Author Archives: Julie Clements
Proper Documentation of Patient Malnutrition Ensures Proper Care
A person who suffers a deficiency of the nutrients required for good health is said to be malnourished. While it is more common in developing countries, malnutrition is also a problem among children and adults in the United States. According … Continue reading
Read MoreProper Documentation Vital for Diagnosing and Treating Occupational Asthma
As per the American Academy of Allergy, Asthma and Immunology, occupational asthma has become the most common lung disease related to job in developed countries. Though the exact number of newly diagnosed occupational asthma patients is not known, it is … Continue reading
Read MoreRadiology Transcription and Its Importance
Radiology is a science that studies radiation emitted images to diagnose and treat specific diseases. A patient’s condition can be understood clearly with imaging technology and better treatment provided. Radiology transcription involves creating a written format of the radiologist’s oral … Continue reading
Read MoreDocumentation of Opioid Dependence Diagnosis Crucial for MMT
Methadone maintenance treatment (MMT) is the most widely known therapy for opioid dependence, which is a chronic relapsing disease that requires lifelong treatment. According to the American Society of Addiction Medicine (ASAM), there is evidence that suggests that MMT is … Continue reading
Read MoreManaging Transcription Overflow Efficiently
Table of ContentsWhy Transcription Overflow HappensThe Real Cost of Transcription BacklogHow Medical Transcription Outsourcing Helps Transcription work in a healthcare organization fluctuates throughout the year. Despite a transcription manager’s best efforts, overflow occurs. Transcription overflow management is challenging but can … Continue reading
Read MoreWhy Hospital Discharge Summaries are Very Important
Table of ContentsComponents of a Discharge SummarySignificance of Discharge Summaries often Overlooked, say StudiesIncomplete Discharge Summaries Cause Fragmented CareKey Elements of Discharge SummariesFlawless Discharge Planning A discharge summary is a valuable document that gives an overview of a patient’s hospitalization … Continue reading
Read MoreICD-10 Documentation Tips for Urinary Tract Infection (UTI)
Urinary tract infection (UTI) is a severe health problem that affects millions of people every year. A common type of infection in the body, it can also be a hospital-acquired infection. Not all patients show symptoms though most of them … Continue reading
Read MoreDocumenting Medical Necessity for Joint Replacement Surgery
Joint replacement surgery is recommended for patients whose symptoms do not respond to other treatment. When it comes to reporting claims, it is very important to prove that this procedure is medically necessary for the patient. It requires a specific … Continue reading
Read MoreCloud-based EHR Transcription Entering New Dimensions
Table of ContentsWhat Is an EHR That Is Cloud-based?The Shift to Cloud-based Electronic Health Record (EHR) SystemsThe Role of AI and Automation in Cloud-based EHR Transcription Cloud-based medical transcription services have technically been around ever since the development of this … Continue reading
Read MorePCPs Require Enhanced Clinical Notes to Provide Quality Care
Clinical notes are notes prepared in conjunction with a physician-patient encounter and are very significant for primary care physicians (PCPs) to provide appropriate care for a specific patient. Transcribing clinical notes is an important part of family practice transcription, which … Continue reading
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