Archive for January 9, 2013

Sustain Your Business Records by ChoosingBest Transcription Company

Today with the upcomingglobalization, the services of transcription are offered by many medium andlarge businesses. If you notice, there are vast numbers of establishedcompanies for Business Transcription available; theyare professionally trained to transcribe your desire needs at affordable rates.Generally, meaning of Transcription is the method of recording the audioinformation into a text format. These transcription services also include thewritten data that is once heard of the audio. All this is done under thesupervision of trained experts and professionals.

There are different forms ofTranscription available in various formats like Business Transcription, Audio Transcription Services, ConferenceCall Transcript, and Digital Transcription. This transcription alsomakes use of customized and optimized software, which controls thetranscriptionist to virtually create a flawless copy from the audiotranscription.

Many events pertaining tobusiness take place in big organization like seminars, business meets,conferences, which are recorded by various audio and videotranscription equipments like utilizing a small tape recorder etc.

A couple of significant data ormeetings might have been recorded in cassette tapes or gramophone, which arenow a days out of date. These cassette tapes requires to be digitalized intothe required format like utilizing  someequipments that contains some software like Audacity, which edits the sound andother audio encoders like MP3 etc.

What is required by the customersis they just need to discard the physical audio tapes at the premises of anybusiness transcription service provider’s office.

Today, we observe that as far asdigital era is concerned, every single business recordings are transcribed invarious modes of digital audio and video formats. Most of the digital transcription companiesoffering digital services accept almost all kinds of audio formats like .WAV,AIFF, real audio, midi ,Ogg etc along with different video formats likeAVI,MPEG/MPEG4,,MkV, RM/RMV,MOV, WMV etc. and this way they offer their digitaltranscription service solutions. What these companies do is ask the clients toupload the digital files directly into their safe FTP web server. Why does itbecome essential for any business company or organization to obtain the serviceof a good quality transcription company?

Many times it happens that, mostof the famous business companies, in spite of having in house transcriptionbusiness fail to meet the terms due to lack of professionals. The major reasonor cause of such failure maybe because they over burdened their employees withextra burden of transcribing the business activities.

Initially these unskilled or semiskilled staff met with difficulties in recording Moreover these semi skilledstaffs were encountered with difficulties in transcribing complicated accents,voice disturbance and long and hectic hours of editing process etc. All thesedifficulties form a major part of failing to provide good quality oftranscription services and solutions.

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Guidelines to follow in Coding forPostoperative Pain in ICD-10-CM

Normally Postoperative pain is considered as a normal phase of healingmethod following many types of surgery. Such pain is frequently kept undercontrol using typical measures like pre-operative, non-steroidal, provocativemedications; local anesthetics that is injected into the operative wound beforesuturing; postoperative analgesics; and even intra-operative or post-operativeinjection of epidural analgesics, that form many kinds of surgeries.

When post operative pain is documented to the current, which is far awayfrom the routine and expected for the appropriate surgical method surgical, doyou think it is a reportable diagnosis. Also note that coding for Postoperative pain in ICD-10-CM, which is not considered on daily basis or expected further in future, iscategorized by whether the pain is pertaining with a definite, documentedpostoperative complication.

Extreme coding forPostoperative Pain in ICD-10-CM not reported due to a Specific PostoperativeComplication

Remember that Postoperative pain not related with a precisepostoperative complication is conveyed with a code from Category G89, This Painnot shown or classified anywhere else.

Postoperative pain in ICD-10-CM mainly has four codes as given below.

G89.12 Acute post-thoracotomy pain;

G89.18 Other acute post-procedural pain;

G89.22 Chronic post-thoracotomy pain; and

G89.28 Other post-procedural pain that is chronic

In any case, if the documents fail to mention whether the post-thoracotomyor post-procedural pain is acute or chronic, consider the default is acute.

Extreme level of PostoperativePain reported Due to a Specific Postoperative Complication

Any coding for Postoperative pain reported that is taking place due to a specific postoperative complication isalways documented with its specified code for that particular complication thatalso includes Injury, poisoning and many other consequences of external causes.There is an extra additional code from category G89 that may be documented todefine the pain more appropriately whether it is post-thoracotomy or otherpostoperative pain, which is acute or chronic in nature.

Before we get into any discussion of postoperative pain generating dueto a definite postoperative difficulty, it is very crucial to fully apprehendthe general guidelines pertaining to coding of complications of care, which aredescribed in Section I.B.16 of the draft version in year 2013 of the ICD-10-CMOfficial Guidelines and Reporting. All these guidelines are very much alike tothose that are present in ICD-9-CM. The main factors to bear in mind whencoding complications of care are given below:

Allotment of code depends on theprovider’s reporting of the relationship between the situation and the medicalcare or method used.Remember, not all conditions occurringduring the course of medical care or carrying out procedures are considered ascomplications.In any case, if you find the reportingdone is not clear, you reserve the right to question the person concerned whowrote it.

