Archive for March 31, 2010

Medical Transcription Poised For Bigger Things Ahead

By Arvind Kashyap

Ever since the beginning of medical services & procedures around the world, there was always a need for properly writing down medical procedures. It was an important thing, because it could be easily referred to whenever a patient’ treatment history was required. Hence, initially it started with Doctor’s assistants writing down treatment procedures for the future reference of the doctor. But these instructions which were purely in Medical terms needed to be elaborated for easy comprehension of others in the medical fraternity.

To address this problem, and help in creating a comprehensible treatment history of every patient, Medical Transcription was formally introduced. The task of a Medical Transcriptionist thus involved understanding the medical jargon written by the doctor’s assistant, and document the same in easily understandable language. Slowly, this practice became popular and with the advent of recording devices, it was completely transformed to a totally new level.

The recorded tapes could now be sent to Medical Transcription companies located at the farthest corners of the world, and they would document the tape and send it across through internet in just a matter of hours. With the increasing presence of internet, Medical Transcription Services have attained greater significance in developed countries across the world. Doctors practicing in US, Canada, Australia & Europe are hiring transcription Companies based in Developing countries for their transcription work.

Countries like India have seen a big rise in the number of Companies, because of abundant availability of educated labor, who are able to deliver highly accurate transcription work at fairly cheap rates. And this also is the prime reason behind outsourcing of Medical Transcription Services to India which is growing at a pretty healthy rate through the past few years.

Considering the fact that rising concern about quality health services is only going up all the time, the future does look quite bright for people working in the business of transcription in India. As more and more Doctors in the west queue-up for quality Transcription services, the Transcription companies in India are sure looking for a pretty busy and booming future ahead.

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Bringing Transcription, EHR Together

By Greg Doggett, JD

The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 brought major changes to the medical transcription sector. Medical transcription service organizations (MTSOs) and medical transcriptionists (MTs) have focused their attention on the portion of the Act that created increased HIPAA privacy and security obligations for business associates. That focus is certainly understandable given the potential civil and criminal penalties for failure to fulfill those obligations; however, the Act’s changes to HIPAA will likely have less of a long-term effect on the medical transcription industry than another key part of the legislation.

The HITECH Act makes billions of dollars in financial incentives available to physicians and hospitals that make “meaningful use” of a certified electronic health record (EHR) system. The Act provided little detail on what constitutes meaningful use or a certified EHR, leaving that task up to the Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ONCHIT). The federal government sought input from stakeholder groups before issuing highly anticipated, proposed regulations at the end of 2009. Organizations, including the Association for Healthcare Documentation Integrity (AHDI) and the Medical Transcription Industry Association (MTIA), have analyzed the proposed regulations to determine their feasibility and consequences for quality of care, patient safety and efficiency.

Most concerning to AHDI and MTIA was the fact that the proposed regulations did not mention the dictation-transcription process or narrative reports. Failure to recognize these elements will have negative consequences for physician acceptance and adoption of EHR systems, the quality of health information, and, in turn, quality of care and patient safety. That is why AHDI and MTIA are calling for the government to explicitly recognize that several means of data capture would allow a physician or hospital to meet the criteria for meaningful use, including utilization of the dictation-transcription process to feed structured narrative reports and discrete data elements through data tagging into the EHR. Failure to recognize these elements will lead to the false perception that physician entry is the only option for capturing this information. In addition, AHDI and MTIA are calling for certified EHR systems to have the functionality to accept structured document formats from the dictation-transcription process, thereby enabling providers’ use of the process.

AHDI and MTIA members will take these messages to Capitol Hill on March 24 during the associations’ fifth annual Advocacy Summit. The event is an opportunity for MTs, MTSO owners and executives, educators, students and others within the medical transcription space to educate legislators on the sector’s vital contribution to quality of care and patient safety and to request their support for legislation and regulations that will capitalize upon the sector’s valuable contribution to improve health information and delivery of care.

The dictation-transcription process remains physicians’ documentation method of choice because it is easy to use and is time-efficient, thus allowing physicians more time to focus on treating their patients. In addition, narrative reports generated from the dictation-transcription process tell the entire patient story, are easier to read and understand among clinicians for coordinating and continuing care, and will be more meaningful to patients seeking information about their health care than a printout with a mere series of discrete, disjointed data elements. By acknowledging the dictation-transcription process as one of the methods to capture health information in the regulations, physicians will be more likely to embrace the push for greater EHR adoption and to find the experience of using an EHR positive and less cumbersome when it comes to the documentation process. Requiring certified EHRs to accept structured narrative reports from the dictation-transcription process will improve the flow of information between narrative reports and EHRs.

The dictation-transcription process is a proven and effective documentation method. MTSOs and MTs have long worked with physicians to deliver accurate, complete, consistent and secured records in the health care system to optimize patient care delivery and to enhance patient safety. By employing health care documentation professionals as a solution to the challenges of EHR adoption, the federal government will ensure wider and more successful adoption, a win-win for physicians and patients.

