Preparing Radiology Reports – Challenges and Solutions

Preparing Radiology ReportsIn today’s healthcare scenario, a huge demand is placed on the radiology specialty – it is required to be better, stronger and faster so that patient care can be optimized. If the specialty is to meet this demand, the most important requirement is the quickest turnaround time possible for radiology reports. The practical way to achieve this is with accurate and speedy radiology transcription from a reliable medical transcription company.

Following are some of the popular scanning technologies used by radiologists and for which reports will have to be prepared:

  • Magnetic Resonance Imaging or MRI
  • Computerised Tomography or CT scan
  • X- Rays
  • Ultrasound

The radiologist interprets the images and dictates reports which are usually transcribed by a transcriptionist within the required turnaround time. Medical transcription of radiology reports is very significant because all details of the patient’s condition are recorded and this serves as information sources in case of any treatment dispute. Radiology reports also document diagnosis, radiation therapy and so on that will help track progress of the patient and enable the radiologist to adjust the treatment.

Radiologists work in many specialty areas including pulmonology, cardiology, orthopedics and immunology. So it follows that transcriptionists working for radiologists must have multi-specialty transcription expertise.

Considering turnaround time for radiology reports, a 2013 Imaging Performance Partnership TAT survey of 86 hospitals, imaging centers, academic medical centers and children’s hospitals found that efficient TAT is ranked among their highest priorities. However, one timeframe may not work for all providers. For much of the industry, one hour is the golden TAT number as many existing studies reveal. Experts hold the opinion that if institutions want to control and manipulate their TAT, performance standards are necessary. The final TAT is impacted by performance measures such as diagnostic accuracy, utilization and the need for special interpretation.

  • Referring physicians feel that achieving quick turnaround time in turn requires that the facility is equipped with an efficient RIS/PACS solution with capabilities such as speech, 3D visualization, intelligent display protocols and other clinical applications.
  • Another important consideration is data mining which would help to identify bottlenecks and measure the effect of all changes implemented.
  • It should be possible to get all radiology reports transcribed accurately within minimum TAT.
  • It is necessary to carefully analyze practice workflow and activities to identify changes that could contribute to lowering turnaround time.

Speech and voice recognition software could also help reduce turnaround time. These tools use templates and auto-populate many fields thereby saving time. The transcript created by the software can be edited by a human transcriptionist to ensure accuracy and reliability.

Medical Transcriptionists and Medical Scribes Can Help Reduce Physician Stress and Burnout

Transcriptionists and Medical Scribes Help Reduce Physician StressRecent studies indicate that physician burnout rates are rising. According to Medscape’s 2015 Physician LifeStyle Report, burnout rates are the highest for those specializing in critical care, urology, emergency medicine, family medicine, internal medicine, pediatrics, surgery, OB/GYN, and neurology. Provider burnout results in a negative patient experience which, in turn, affects revenue and reputation. EMR/EHR documentation is a major factor contributing to clinician stress. Medical transcription services and medical scribes can play a crucial role in helping providers with charting tasks.

Expert Support to Accurately Document Patient Records

Relying on medical transcription companies and/or medical scribes to document medical records is a proven way to ensure accurate and timely documentation. The author of a recent Physicians Practice article on physician burnout clearly described the healthcare provider’s dilemma as follows:

“Physicians have become coders, billers and transcriptionists along with the duties of being a doctor and caring for patients. We are given multiple new initiatives and this makes it difficult to keep up to date with each one. It increases the time in patient charts for what are non-medical reasons. We also have to keep up on our clinical medicine in addition to the politics of medicine.”

Both doctors and their clinical and clerical staff are overburdened with answering phones, relying to emails and addressing labs, even as they manage patients all day.

Though both medical transcriptionists (MTs) and medical scribes can accurately document a patient’s medical record, their tasks and settings are quite different.

Outsourcing medical transcription basically involves getting dictation transcribed by trained professionals in an offshore location. Dictation options include toll-free telephone or uploading the digital recording to a secure FTP server. Service providers have moved ahead with the times with EMR/EHR integrated medical transcription solutions. MTs use free text to document verbatim into the electronic record as they listen to the recording.

On the other hand, scribes are present in the physician’s office and listen directly to the physician in person to document a patient encounter. They document into structured paper or electronic templates and therefore use free text minimally. The documentation process takes place real time, and scribes can clarify physician responses and request prompt physicians to provide certain details that the EHR template requires.