Mediscribes, Inc. is one of the fastest growing Medical Transcription & document management systems providers in United States,based in Metro Louisville. Mediscribes is an ISO 9000-2001 certified company,rendering cost-effective consolidated transcription solutions to majorhospitals, clinics, and other healthcare facilities in United States.Mediscribes is the most value-providing organization in the market today with astrong presence in America and offshore locations. The firm specializes inproviding highly accurate transcription adhering to ADHI guidelines inunbeatable turnaround time with robust & proven document management systemas its vantage point to its esteemed clientele.

Mediscribes provides end-to-end transcription solutions as itsprimary offering. For our customers, we focus on dictation systems, both ASP aswell as enterprise level solutions, with the help of our most valued asset   ezVoiceIntelligence (ezVI), providingspecialty-specific qualitative transcription along with a “whole nine yards”document management system. Mediscribes specializes in EMR data integration aswell. Our data dispatch department is highly proficient in integrating transcribedreports into any type of EMR. Healthcare facilities that do not have EMR getthe option to use our web-based file monitoring interface called eTranscribefor global access to their data. eTranscribe has special features of E-signing,E-faxing, auto-printing, and user-friendly document search criteria.

For additional information, please visit

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HHS Integrates Federal Data for HIV/AIDS Services Locator Tool

The spread of HIV/AIDS is an epidemic that continues to affect the U.S. and most parts of the world today. 

To help fight this disease, the U.S. Department of Health and Human Services unveiled the HIV testing and care services locator Web tool through

The tool, also available as a free mobile app, more easily finds government data on HIV/Aids prevention. 

By entering a ZIP code in the web tool, a Google map is generated to show the locations of services like HIV testing sites, health centers and substance abuse clinics. 

The new tool pulls data from multiple federal government agencies including the Substance Abuse and Mental Health Services Administration, the Centers for Disease Control and Prevention, the Health Resources and Services Administration, and the U.S. Department of Housing and Urban Development.

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Will Rural Health-Care Providers Pay More for Broadband?

A new order released by the FCC in December will expand broadband access for some health-care providers. But the program may also hamstring the use of telemedicine by doctors who will need to pay more out of pocket to get online.

Called the Healthcare Connect Fund, the program will subsidize 65 percent of broadband costs for participating providers. That’s down significantly from the 85 percent subsidy in the FCC’s existing Rural Health Care pilot program, which was established by the 1996 Telecommunications Act.

In an interview with Government Technology, Eric Brown, president and CEO of the California Telehealth Network (CTN) — an organization that works with stakeholders to establish broadband connectivity for communities to improve the quality of health care — called the change an “obvious concern,” as some providers will not be able to pay the 35 percent contribution as the Healthcare Connect Fund requires.

Brown explained those members of CTN that have a 1.5 Mpbs T1 connection pay roughly $62.50 per month under the Rural Health Care program. If additional subsidies can’t be found, those same health providers will be paying approximately $200 per month for the same connectivity under the Healthcare Connect Fund.

Approximately 50 broadband pilot projects comprising single practices and consortia are currently funded by the Rural Health Care program.

Citing a study conducted by the California Health Care Foundation in 2012, Brown said many rural health clinics and critical access hospitals are not cash flow positive and are in very precarious financial positions. He believed the uptick in broadband expense would make their situations even worse.

“Anything that would require them to come up with more cash for reoccurring broadband expenses and the like, in addition to a lot of the financial demands that they face … makes it a very difficult environment for them,” Brown said.

When contacted by Government Technology about the funding disparity, FCC spokesman Mark Wigfield referred to a statement by FCC Commissioner Mignon Clyburn, who called the order establishing the Healthcare Connect Fund “momentous” and builds on the successes of the Rural Health Care program.

Clyburn’s statement didn’t address the issue of increased costs to be incurred by health-care providers, however. She instead focused on how the Healthcare Connect Fund will avoid wasteful spending and require competitive bids for broadband services and infrastructure.

In addition, the commissioner said both consortia and single sites can apply, and believes the proper balance of rural and urban practices has been struck, as the order requires more than 50 percent of the consortia must be from rural locations.

The FCC order implementing the program reforms includes a $400 million annual cap on the amount of support available through the Healthcare Connect Fund. Funding for existing broadband sites will be available later this year. New entrants to the program can expect funding on Jan. 1, 2014.

Brown emphasized that the expense under the Healthcare Connect Fund is still favorable when compared to the $600-$2,000 per month range for broadband access that some doctors are looking at without the program. But while “still a great deal,” Brown hopes supplementary funding can be found to ease the financial burden.

“It’s going to be a significant increase in what those sites are going to pay,” Brown added. “It’s not coming at the best time when there are all these other competing uses for the few precious financial resources they have.”

Among the expansion elements of the Healthcare Connect Fund is the inclusion of skilled nursing facilities, more commonly known as nursing homes or rest homes. As part of the fund, the pilot project will allow nurses in rural rest homes to have more convenient access to doctors in more urban areas. Up to $50 million over three years will be available out of the fund for the pilot.

In a statement announcing the fund, FCC Chairman Julius Genachowski said enabling broadband access for nurses could help patients and save money through potential earlier discharges from hospitals or to get more focused care closer to their homes.

