Medical Transcription FAQ - Train at Home to Work at Home

  1. What is medical transcription(mt)?
  2. What is the future of the medical transcription industry?
  3. Do I need to be certified?
  4. Do I need to be a good typist to be a medical transcriptionist?
  5. What is the job market for a medical transcriptionist?
  6. How much can I earn as a medical transcriptionist?
  7. Who do medical transcriptionists work for?
  8. How do I find work after I've finished the course?
  9. Can I start my own business after I finish the course?
  10. What do I need to work from home?
  11. What are the advantages of training with Career Step?
  1. Is Career Step accredited?
  2. Is Career Step AAMT approved?
  3. What type of student support does Career Step offer?
  4. How much practice transcription is included in the course?
  5. How is the Career Step course structured?
  6. How long does it take to finish the course?
  7. Can I contact someone who has already taken the course?
  8. Do I have to follow the syllabus order?
  9. How is the final exam administered?
  10. Why does Career Step use standard cassettes instead of microcassettes?
  1. What equipment do I need?
  2. What payment options does Career Step offer?
  3. Can I get a discount if I share with someone?
  4. Does Career Step offer scholarships?
  5. What is your refund policy?
  6. How soon will I receive my materials?
  7. What are the benefits to taking the online course?
  8. What are the advantages to the Platinum program?
  9. Can I upgrade to the Platinum program?
  10. Which Norton Firewall settings need to change
  1. What is medical transcription(MT)? What does a medical transcriptionist do?

    Medical transcription is the industry that renders doctor dictated reports, procedures, and notes into an electronic or paper format in order to create files representing the treatment history of patients. Health practitioners dictate what they have done after performing procedures on patients.

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  2. What is the future of the medical transcription industry?

    There will be a need for medical transcriptionists into the foreseeable future. Although much is made of the possibility of speech recognition technology forcing transcriptionists out of jobs, there are certain things a transcriptionist can do which a machine cannot. For example, speech recognition software and technology is based on the predictability of dictation. Thus, errors in pronunciation, syntax, and grammar at present can only be rectified by expert people, that is, transcriptionists.

    At times current or developing medical procedures invoke specialized clinical conditions and these conditions cause new terminologies to be introduced. Once again expert people, that is, transcriptionists, can make adjustments quickly. And speech recognition technology can adjust but much more slowly.

    Transcriptionists can adjust to the variation in practitioner speech habits, in their training, in dialect differences, and in foreign doctor dictation language differences.

    These are just a few of the facts that bolster the argument that we shall need transcriptionists for a long time to come.

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  3. Do I need to be certified?

    Career Step provides a certificate of graduation to all graduates who have demonstrated competency by passing our final examination. Career Step is a recognized leader in medical transcription training and our certification is accepted by many employers seeking entry level transcriptionists.

    The American Association for Medical Transcription (www.aamt.org) maintains a Certified Medical Transcriptionist (CMT) program, providing independent certification. A small percentage of medical transcriptionists have obtained this certification. Few employers require the certification. Career Step graduates generally do well on the CMT exam after completion of the course. Career Step does not require completion of the CMT exam. Career Step encourages those who desire this certification and those whose potential employers require this certification to seek certification under this program.

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  4. Do I need to be a good typist to be a medical transcriptionist?

    If you have average typing skills and a desire to learn, then we will take care of the rest. Our keyboard kinetics book is designed to help you increase your typing speed and your accuracy, both of which are vital to the success of a medical transcriptionist.

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  5. What is the job market for a medical transcriptionist?

    A well-qualified conscientious medical transcriptionist, according to all the latest information, has a secure future. There is a huge demand for such MTs in all areas of the country, although presumably some regions have a stronger demand than others. With national services hiring, location is not as crucial as it once was. While voice recognition systems are seen as a distant threat to the MT's vocation, experts are predicting that it will be years, if ever, before voice recognition takes over the MT's vocation. Even then, experienced MTs will be needed as editors and record managers.

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  6. How much can I earn as a medical transcriptionist?

    Well that varies a lot. This chart will give you the low end. This is figured at the STARTING RATE working for somebody else in the lowest-paid parts in the country, so between $0.05 and $0.06 cents per line. The dollar figure is the GROSS ANNUAL INCOME.