Advantages of Medical Transcription/Medical Scribe Services

  • Both MTs and scribes have an in-depth knowledge of medical terminology and can provide accurate documentation for all specialties
  • They can help physicians resolve the productivity challenges associated with EHR
  • By relying on these services, physicians can find more time for their patients and see a larger number of patients
  • Getting professional support for documentation frees up office staff for other key tasks

“Kill Stress before it Kills You”

The most important benefit of delegating documentation tasks to professionals is that it helps reduce the risks of burnout. As a physician, you need to take time out, get together with family and friends, exercise, pursue a hobby, holiday and do things that will help you relax. The goal should be to kill stress before it kills you.

Physical Therapy Documentation May Include Motivation by Furry Helpers

Physical Therapy Motivation Furry HelpersPediatric physical therapists evaluate and provide treatment for kids who have problems with motor skills associated with developmental delay, chronic illness, an injury or a birth defect. In the course of the treatment, they make physical therapy notes usually in the SOAP format that signifies Subjective, Objective, Assessment and Plan. Physical therapists often use the services of a professional medical transcription company to transcribe their dictations containing information regarding the diagnosis, treatment, and progress of the patient.

These physical therapy transcripts are important from the point of view of patient care, accurate medical claims submission and efficient administration of the hospital/healthcare organization/clinic.

Physical therapy helps to develop the strength and range of motion children require to move easily and efficiently. The goals of this therapy include assistance with developmental milestones such as sitting, standing, walking and crawling. Therapists evaluate the need for orthotics such as braces and splints and recommend adaptive equipment. Now, physical therapists may have to record a new and effective form of therapy that is proving successful. Children undergoing intensive therapy at Akron Children’s Hospital in Ohio as they recover from surgeries or serious accidents are now receiving extra motivation from furry helpers who are working side by side with physical therapists. Interestingly, some of these dogs have special needs themselves which seems to be inspiring the young patients all the more. The dogs used for therapy proved to be a huge comforting presence to the kids at the hospital.

The hospital’s Doggie Brigade program includes more than 70 canines who make bedside visits, and cheer up sick children with friendly cuddles, wagging tails and unconditional love. With these loving caregivers, kids relearn how to walk and balance. According to a physical therapist at the hospital, the dogs can assist immensely with patient motivation. How do these animals help the children?

  • They provide fun and relief from a mundane task the patient is asked to do
  • They provide emotional support and help calm down kids who are upset. They also rest by the side of the children providing comfort during treatment sessions.

Importance of Accuracy in Editing and Data Entry into an EMR

Editing EHR NotesElectronic health records have drastically changed the way the physician documents patient history, diagnostic notes, surgical reports, and discharge summaries. According to an article published by the American College of Physicians (ACP), digitization can reduce the quality of physician documentation in medical records if EHRs are not optimized to be relevant to the patient’s current situation.

In the conventional method (before the advent of the EHR), documentation was done using a medical transcription service. The physician would dictate the medical history, physical exam findings, and then the overall assessment of the patient condition and the treatment plan. The medical transcription company would then faithfully transcribe the dictation and produce a record that would appear in the chart, with appropriate sub-headings and in flowing paragraphs in a format that resembles a written report.

While medical transcription services are relevant even today, experts point out that the use of the EHR copy-paste function by physicians can affect the integrity of patient information. Copying notes can speed documentation, but whole-note cloning results in information that is not pertinent to the current encounter.

A 2013 ACP Critical Care Medicine study conducted in the medical intensive care unit of a hospital reported that up to 20% of the information in 74% of attending physicians’ EHR notes and 82% of residents’ notes was copied from previous notes. The researchers noted that this led to a lot of confusion as the treating physician would find it difficult to figure out “what was done, when it was done, what the physician’s thought process was, what the next step is going to be.”