Genachowski gave a number of potential examples of how broadband connectivity will aid skilled nursing facilities. He said from patients recovering from open heart surgery in rural Virginia who could get evaluated from afar, to a small town resident that can have chest x-rays sent to a doctor in another location, consultations through technology can save ambulance trips or emergency room visits.

Brown said the addition of skilled nursing facilities as a pilot project was a “big deal” for many of the CTN’s members that have those facilities in close proximity, but up until now, were not able to serve them. He said that will change as various nursing homes and similar facilities are enrolled in the pilot.

Clyburn added that if the skilled nursing facilities program is supported and becomes a permanent to the Healthcare Connect Fund, it will give patients that are too sick to stay home, but not ill enough to be admitted to a hospital, more diverse choices in care.

“Broadband is especially useful for these facilities, as it permits a doctor to be virtually present, and offers patients and their families’ increased peace of mind,” Clyburn said in a statement.

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ICD-10-CM Official Guidelines for Coding andReporting in 2013

Confront the latest medical coding challenge ICD-10-CM coming onOctober 1, 2014.

What is ICD-10-CM?

ICD-10-CM also known as “InternationalClassification of Diseases” is generally a set of codes largely utilized mainlyby the physicians, hospitals, Medical Transcription Companies andhealth care expertise or specialists in order to perform an analysis onpatients every visit. The ICD-10-CM system of coding contains approximately68,000 codes and these codes become essential when claiming for any type ofhealth insurance in the U.S.

If we compare ICD-9-CM, we find veryfew alterations are done with ICD-10-CMDraft code set for 2013 which will beeffect from 1st October, 2014. It was decided to make a few changesin the 2013 ICD-10-CM Draft code, by accumulating a couple of terms andrectifying typos in the Alphabetic directory.

Let’s check out the probableadvantages of implementing the latest ICD-10 medical coding system:

Applicationof this code gives expansion of injuryDatais collected based on site rather than type of injuryMixtureof diagnosis codesCalculationof sixth character using some codes extended out o the seventh characterAddingV and E codes into the main classification

The alterations done by medicaltranscription companies signify huge development over ICD-9-CM and ICD-10.

Some specific improvements done aregiven below:

Prolongedinjury codes due to adding up of data pertinent to ambulatory and managed careencountersByimplementing a new concept of combination diagnosis/symptom codes, the numberof codes actually needed to explain a condition lessens.Accordingto the news, HHS on January 16, 2009, issued a final rule wherein it hasaccepted ICD-10-CM (and ICD-10-PCS) to replace ICD-9-CM in HIPAA transactions.

Impact On Your Medical Coding Employees

This latest system of ICD-10-CM medical coding will bringtremendous level of progress for all the medical transcription companies andU.S. health care system.  The presentsystem of ICD-9-CM is outdated for new codes and limits the coding process. Asmedical transcription person, you require, to familiarize yourself with thelatest system and get the significant training for the same to ensure a smoothtransition.

Ifyou are a medical coder or any professional pertaining to medical servicescompany then it is mandatory for you to get a comprehensive synopsis about theessential changes in store for both diagnostic and procedural coding.

Apartfrom this, you will be required to get information at length on the impacts ofthe coding changes. The reason behind following this procedure is becauseOctober 1st, 2013 is the last date for compliance. All medical serviceproviders such as Medical Transcription ServiceProviders be it doctors or any other personal offering his medicaltranscription services, it will become necessary for them to get acquaintedwith the new system.Youwill need to register yourself in an ICD-10-CM medical coding course in orderto study the new medical coding system, containing approximately 55,000 morecodes. This is not it, a lot more is yet to follow thus, please keep updatedwith the latest and upcoming modifications.

Even supposingchanges done may be little to ICD-10-CM Draft system of coding for the nextcouple of years, we suggest you as a medical coder to study the guidelinescarefully and yearly. Aside from this, you can expect supplementary guidelinesand reporting coming up as we have additional coders training under ICD-10-CM.

Mediscribes, Inc. is one of thefastest growing Medical Transcription & document management systemsproviders in United States, based in Metro Louisville. Mediscribes is an ISO9000-2001 certified company, rendering cost-effective consolidatedtranscription solutions to major hospitals, clinics, and other healthcarefacilities in United States. Mediscribes is the most value-providingorganization in the market today with a strong presence in America and offshorelocations. The firm specializes in providing highly accurate transcriptionadhering to ADHI guidelines in unbeatable turnaround time with robust &proven document management system as its vantage point to its esteemedclientele.

Mediscribes provides end-to-endtranscription solutions as its primary offering. For our customers, we focus ondictation systems, both ASP as well as enterprise level solutions, with thehelp of our most valued asset  ezVoiceIntelligence (ezVI), providing specialty-specific qualitativetranscription along with a “whole nine yards” document management system.Mediscribes specializes in EMR data integration as well. Our data dispatchdepartment is highly proficient in integrating transcribed reports into anytype of EMR. Healthcare facilities that do not have EMR get the option to useour web-based file monitoring interface called eTranscribe for global access totheir data. eTranscribe has special features of E-signing, E-faxing,auto-printing, and user-friendly document search criteria.

For additional information,please visit

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