Author Archives: MTS TEAM

EHRs Ring a Bell about SOAP Notes

The shift to electronic health records (EHR) has brought about some resistance and fuss from physicians and practices, but at the core of this innovation are the goals of data security, and simplicity but effectiveness of patient information entry and … Continue reading

Read More

Documentation Requirements for Annual Wellness Visit

The Annual Wellness Visit (AWV) is a yearly appointment that provides the opportunity for healthcare providers to develop and update a personalized prevention plan for their patients. Medicare covers Annual Wellness Visit if the patients have had Medicare part B … Continue reading

Read More

Disparities in Electronic Charting of Allergy Information – Is EHR Transcription a Better Option?

Can electronic medical records eliminate the need for accurate medical transcription? This is a question frequently asked by providers who are used to dictating their medical notes and having them professionally transcribed. Let us consider this in the light of … Continue reading

Read More

Better Discharge Summaries to Reduce Hospital Readmission Risk

Discharging patients from the hospital is a complex and challenging process.  Every year, over 35 million hospital discharges occur in the United States. When a patient moves from an acute care setting to other levels of care such as a … Continue reading

Read More

How to Prevent Pathology Documentation Errors

Table of ContentsPre-analytic ErrorsAnalytic ErrorsPost-analytic ErrorsSynoptic Reporting vs. Medical TranscriptionHow Professional Voice-to-Text Services for Physicians Ensure Accurate Pathology Transcripts A pathology report is an important document that guides diagnostic and prognostic decisions. Pathology report accuracy is therefore critical to provide … Continue reading

Read More

EHRs Not Sufficient to Improve the Quality of Stroke Care

Electronic health records (EHRs) are supposed to enhance the clinical outcomes with faster data input, exchange and retrieval. EHR is regarded as an effective clinical documentation tool to improve the quality of care for conditions for which guidelines are quickly … Continue reading

Read More

How to Properly Document Medical Decision Making (MDM)

Medical Decision Making (MDM) documentation is as significant as the other two components of documentation (History and Exam) in assigning an evaluation and management (E/M) service level. The end result of MDM is complexity level or severity of presenting complaint. MDM … Continue reading

Read More

Documentation to Prove Medical Necessity for Urology Procedures

Accurate clinical documentation that supports medical necessity is essential for getting proper payments for urology procedures. Medical necessity of a service is defined as an overarching criterion for payment apart from individual requirements specified for a CPT code. You should … Continue reading

Read More

EHR Access Significantly Impact Radiology Decision Making

Most radiology departments have begun to transition from paper-based imaging requests to electronic orders originating in an EHR system with a view to streamlining their workflow. Access to EHRs can have a significant impact on radiology decision making. Electronic record … Continue reading

Read More

Why Is a Medical Transcriptionist in High Demand?

If a youngster with basic college education would ask around for a career that would offer consistent growth, the answer would be medical transcriptionist (MT). Starting as an MT trainee, the candidate could move on to the positions of transcriptionist, … Continue reading

Read More
  • Quick Contact








    • Infographics