Therefore, editing progress notes in EHRs is crucial to ensure that they:

  • Contain concise, clear, legible, meaningful information that is accurate and complete
  • Provide an accurate record of care
  • Give a clear roadmap for the next provider of care

Copying some past notes is necessary to document efficiently. However, the physician has to be alert about repetitive, unedited notes that have been carried over from past entries. These would contain plenty of information, but not necessarily the right information in the right place for the present time. Experts offer the following tips to help physicians better manage information in the main documentation sections:

  • Regularly examine their last history of present illness or the results of the last exam and bring it forward into the note if relevant
  • Update what has changed or is new, and inform the patient of important changes
  • Ensure that the final EHR document is clear and succinct without volumes of unnecessary data
  • Include intelligent looking descriptions and paragraphs
  • Use tick boxes efficiently

In addition to carefully reviewing and editing any information that is copy-pasted, physicians need to ensure accurate data entry to provide optimal care to their patients. Relying on a professional medical transcription service company is the best way to improve EHR data capture. Leading companies provide customized EHR/EMR-integrated documentation solutions.

What Makes a Medical Transcription Company Technologically Advanced?

Medical Transcription Company Technologically Advanced
Medical transcription has come a long way with advancements in technology that have made the process faster and more convenient and productive. To earn the epithet of ‘technologically advanced’, medical transcription service company would need to be one that uses high-tech tools to receive physician dictation, produce accurate medical reports, and deliver them securely in fast turnaround time.

A medical transcription company that keeps pace with the advancements in the field will continue to invest in technology that is both intuitive, easy to set up, and serves client needs better. This means having the latest dictation and transcription technology that is fully web-based and seamlessly interfaces with any health care provider’s information system. The following features would distinguish a technologically advanced medical transcription company:

  • Flexible dictation options: Receiving physician dictation is the first step in the medical record creation process. Professional companies offer physicians a variety of options such as toll-free telephone, digital recorder and also mobile phone dictation. They accept files in any format and can deliver them is client-specific modes. Mobile apps allow physicians to dictate audio files and also review/edit/sign/fax completed reports. Digital dictation software greatly enhances the overall quality of the dictation process.
  • Speech recognition: Back-end speech recognition has gained traction in clinical documentation. Many busy physicians dictate using speech recognition software and send the files to a medical transcription company for editing. This saves time. A reliable service provider would have medical transcription editors who can correct speech-recognized drafted reports.
  • Advanced software and hardware: Modern software systems enhance transcription accuracy and timeliness. All documents can be scanned for accuracy using electronic medical dictionaries. With speedtyping software the number of keystrokes is significantly reduced, thereby saving transcription time and improving productivity. Such software can correct spelling and capitalize where necessary. With a built-in vocabulary of the words that are used in medical reports, the technology makes it easier to type words that occur most frequently. The computer systems that professional companies use would also ensure adherence to medical specialty-specific standards and templates and enable electronic signatures.
  • EHR/EMR interfacing: With healthcare facilities transitioning EHR and EMR, a reliable medical transcription company would be equipped to complement and interface with these technologies.
  • High speed Internet: High speed Internet through different gateways is crucial to ensure 100% connectivity for fast transfer of files. In many companies, these connections are backed up with a separate ISDN connection.
  • Secure, automated document transfer: The options for safe, HIPAA-compliant document delivery would include browser-based drop box, secure FTP, and EMR interface. These companies would ensure HL7 adherence for clinical document transfer.
  • Advanced workflow management: Advanced technological capabilities would also be reflected in workflow management with many gains for physicians such as audio and document file archiving, reports showing progress on work, facility to edit dictation/reports online, and a searchable database.
  • HIPAA compliance: Measures to safeguard Protected Health Information (PHI) in a technologically advanced transcription company would include: physical and technical safeguards, password protected systems, online backups, secure file transfer, and security awareness and training for staff.

It’s obvious that technology plays a key role in a professional medical transcription service provider’s workflow process as well as security aspects. New requirements for HIPAA compliance and electronic medical record keeping have changed the way these companies operate. Nevertheless, even the most innovative technology would be meaningless without a qualified and experienced team of medical transcriptionists. That’s why it’s crucial for physicians to choose a service provider with a successful track record and one that also makes use of the latest software and other advanced technologies.

Study: Physicians Make More Errors with EHR than with Paper Records

Physicians Make More Errors in EhrIn healthcare, the importance of good records hardly needs to be stressed. By documenting treatment, progress and outcomes accurately, patient records make effective health care possible and also help physicians justify services provided. The standard documentation process involves the physicians dictating notes and getting the audio recordings converted into text format by a professional medical transcription service company. With a reliable outsourcing vendor, physicians are ensured of accurate transcripts in customized turnaround time.