    Hours Worked per Week Typing Speed
    Gross Annual Income
    (LOWEST PAYING MARKETS)
    50 WPM 60 WPM 70 WPM 80 WPM
    10 $6,240 $7,280 $8,840 $9,880
    20 $12,480 $14,560 $17,680 $19,760
    30 $18,720 $21,840 $26,520 $29,640
    40 $24,960 $29,120 $35,360 $39,520

    Now if you get your own client, DOUBLE THAT. If you type faster, YOU'LL MAKE MORE. If you work more, YOU'LL MAKE MORE. If you get your computer doing some of the work for you, YOU'LL MAKE MORE. If you make more than 6 cents a line, YOU'LL MAKE MORE. You get the idea. Oh, and if you are fortunate enough to live in places with higher standards of living, such as California or New York, you will make substantially more. Some people have been known to average between $40 and $50 AN HOUR! Most people make MORE THAN $20 AN HOUR. Any way you look at it, medical transcriptionists make EXCELLENT MONEY!

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  7. Who do medical transcriptionists work for?

    A transcriptionist can live in Podunk Valley, California, 100 miles from the nearest city, and work for a client at the other end of the country, in Boston or New York. That is happening more and more. MTs may work for medical facilities as employees in house ; they may work for transcription services in-house (actual employee) or at home (independent subcontractors or statutory employees).

    Potential clients are doctor's offices, medical clinics, hospitals (of all shapes and sizes), rehab centers, ambulance services, company medical centers (some big companies have their own medical transcription departments), and transcription services, large and small.

    There is also the option for a medical transcriptionist (MT) to acquire his or her own clients, in which case that MT is a self employed entrepreneur.

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  8. How do I find work after I've finished the course?

    As part of our Platinum Program student support we can help you find a job. Upon a student's graduation, we will supply him/her with a list of names and numbers of possible employers. Because a person's employment potential is based upon their performance, we cannot guarantee employment. However, we do try to aid graduates in getting started in their employment. Our support network extends nationwide and has hundreds of contacts including services, clinics and hospitals. Once again, this option is for students enrolled in the Platinum program.

    For all Career Step students, regardless of the enrollment option selected, you will be able to accurately transcribe medical reports. The course provides actual transcription experience, and the majority of our students throughout the country find employment upon graduation.

    The Career Step course also contains Making Your Career Step, which gives you employment ideas for getting work on your own.

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  9. Can I start my own business after I finish the course?

    Today much medical transcription is outsourced, that is, done by services or individuals outside of the medical facility where the patients are seen and treated. Although for many years transcription has been a job that could be done at home, with today's technology that is truer than ever. A transcriptionist can live in Podunk Valley, California, 100 miles from the nearest city, and work for a client at the other end of the country, in Boston or New York. That is happening more and more. MTs may work for medical facilities as employees in-house; they may work for transcription services in-house or at home. (You'd think these terms would mean about the same thing, but they don't. Isn't English fun?) They may work as employees for those services or as independent subcontractors or as statutory employees. (The IRS makes the rules, and while we can't go into detail about them here, any prospective MT needs to inform himself or herself regarding them. There are pros and cons for each category.) Or a qualified MT can hit the pavement (so to speak) and acquire his or her own clients, in which case that MT is a self employed entrepreneur. (These have the potential to make the most money, but they also have the greater headaches generally.) Potential clients are doctor's offices, medical clinics, hospitals (of all shapes and sizes), rehab centers, ambulance services, company medical centers (some big companies have their own), and transcription services, large and small.

    Traditionally transcription has been taken from dictation on cassette tapes (a step beyond dictabelts, which are REALLY old technology), standard, micro, or mini. These tapes are placed in a transcriber with a head set and foot pedal, and the MT types what is dictated. Much transcription is still done that way, but less and less as time goes on. A step above cassettes is the C-phone, still widely used. This is a phone set, also with headphones and a foot pedal, through which the MT accesses dictation in a central system and transcribes it. The system may belong to a transcription service or to a medical facility. The transcribed report is likely then sent over the modem or through the internet to the client or employer, where it is printed out or stored in the computer. Medical transcription is deadlines. Most reports have to be returned within 24 hours or less from the time of dictation. The latest technology enables the transcriptionist to receive dictation in audio files on the Internet, which are then transcribed and sent over the Internet to employer or medical facility. Obviously, the more comfortable a potential MT is with technology, the better.

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  10. What do I need to work from home?