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Choosing a Medical Transcription Company

When it comes to choosing a medical transcription company, ensure that you receive better benefits than those offered by other companies. In the field of healthcare, one cannot compromise on any aspect which could jeopardize the interests of patients. There are a lot of outsourcing companies which claim excellence in service but only a reputable few keep their word.

A client should decide first whether he wants his work to be processed onshore or offshore. Most outsourcing companies charge less as bulk of the work is processed abroad, where the cost of labor is considerably low.

The internet is vulnerable as such; therefore, be sure to select a medical transcription company which uses encryption software to protect the processed files before being sending them to the clients. The outsourcing company should necessarily utilize the latest technology with file management systems with interface that support all file formats. This will help you avoid the hassle of seeking alternatives in future. HIPAA compliant medical transcription companies ensure that the patient’s right to privacy is respected and there is no loss of information.

Now-a-days, almost all major MT companies provide multiple file transfer option. This feature saves valuable time. Toll free numbers help you avoid expenditure incurred for calls. Dictations via these numbers make it easy and convenient for both client and outsourcing company. Alternately, the standard practice of dictating using digital recorders can also be made use of. The service offered should focus on accuracy with the least minimum turnabout time. Seek out companies which undertake multilevel quality analysis of the processed work.

When choosing a medical transcription company to suit your needs, ascertain that the services offered are flexible and that they would offer customized services. A well established company takes pride in maintaining customer satisfaction and for prospective clients they go a step further by offering free trial service to prove that they mean business.

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The Process Of Medical Transcription Defined

Medical transcription is the process converting voice-recorded reports as dictated by physicians,document template design,audio transcription Melbourne,professional document design or other health care professionals, into text format.

The process of medical transcription is fairly simple. When the accommodating visits a doctor, the doctor spends time with the accommodating discussing his medical problems, including accomplished history and bloom issues.

The doctor then performs a physical examination and may request various laboratory or diagnostic studies, depending on the needs of the patient. Then, the doctor will make a diagnosis or differential diagnoses.

The patient and doctor then need to decide on a plan of treatment for the patient. They determine the best choice after explaining the procedure to the patient and discussing the benefits and dangers.

After the accommodating leaves the office, the doctor uses a voice-recording accessory to almanac the advice about the accommodating encounter. The information generally recorded includes needs and illnesses of the patient, diagnosis, and any other relevant material.

This advice may be recorded into a hand-held cassette recorder or into a approved telephone, dialed into a axial server amid in the hospital or archetype account office, which will ‘hold’ the address for the transcriptionist.

After being recorded, this report is then accessed by a medical transcriptionist. The recording that they receives is a articulation book or cassette recording.

The medical transcriptionist listens to the dictation and transcribes it into the required format for the medical record. The medical almanac they actualize is advised to be a acknowledged document.

The next time the patient visits the doctor, the doctor will call for the medical record. This medical almanac is additionally referred to as the patient’s chart, which will accommodate all letters from antecedent encounters.

From this medical record, the doctor can on occasion refill the patient’s medications. Although doctors prefer to not refill prescriptions without seeing the patient first, to thoroughly establish if anything has changed that may affect their medication.

It is basic to accept a appropriately formatted, edited, and advised document. If a medical transcriptionist accidentally types in the wrong medication or the incorrect diagnosis, the patient could be at high risk.

To abate this occurrence, doctors analysis the certificate for accuracy. Both the Doctor and the transcriptionist play an important role in ensuring the transcribed dictation is typed correctly and accurately.

The Doctor should allege boring and concisely, abnormally back dictating medications or capacity of diseases and conditions, and the transcriptionist charge acquire audition acuity, medical knowledge, and acceptable account comprehension, in accession to blockage references back in doubt.

However, some doctors do not analysis their transcribed letters for accuracy. Often transcribed actual will be apprehend by doctors back application a computer.

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Medical Transcription Service for Individual Doctors and Physicians Group

Medical transcription service for individual doctors and physicians group is very much in demand today, largely because it helps to remove the tremendous stress related to record keeping work. A number of medical transcription companies are active in the field now, providing value added services. Medical professionals specialized in the field of cardiology, pediatrics, orthopedics, gastroenterology, obstetrics, gynecology and more benefit from these services. Outsourcing medical transcription not only makes the administrative work easier but also quicker, with enhanced efficiency.

Outsourcing companies have transcription professionals who are trained and experienced. They ensure that clients receive error free work within minimum turnaround time. Services are usually provided on a 24×7 basis. Customer satisfaction is guaranteed as multi-tier quality checks are conducted by proofreaders, editors and quality analysts. As the work is outsourced offshore to countries where the cost of labor is cheap, clients save a considerable sum of money both in short term and long term contracts.

Medical transcription companies regularly invest to acquire the latest in software and technology so that work is simplified and delivered as per client’s requirement. HIPAA compliant companies abide by strict rules and regulations. Every possible measure is taken to ensure that the patient’s right to privacy and confidentiality is maintained and this is done by protecting patient data using strong encryption software and dedicated FTP.

Medical transcription service for individual doctors and physicians group helps these entities to efficiently manage patient records. A large amount of money is saved since you can avoid appointing office staff to take care of such administrative work. Moreover, reputable medical transcription companies offer affordable services.

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