Electronic health record (EHR) implementation has changed the scenario to some extent, and with unanticipated consequences. According to a recent Healthcare IT News report, researchers have found that attending physicians tend to make more mistakes while using EHR than paper records. If they go undetected, such errors can have dire consequences for patients as well as for practitioners.

The study, which was published in the Journal of the American Medical Informatics Association (JAMIA), was based on an assessment of medical reporting at a Michigan hospital between August 2011 and July 2013. The review of 500 doctors’ progress notes in initial EHR implementation (some before and some after) revealed that they had more mistakes compared to paper charts. The key points and findings of the study are as follows:

  • Progress notes evaluated included some before EHR implementation in 2012 and some after implementation
  • The focus was on notes relating to five specific diagnoses with invariable physical findings: permanent atrial fibrillation, aortic stenosis, intubation, lower limb amputation and cerebrovascular accident with hemiparesis.
  • The rate of inaccurate documentation in the EHRs was 24.4 percent which was significantly higher than the error rate of 4.4 percent in the paper charts.
  • Overall, residents had fewer inaccuracies (5.3 percent v. 17.3 percent) and omissions (16.8 percent v. 33.9 percent) than attending physicians.

The researchers concluded that “further research is needed to identify training methods and incentives that can reduce inaccuracies in EHRs during initial implementation”.

Physicians are not trained to enter data into computerized systems. In fact, several studies have reported the difficulties they face with EHR data entry. This explains why medical transcription outsourcing remains a feasible option. It can help avoid EHR documentation errors. EHR-integrated medical transcription services allow doctors to get their dictations transcribed right into their electronic patient charts. This is made possible with custom document interface services for both standards-based (HL7) and proprietary systems. This automated system saves time and makes transcribed reports immediately available for review by the physician. Importantly, the reports are error-free as they are transcribed by professionals who are experts in the field.

Study Links Physician Burnout to EHR Data Entry

EHR Data EntryEven with digitization of patient records and computerized data entry by physicians, medical transcription outsourcing is still relevant. Information Management recently reported on a new nationwide study which links electronic health records (EHRs) to physician burnout and dissatisfaction. Led by Mayo Clinic and conducted in collaboration with investigators from the American Medical Association, the survey covered 6,560 physicians between August and October of 2014.

Clerical Burden affects Provider Performance and Wellbeing

Physicians are not cut out for data entry tasks, especially in the office setting where their primary focus is on arriving at a proper diagnosis and prescribing treatment. With medical transcription services, they do not have to worry about clinical documentation. The service provider delivers accurate and timely transcripts of their dictation, allowing physicians to do what they do best.

The key findings of the new study which was published in Mayo Clinic Proceedings are as follows:

  • Low levels of provider satisfaction with EHRs and computerized physician order entry (CPOE) were linked to the amount of time needed for clerical tasks (data entry).
  • The electronic practice environment put physicians at higher risk of professional burnout, which is described as “a syndrome characterized by exhaustion, cynicism and feelings of ineffectiveness.”
  • Satisfaction varied significantly by specialty. Family medicine physicians, urologists, otolaryngologists and neurologists had the lowest satisfaction rate with EHRs due to the increased clerical burden.

Earlier studies also indicated the problems physicians face with EHRs. In September 2015, Medical News Today reported on a study which found that even after emergency physicians had got used to a new commercial electronic health record (EHR), their tasks performed per minute rose by nearly 12 percent, which increased patient safety risks. The senior study author noted that multi-tasking rarely improves human performance.

“The increase in task-switching after the new EHR was implemented imposes a cognitive burden on the physician in the already complex and dynamic environment of the emergency department,” he said.

Support Services to Manage Clinical Documentation

According to the lead author of the Mayo Clinic led study, the solution lies in finding ways to blend EHRs, patient portals and electronic order entry in a way that does not increase physicians’ clerical burden or affect their efficiency. To improve efficiency, he recommends innovative approaches such as using medical scribes, having nurses handle electronic communication with patients, and training support staff to use verbal communication to interact with patients.

An experienced medical transcription service company plays an important role in this scenario. Unlike medical scribes, they are not onsite, but provide valuable clinical documentation support by transcribing physician dictation accurately and in custom turnaround time. Their services are very useful for medical specialists in various fields. Their teams of expert transcriptionists also have skills that are applicable to an EHR-centric documentation setting, which allows them to provide feeds to EHRs. Since they are well-versed in HIPAA and regulatory compliance, physicians do not have to worry about the confidentiality of PHI (Protected Health Information).