    To effectively work for most companies you will need a COMPUTER, but nothing fancy. Every computer on the market today is about 10 times more than anything you need to do medical transcription. Essentially as a transcriptionist you will be word processing. If you can use a typewriter, you can use a computer for medical transcription, EVEN IF YOU HAVE NEVER TURNED ON A COMPUTER BEFORE. (However, the more familiar you are with computers the more productive you will be and the more money you will make.)

    You will also need a TRANSCRIBER. This is basically a tape player with a foot pedal for the STOP, PLAY, REWIND features so your fingers never have to leave the keyboard. There are several different types of tapes and transcribers. You won't know what you need until you get your first job. Some transcription services provide their employees with the necessary equipment. So, wait to buy anything until you know you can make money with it. To complete the Career Step Medical Transcription Course, a typewriter will suffice, and your stereo or a simple tape player will do. ONLY for the course however. As a transcriptionist, you will need a computer and a transcriber.

    You will need a good MEDICAL DICTIONARY. As a medical transcriptionist you will want to be able to find definitions as well as find words doctors might be saying. If you enroll in the course, you will receive a Medical Dictionary.

    That's it!! As far as equipment goes there is not a huge investment, even if you want to set up your own business

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  11. What are the advantages of training with Career Step?

    Career Step offers the convenience and flexibility of learning to be a medical transcriptionist at home. This means, of course, that students study when their busy schedules permit. Training is offered either in a text-based format with audio tapes or in an online format with audio. The course is competency based. This means that the successful graduate acquires the skills and competencies to enter the job market, working at home or for a service, clinic or hospital. Also, in today's Internet world the student can learn in the electronic medium which will be used during employment.

    One of the popular course options provides assistance in obtaining employment.

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  12. Is Career Step accredited?

    CAREER STEP IS REGISTERED UNDER THE UTAH POSTSECONDARY PROPRIETARY SCHOOL ACT (Title 13, Chapter 34, Utah Code).

    Registration under the Utah Postsecondary Proprietary School Act does not mean that the State of Utah supervises, recommends, nor accredits the institution. It is the student's responsibility to determine whether credits, degrees, or certificates from the institution will transfer to other institutions or meet employers training requirements. This can be done by calling the prospective school or employer.

    Career Step satisfies all the conditions to operate legally in the State of Utah.

    SUMMARY: Accreditation is a peer review process extensively used in education. Career Step has not sought to be accredited (1) because of the expense, (2) because its program is competency based, (3) because traditional approaches to training medical transcriptionists are often both accredited and inadequate, (4) because external reviewers are unlikely to offer suggestions for improving our program, and finally, (5) because there is no commonly shared definition of shared content nor a professional organization at present by means of which content codification could be engineered or by means of which students could transfer from one program to another.

    For further explanation please read the more extensive notes on accreditation.

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  13. Is Career Step AAMT approved?

    Yes. Career Step's Platinum-Level and Gold-Level Medical Transcription Training Programs are among only a handful of training programs approved by AAMT (American Association for Medical Transcription). AAMT approves programs that comply with established criteria for quality medical transcription education.

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  14. What type of student support does Career Step offer?

    Our student services department exists to help students in whatever ways they might need help. We answer questions about the course, any problems or confusing issues students may have. We try to offer encouragement. We give suggestions and pointers on working effectively through the course and accept and pass on such suggestions and pointers as other students may come up with. We grade the final exam and provide instruction for those who do not pass it in hopes that our input will help them pass it the next time. We monitor the forum and focus on the issues that students bring up there. We welcome calls, emails, and letters from students and try to be responsive to their concerns in a timely manner. We simply see ourselves as mentors, trainers, and supporters, here to address whatever needs the students may have relative to the course and to the goal of becoming working medical transcriptionists.

    In addition, Platinum Level students receive a graduate packet containing an employment referral directory, a start-up contracting and pricing guide, and various brochures such as information on speed typing programs. Our student support staff provides personal employment consultations, evaluations of sales letters and resumes, letters of reference, and a help hotline for the first six months of employment (or longer if need be). We at Career Step are frequently asked by employers and services for graduates, and we refer our students, Platinum Level first, to those who inquire.

    Our goal is to provide training for those who wish to enter the field of medical transcription, as well as to do all we can to help them find employment when they complete the course.

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  15. How much practice transcription is included in the course?

    There are more than 550 ACTUAL MEDICAL REPORTS which you will type as part of your Career Step training. The majority of these were dictated by REAL DOCTORS.

