I always type what they say when it comes to drugs, you don't change things like two a day to b.i.d. unless directed to do so by the client specifically. Also, on my client we are not allowed to use slang, so if they say "sat" we expand to saturation, bili is changed to bilirubin etc. A good MT never takes it upon herself to change something that is dictated UNLESS they are specified to in certain instances by the client or it something is wrong--then if it is changed you flag it for your QA.
I think relistening to a certain client until you
are very used to them is a good idea. Just put it on high speed and go over it. That won't take near as much time. I am QA and I can most certainly tell the difference between those who relisten or at least reread and those who do not.
never a client from a national, but...sm
A client approached me AFTER both HE and I had quit working for this one particular MTSO...I worked for him, she found out and tried to sue ME for $20K.
I sent her back a play $20K bill and told her that was about as much as her "lawsuit" was worth. Never heard another word from her.
Own client question
Those of you with your own clients. What do you do when you want to go away for the weekend, or get sick? I can see this as being about the only reason to stay with a company. The ability to get someone else to pick up your accounts for a few days is appealing.
Depends on the client.....sm
At any rate you have too many commas, imho.
"I told him to clean the area with hydrogen peroxide and after that he can apply the Neosporin ointment." Works just as well.
It just depends on what the client wants.
I have some that still use tapes and some that I do through a TASP. So for the TASP, I have a wav pedal for the computer, Express Scribe, and that's it. For the tapes, I have the usual trancriber setup.
Maybe the client requested the
x
Pleeeez help. What is an FTP client?
I was asked that when applying for a job. I know it means file transfer protocol, but how the heck am I supposed to know how my audio files get transferred?
And I thought I was pretty gosh durn smart. 
Client rate
It depends on the rate in your area, but I would charge no less than .12 per 65 char line. I think this rate is not too high and not too low. You have be careful about charging too much as someone will undercut you. Practicount is a line count program that will allow you to charge for headers, footers, bolded areas, underlines, and so on. This way if you have to drop your price in order to get the client you can charge for other things that will make up the difference.
Good luck!!!
it's really client preference......NM
x
In general no, but your client may need you to
nm
Well, if that's how she's billing the client SM
then that's how you should be billing her (just characters and spaces). I'm sorry you're going to be losing money. I'd be unhappy too. Maybe you can work on your shortcuts/macros more so that you are typing less for the same amount. No real words of wisdom for you...sorry.
Maybe so, but ultimately it is the client
x
The needs of the client have changed.
They can say they need the work whenever the fancy strikes them. You can either provide it or not. That is just the way this business works.
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