As national mandates and incentives drive the adoption of electronic medical records, it’s hardly surprising that medical transcription outsourcing continues to be an important cog in the system.

To learn more about Physician Burnout we have written a new blog “Study finds Healthcare Provider Burnout puts Patient Care and Safety at Risk” on August 17, 2017

Manual Medical Transcription vs. Computerized Transcription

Manual Medical TranscriptionMedical documentation is a major consideration for healthcare providers from the point of view of appropriate patient care as well as reimbursement for provided services. With the implementation of EHR, it is a common belief that medical transcription is on its way out. But in reality, transcription is still an integral part of clinical documentation and workflow. A combination of transcription and EHR works best to capture the patient narrative accurately. The role played by medical transcriptionists and medical transcription companies has changed considerably, bringing a new significance to the transcription process.

Capturing a Detailed Patient Narrative with Medical Transcription

With EHR, many physicians find the checkbox or template method insufficient and inefficient to capture a comprehensive patient narrative. In the case of EHR, physicians either enter the patient details directly into the EHR or dictate using microphone and then edit and enter into the EHR. The drawbacks of this process are:

  • Decline in physician productivity
  • Limitations of templates and checkboxes
  • Lack of quality checks and editing

The solution to this problem is the use of transcription while documenting EHR. With voice recognition integrated EHR, physicians can dictate and the physician’s notes are then sent to the transcription department for editing and later entered correctly into the EHR. Another alternative is outsourcing medical transcription – physicians dictate and the audio files are outsourced to a medical transcription company. Professional transcriptionists transcribe the audio files accurately and then enter the required details into the provider’s EHR via HL7 interface.

Deciding on which method to adopt solely depends on the needs of healthcare units and clinics. Both manual transcription and automated transcription have their own advantages and disadvantages.

Advantages of Manual Transcription

  • Qualified and trained transcriptionists who provide the transcription are extremely skilled in typing and reviewing the medical record. They understand what the dictator is saying and can make the necessary modifications in case there is some confusion. They provide polished and refined patient data.
  • Errors are eliminated and a high level of accuracy is ensured.

Disadvantages

  • Transcription costs may vary according to the length of the audio, turnaround time, verbatim or non-verbatim and so on.
  • It may take some time to decide on the most suitable provider.

Advantages of Automated Transcription

Automated transcription involves the use of speech recognition software that helps transcribe the dictated notes. Advantages you can expect include:

  • Possible cost savings
  • Best for people who prefer to do transcription by themselves

Disadvantages of Automated Transcription

  • Accuracy and quality cannot be expected up to the mark. Mistakes are very likely when the transcription of the audio is entrusted entirely to the software tools.
  • The challenge is more when there are different speakers, varying accents, background noise, quick dictation, mumbling and so on.
  • Requires high level quality checking with editors and proofreaders as this method is more error prone.
  • Ultimately more time, costs and resources are used up to ensure a good and flawless final transcript.

Software used for speech recognition and transcription tends to fumble with similar sounding words since it cannot understand the difference between 2 homophones such as “no” and “know”, or “male” and “mail”. Another issue the software faces is when there are multiple speakers, each with a different accent. Audio quality must also be excellent if you are to ensure an accurate transcript.

If automated transcription is to become flawless, the software has to evolve considerably. Manual transcription involves human intelligence and that makes all the difference. In this EHR era, medical transcription companies are making a real effort to fit into the new role expected of them ensuring that clients have the advantage of both EHR and traditional dictation – transcription.

Easing EHR Implementation with Medical Transcription Services

EHR Implementation with Medical Transcription ServicesEHR has proven to be very useful for the healthcare industry as it enables easy sharing and exchange of patient records in the present digital world. However, implementation of EHR is challenging for majority of healthcare organizations including hospitals and clinics. The structured templates of electronic health record systems make it difficult for physicians to capture the patient narrative. The time spent on typing in patient details into the EHR can lead to less productivity, reduced interoperability, and other concerns.  During the EHR implementation, physicians can see only lesser number of patients or they may have to work extra time to complete the documentation. All these problems can be resolved with medical transcription services. Physicians can dictate notes onto an automated recording system and the transcriptionist can capture the dictation based on the physician’s preference, practice patterns and documentation type. Here are some of the ways in which transcription helps EHR documentation.