    My goal in writing the course was simple: I wanted anyone who went through the materials conscientiously to BE ABLE TO DO MEDICAL TRANSCRIPTION when they were finished, and hands-on experience is the most valuable tool available.

    The whole program was developed by medical transcriptionists and other people who were successfully involved in the medical transcription industry. With MORE THAN 2,000 PAGES of written materials, 22 TAPES with more than 550 ACTUAL REPORTS to type, the Career Step training you receive is the most practical and comprehensive available anywhere.

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  16. How is the Career Step course structured?

    The course consists of a series of exercises in subjects vital to medical transcription. Our online course integrates the curriculum with powerful online learning tools, including instant feedback & grading, spellcheckers & text comparison, electronic flashcards, plus much more! To optimize the learning process, each student's customized study plan will incorporate the following steps:

    • Student Resource Guide - The Student Resource Guide was compiled to provide you with the information that will help you to successfully complete the course and achieve your goals of becoming a medical transcription. It is an easy-to-use resource filled with information from how to contact the right person for any support need to tips and tricks, study plans, and frequently asked questions.

    • Keyboard Kinetics - Career Step focuses on not only learning medical transcription, but preparing you to successfully work on a production basis on graduation. Keyboard Kinetics is written to help you maximize productivity on the keyboard. It is designed to be worked through the entire duration of the course, coming back regularly to work through exercises and units to increase your typing speed.

    • Medical Word Building - This unit is designed to build an effective medical vocabulary which will significantly enhance your efficiency in performing the actual task of transcribing. You will learn the basic blocks for building medical language. This unit comes with flashcards to aid you in review and learning.

    • Grammar and Style Essentials - Creation of quality medical documents requires not only medical language skills but English language skills - rules for grammar and punctuation. The unique grammar and style unit provides exercises and practice with English language basics in the context of medical reports.

    • Human Anatomy and Disease Processes - In a nutshell, medical reports are about the body and what goes wrong with it! Human Anatomy and Disease Processes covers the body and body systems, as well as how diseases and problems are manifested in each of the body systems. Filled with diagrams and descriptions, this unit is essentially for providing a knowledge foundation creating a correct medical report.

    • Smorgasbord - Using Resources, Medical Plurals, Pharmacology, Foreign Terms, How to Look Up Words, Word Differentiation, and Formatting. For text students, these units are compiled into one book we call the "smorgasbord" because it is a compilation of a bits and pieces of critical information for MT success. These units are presented as separate modules for online students. Accuracy and correctness are critical in medical documents and you need to have excellent referencing and resourcing skills. You must be able to make sure the selected word is the correct one when words have similar sounds and but different meanings. These and other skills are addressed in this compilation of units.

    • Focus on Medical Specialties - Medicine is a general term which encompasses many individual fields of medical practice - orthopedics, gastrointestinal, neurology and many other specialties make up medical reports. The goal of the training program is to give you experience with all of the specialties of medicine - maximizing employability and opportunity. Focus on Medical Specialties is designed to give you experience with a variety of medical disciplines and prepare you for going to work in a specialized area of medicine or take a position with an acute care facility where all disciplines are represented.

    • Editing and Proofreading - A medical transcriptionist is responsible not only for creating a document, but for making sure it is accurate and returned to the healthcare facility in a final polished form. This means editing and proofreading skills are a must! The editing and proofreading module gives you practice fine tuning reports and taking them from rough draft to finished quality.

    • Practicum - Beginning, Intermediate and Advanced Transcription - All of what you will have done so far helps prepare you for the actual transcription, which is the most important part of your training. In the final analysis, it all comes down to your ability to produce accurate medical records in specified timeframes. This is what potential employers are using to make hiring and retention decisions. You will gradually build from less complex report content and dictator difficulty level to more complex report content and dictator difficulty as you work your way through beginning, intermediate and advanced. All of the areas you have studied will combine in practical application. You will use your resourcing skills, medical and English language knowledge and keyboarding/technology skills as you develop and hone your medical transcription skills. Immediate feedback and text comparison will allow you to compare your reports with reports created by experienced MTs to develop and perfect your critical thinking skills.

    • Technology and Employment - This unit is a tool for becoming employed as a medical transcriptionist. It provides information on where and how to find work for yourself and your newly acquired skill.

    • Start Your Own Successful Medical Transcription Business - Platinum students also receive this information-packed book, rich in detail and ideas for setting up a profitable MT service. Written by a successful MBA, Start Your Own Successful Medical Transcription Business covers contracting, accounting, marketing, cash flow, legal requirements and many other considerations for building a profitable business.

    • Foot Pedal - Every online enrollment comes with a PC transcription foot pedal and transcription software. Digital voice recording and Internet transmission of voice and text files is standard in the industry. The online course is presented to allow you to use the same tools in training that you will be using on the job, giving you a competitive advantage in the marketplace.

    • Tests, Keys, and Final Exam - Essential to your success in your course is your ability to determine how well you are learning the materials. Tests and exercises are an integral part of the course. The final exam provides students the opportunity to determine their readiness to enter the job market. Many companies utilize versions of the exam as they screen MT applicants for jobs.

    • Keyboard Kinetics - Designed to improve typing speed

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  17. How long does it take to finish the course?

    The Career Step Medical Transcription training program is designed to be completed in 640 hours, or full time for a period of four (4) months. Career Step provides access and services for a period of eight (8) months beyond the initial four (4) month period, providing all students with access to all materials and services for a period of twelve (12) months. The twelve (12) month period begins with online course activation (for online students) or from the date of the first shipment (for text students). At the end of the initial twelve (12) month period, students will no longer receive course access or Career Step services. Extensions beyond the 12-month enrollment are available. All extensions are subject to the current extension policy at the time an extension is purchased.

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  18. Can I contact someone who has already taken the course ?

    Career Step maintains a list of graduates who are willing to respond to phone or e-mail inquiries regarding the Career Step course and their experience in the work force. Contact and inquiries should be kept brief.

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  19. Do I have to follow the syllabus order?

    The idea of an independent course is independence. The syllabus was designed merely to help you optimize your training. With the Career Step course you can work through the entire program TOTALLY AT YOUR OWN PACE! All the materials are self explanatory and follow a step-by-step process that guides your training in the following order:

    I. Typing

    II. Grammar and Punctuation

    III. Terminology

    IV. Transcription

    V. Working

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  20. How is the final exam administered?

    Students: When you have completed the Career Step course, you can write to the office or call and request your final exam. Keep track of your progress through the course because before your exam is sent to you, you need to send in your course completion record. Your exam will be online, even if you are not an online student. You may need to make arrangements for the final exam if you do not already own a computer that will be compatible with the online exam. (The computer requirements for the exam are the same as those for the online course.) You will be emailed the web address of the exam. Students have a total of 48 hours in which to complete both the objective and transcription portions of the exam. You should schedule the final during a time when you have a two-day consecutive period. It should not take the whole two days to complete the exam; however, you may want the time to go over your answers before submitting the final for grading. Your exam is initially graded by the computer, but you do not need to fear that your exam score depends on the judgments of a computer. Our counselors, human beings with medical transcription experience, will carefully evaluate your exam. You must achieve an 85% or higher in order to pass. If your score is less than 85%, you have two opportunities to take the exam again, at a charge of $25.00 per retake. Upon successfully passing the exam with a score of 85% or more, you become a Career Step graduate, the goal for which you have worked so hard. Then it's onward and upward from there!

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  21. Why does Career Step use standard cassettes instead of microcassettes?

    Microcassettes are sold in blank format and are generally unavailable in a prerecorded format. They have been traditionally used for transcription and personal recordings. Due to low demand, high speed duplication equipment for microcassettes is not readily available; therefore it is necessary to reproduce the course tapes on standard size cassette tapes.

    Career Step encourages students to utilize a standard size cassette transcriber for the course. A tape recorder with reverse, pause, and forward functions may be used with the course. Standard size cassette transcribers may be obtained inexpensively in used or refurbished condition from Martel Electronics 1-800-553-5536 or from past MT students on the classified board at MTDaily.com.

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  22. What equipment do I need?

    To complete the Career Step text course you will not require any special hardware. (Those interested in the online course will need certain equipment) Because you are concerned with learning and not productivity, transcription of the course reports can be done on any keyboard or typewriter. However, if working from home is your goal, there are three basic pieces of equipment you will need to begin working professionally:

    1 Computer: To work from home, you must have a computer. Although technically possible to do medical transcription on a typewriter or word processor, you will severely limit your income potential and employment opportunities. The good news is that you don't require an expensive or fancy computer. Virtually anything you can buy on the market, new or used, will work.