  • Transcription helps healthcare providers to develop quality and security standards that will facilitate better EHR adoption and excellent document compliance. It helps in capturing accurate and comprehensive patient information. This is important with regard to ensuring reliability and compliance of the medical record, which in turn would ensure quality care, safe patient outcomes and accurate reimbursement for the physician.
  • With transcription, healthcare providers can use current technology platforms to make the transition to EHR. Healthcare units and clinics that face challenges in implementing EHR-integrated platforms can use existing electronic document exchange solutions provided by medical transcription services. When healthcare documentation exchange practices are standardized, it will strengthen the nationwide electronic exchange for healthcare information in a secure and confidential manner.
  • Majority of the physicians prefer using the dictation – transcription method for capturing patient details. When partnering with a reliable medical transcription company, professional medical transcriptionists will enable physicians to maintain their workflow practices while also assisting in making a smooth transition to a fully interoperable electronic record management system.

With a blended approach using both EHR and transcription, physicians can maintain their present workflow with minimum change. Physicians can dictate into the automated system and the medical transcriptionist captures the voice and creates accurate transcripts of the same. Utilizing the latest technology, the transcribed notes are integrated into the EHR system. The integrated medical records are made available to the provider, thus streamlining medical documentation.

Medical Transcription and Document Management: An Ideal Combination

Medical Transcription and Document Management

With the adoption of electronic health records (EHRs), medical transcriptionists have also evolved into medical documentation specialists. In keeping with requirements, medical transcription services include EHR-integrated documentation solutions.

Medical transcription services have facilitated the smooth transition to electronic patient records, providing healthcare providers with detailed patient notes in the EHR in the form of transcripts. Technological advancements allow physicians to dictate their notes via their preferred handheld digital recorder, smartphone, speech recognition software on a computer, or a toll-free telephone number provided by the medical transcription company. They can choose to send the dictations immediately or record the dictations throughout the day and send them as a single set later. Medical transcription companies can provide EHR-integrated documentation solutions.

Combining transcription and document management can improve productivity, efficiency and workflow in healthcare settings. Implementing EHR becomes easy with reliable transcription solutions that facilitate uninterrupted physician workflow and patient interaction.

Medical Transcription and Efficient Document Management

The recordings sent by physicians are transcribed and edited by skilled transcriptionists and medical editors, and uploaded into the EHR. These records contain all vital information about the patient such as name, age, geographical details, physical examination reports, referral letters, treatment provided, lab reports, discharge summaries and so on. Storing these reports systematically is necessary.

Healthcare BPO service providers offer web-based applications for document management, which allow physicians to access clinical data at anytime from anywhere and communicate patient information when needed. These innovative platforms enable providers to view, manage and share information through any PC connected to the internet. Here are the key advantages of a state-of-the-art healthcare document management system:

  • Reviews the transcripts, edits and prints them, and approves them with your electronic signature.
  • Shares the healthcare information securely with physicians and other members in the care team. Also, provides the required details to insurance companies.
  • Allows searching the medical documentation for key phrases, indications, conditions and medications.

Advantages of Medical Transcription Document Management

Outsourcing medical transcription and document management to an efficient service provider offers several benefits:

  • Custom document workflow
  • Document and audio file archives
  • Enabling of online evaluation and editing
  • Customizable interface feature so that your browser will have the look and feel of your hospital/clinic/multi-specialty healthcare center
  • Convenient downloading and faxing/emailing of transcripts to authorized users
  • Digital/electronic signature capabilities
  • HL7 transcription
  • Reports showing progress of file transcription
  • Search through archives (the period limit for this would vary with contractual agreements)
  • Availability of activity logs that satisfy HIPAA norms
  • Support for all hardware and software requirements
  • Transcripts in custom turnaround time

Enhance your healthcare workflows with our medical transcription services.

Call 1-800-670-2809 to learn more.

Dedicated healthcare document management systems enable easy access and quick retrieval of records, which serves as foundation for ongoing clinical decision-making, continuity of care, maximized reimbursement, and risk management. A reliable medical transcription company can ensure HIPAA-compliant clinical documentation solutions in fast turnaround time.

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