    2 Transcriber: A transcriber is essentially a tape player with a foot pedal and a headset. A transcription foot pedal and WavPlayer software are included with purchase of the Career Step Online Course. Foot pedals are extremely helpful - as you will never have to take your fingers off the keyboard or your eyes off the screen. We suggest that you wait to purchase a transcribing machine until you know what kind you will need. We suggest this because there is a great variety of tape sizes (each size requires a different machine), or you could even use a digital system. Used, full size cassette transcribers are available from Martel Electronics (1-800-553-5536) or check the mtdaily.com sales board.

    3 Reference Materials: A comprehensive medical dictionary is a must for every transcriptionist. Auxiliary books can also be useful as needed. The Career Step course contains excellent medical/surgical, and medication lists containing over 45,000 terms for your continued reference as a medical transcriptionist.

    4 Supporting Software: To transcribe medical reports, any basic word processing program will fulfill your need. In addition to word processors, however, there exists certain software which will increase your productivity. A few of these software programs are: SmartType, FlashForward (Word Perfect), PRD, Quick Correct, or Auto Correct. These different software programs will increase your productivity by expanding abbreviations, allowing hot key assignments, and many other advantages.

    Of course, as a transcriptionist working in a medical facility, you will not need any of your own equipment.

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  23. What payment options does Career Step offer?

    Career Step accepts personal checks, cashiers checks, money orders, American Express, Discover, Visa and Mastercard for payments made under all payment plans.

    Career Step offers three convenient payment options:

    Full Payment - receive your choice of one of the following bonus gifts when making your payment in full:

    Career Step Mouse Pad

    Career Step Wrist Rest

    Computer Copy Holder

    2 Four Payments - Spread the cost over four months, at no extra charge. Automatic credit card billing is preferred. Your card is charged on the 5th or 20th of each month depending on your original purchase date. For those with qualifying credit, you may choose the billing option and make your payments by the 25th of each month.

    3 Loan Program - Career Step provides a convenient loan program. Anyone who is interested in spreading out their payments may use this option. Credit approval is required. Loan terms include a 20% down payment and up to 12 monthly payments (via check or credit card) at 12% interest.

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  24. Can I get a discount if I share with someone?

    Career Step offers a shared learning program for relatives living in the same household.

    Each participant receives their own set of reference books. For text-based students, all course materials are shared. For online students, the transcription software and footpedal are shared. A separate sign-on and password are provided to each student. Shared students must enroll together or within 60 days of primary students enrollment. Enrollment period ends when the primary student's enrollment has expired. Extensions are available to shared learning students.

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  25. Does Career Step offer scholarships?

    Career Step offers scholarships to those who can demonstrate verifiable need and sufficient desire to complete one of our Medical Transcription Courses. Generally, a set number of scholarships are awarded each month. Applications may be submitted at any time and will be considered during the current or following month.

    Application Requirements:

    1 Complete the Scholarship Application, which also authorizes Career Step to obtain a copy of both your credit report and that of your spouse, if married.

    2 Complete a Career Step Enrollment Agreement.

    3 Complete a Loan Application if applying for a loan in conjunction with this application.

    4 Write a one to two page essay elaborating on your interest in medical transcription, your employment and educational background, your plans for completion and use of the Career Step Medical Transcription Course, and how the course will benefit you and your family, if applicable.

    5 Submit the above materials for initial review.

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  26. What is your refund policy?

    Career Step gives you 10 days from the date of receipt to review our materials. If you're not fully satisfied, you may return the materials in accordance with the policy below. Online students have 10 days from the date of activation.

    If, for any reason, a student withdraws within 10 days after the course materials have been received, his/her money shall be refunded IN FULL, less a $35 application fee and the nonrefundable shipping and handling, and the Enrollment Agreement shall be rescinded. Under this policy the student must return any and all course materials and supplies received from the school before receiving the refund. Dates regarding receipt of the course will be based on the delivery records of UPS for the text course, and date of email or phone call with password and sign-on for online courses. The student must notify Career Step by telephone before the 10th day to receive a return code, and returned materials must be sent to Career Step at the student's expense, insured and tracked through the carrier. The package must be postmarked within the 10 days. Course materials postmarked after the 10-day period will receive a refund based on the following schedule: 11-15 days 75%; 16-20 days 50%; 21-25 days 25% (minus application fee and damages, if any). If a course is postmarked after 25 days following receipt of the course, NO monies shall be refunded except tuition as per schedule in the next paragraph. The student will be assessed a small fee of $10.00 per book/tape for minor damage or retail price of book/tape set ($14.95 to $149.00 per book/tape set) if materials are returned written in, damaged, or destroyed. Pack returned materials to prevent damage.

    If, for any reason, a student withdraws after the initial 10-day review period, the $35 application fee, the shipping & handling fee, and the cost of the course materials are nonrefundable. The portion of the course fee attributable to tuition is $100 for all courses. The balance of the cost is attributable to the $35 application fee and the course materials. Tuition only is refundable according to the following schedule: 1-10 days 100%; 11-18 days 90%; 19-27 days 60%; 28-36 days 45%; and 37-45 days 30%. Any student withdrawing under this paragraph terminates his/her enrollment and his/her right to transfer the course enrollment and materials.

    Protect returned materials with additional packing in order to prevent damage during return shipping.

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  27. How soon will I receive my materials?

    It takes about 3-4 days to process the application, depending on method of payment (mail/phone). Once the payment is processed the course materials are shipped UPS ground. The average wait is about 7-10 days. Additional shipping charges apply and are due with your first payment.

    Online students will receive a password by e-mail and may start the Online Course immediately.

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  28. What are the benefits to taking the Online Course?

    Online learning offers a great opportunity to improve your computer skills and develop your medical transcription skills and knowledge faster. The online course separates the text materials into units and sessions, threading course topics throughout, while offering these unique features:

    Pronunciation words Thousands of medical terms are pronounced for you at the click of a button using the real audio software included with your Windows 95/98 operating system. Pronunciation words are available in alphabetical order from the library and are highlighted throughout the course when they appear as part of the text.

    Automatic graders - Exercises and tests are graded for you. Test scores are stored in the gradebook for your review. Graders are precise, encouraging you to further develop your typing skills and attention to detail.

    Modern Technology - The online course uses the newest in transcription technology, allowing you to download wav voice files and to play practice dictation via WavPlayer software and a transcription footpedal attached to your computer. Your computer becomes a transcriber.

    Communications Center - The online course includes its own forum for use by online students and a live chat room, giving you private tools to communicate with other online students and Career Step student counselors.

    24 hour access - The online course is available 24 hours a day, 7 days a week, so you can study whenever you want to.

    Flexible Study - Work through the units as outlined or use the library to review books or topic areas.

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  29. What are the advantages to the Platinum Level program?

    Career Step offers a Basic Level Enrollment, a Gold Level Enrollment, and a Platinum Level Enrollment program. Both the Gold and Platinum Level courses are available in text- based and the online format. All three options contain an excellent, self-directed course of study. The course materials page provides a table of materials and services included with each enrollment option.

    In addition to the materials received with Gold Level Enrollment, Platinum Level students receive a graduate packet containing an employment referral directory, a startup contracting and pricing guide, various brochures such as information on speed typing programs, and Chris Dunn's 400 page volume, Start Your Own Successful Medical Transcription Business. Our student support staff provides personal employment consultations, evaluations of sales letters and resumes, letters of reference, and a help hotline for ONE YEAR after employment. We at Career Step are frequently asked by employers and services for graduates, and we refer our students, Platinum Level first, to those who inquire.

    Our goal is to provide training for those who wish to enter the field of medical transcription, as well as to do all we can to help them find employment when they complete the course.

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  30. Can I upgrade to the Platinum program?

    Career Step allows and encourages all students to upgrade to the Platinum program at anytime, providing that enrollment is current.

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  31. Which Norton Firewall settings need to change?

    In order to complete our online course, the referring URL must be known. Norton Internet Security has a setting that will block referer information from being sent to Web sites. This can be overridden for specific Web sites, however. To do this please follow the instructions below:

    1 Open Norton Personal Firewall

    2 Click the Options button

    3 Click the Advanced Options button found in the new window

    4 In the next window, click the "Web" tab

    5 If the Web site you wish to allow referer information to be passed to is not listed, click the "Add Site" button at the bottom of the window

    6 Enter the Web address for the Web site you wish to have specific behavior for and click OK

    7 Make sure the new site is highlighted in the list, and click on it, if it is not

    8 On the right hand side of the window, please click the Privacy tab

    9 Place a check in the box that reads "Use these rules for "

    10 Under the Browsing Privacy section, you will see an item called "Referer". Please choose Permit from the drop down list under that title

    11 Click OK

    At this time referer information will be transmitted to the specific Web site chosen. For updated info on Norton Internet Security Click Here

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