Patient Access to EMR – Do Physicians Need to Use Simple Language?

Patient Access to EMRThe federal government recently issued guidelines to make it easier for patients to access their medical records – unconditionally. The goal is to make it easier for patients to actively participate in their health care, which can improve outcomes.  Open access to electronic medical records (EMRs) has put the focus on the physician’s narrative style, something that a medical transcription service provider can decipher, but which may prove difficult for the layman.

A study that looked into the impact of patient-accessible electronic medical records in rheumatology showed that many patients felt more involved in their treatment with the web portal model that offered home EMR access. It therefore improved the care process. Many rheumatology practices rely on professional rheumatology transcription services for reports integrated with EHR software, enjoying benefits such as improved patient care, billing processes, and improved communication with referring physicians.

A recent article in the Star Tribune notes that with unrestricted access to EMR, physicians are faced with a new dilemma – do they need to use simple language that patients can follow or continue to use typical jargon and acronyms that are familiar to other health care providers?

Terms that Physicians Use

Experienced medical transcriptionists are familiar with the abbreviations and medical slang that physicians routinely use in their narratives, though these could prove confusing for patients. Here are some examples:

Medical Acronyms:

BSOFP – blood spotted on filter paper
EMU – early morning urine, energy-mode ultrasound
PRN – as needed
RCIRF – radiologic contrast-induced renal failure
TeBG – testosterone-estradiol-binding globulin
NPO – nothing by mouth
VSS – vital signs stable

A few examples of the abbreviations that rheumatologists use:

IC – immune complex IC
DISH – diffuse idiopathic skeletal hyperostosis
TBBMD – total body bone mineral density
CTD – connective tissue disease CTD

Common Medical Jargon:

Bagging – Artificial ventilation performed using a respirator bag
Code brown – Incontinence related emergency
Crasher – Someone who passes out in ER (usually family member)
Frequent flyer – Patient who repeatedly shows up in ER

Commenting on the new guidelines instructing providers to provide patients with access to personal health information, advocates for the movement say that physicians may need to rephrase wording in patient records.

The Other Side of the Picture – Maintaining Compliance

Experts point out that changing the culture of note taking and using definitive medical language could cause diagnostic and billing problems. For instance, a patient could object to the use of the word “depression”, but it is necessary to use this tem to ensure accurate coding and claim submission. In fact, medical transcription services have an important role in improving physicians’ documentation practices for proper reimbursement.

HIPAA-compliant transcribed reports can be integrated with EHR software to improve patient care, billing processes, insurance claims, practice-wide communications and feedback to referring physicians.

Informed Patients Can Take Better Control of their Health

The scales are tipped in favor of allowing unrestricted EMR access. Many patients use the Internet to educate themselves about the information in their doctors’ notes. Malpractices insurers support the practice too as they believe that informed patients reduce litigation risks. Accurately transcribed patient records are also valuable because they remind patients about their physicians’ instructions.

Infectious Disease Transcription Services Help Physicians Stay Compliant with Industry Changes

Infectious Disease TranscriptionToday, new and confounding infectious diseases threaten health. Moreover, diseases that were considered extinct are reappearing. Infectious diseases specialists are also faced with challenges such as rising patient volume and compliance with ICD-10 coding. Many practices lack the financial and manpower resources to deal with increased volumes, technological change, or workflow changes. Infectious disease transcription services play a significant role in helping them maintain legible, timely, complete, precise, and accurate documentation.

Documentation Challenges facing Infectious Diseases Specialists

Recent outbreaks such as Zika, Ebola, chikungunya, measles, and other diseases are among the infectious diseases that have given the government and physicians sleepless nights. Besides providing timely care, infectious diseases specialists need to stay in business with proper documentation for ICD-10 compliance. This means:

  • Documenting the acuity of the disease e.g. chronic, acute, etc.
  • Specifying the site of infection or infestation (e.g., Tuberculosis of adrenal glands)
  • Documenting the specific cause of the infection or infestation
  • Document any information regarding any secondary disease process related to an infection (e.g., TB associated with HIV)
  • Documenting the known or suspected organism associated with an infection

Documentation for a disease such as pneumonia should define type of pneumonia, whether viral, bacterial or aspiration, the causal agent, related diseases and associated medication or drug use, and more. Treating infectious diseases also presents many challenges such as the absence of effective vaccines and medications.

Managing their medical transcription can be quite difficult in this scenario.

Benefits of Outsourcing Transcription Tasks

A reliable medical transcription company can help infectious diseases specialists streamline their documentation processes, reduce operational costs, and increase ROI. Their medical transcriptionists can provide accurate and timely transcripts of patient charts, Emergency Room reports, history and physicals, progress notes, chart notes, surgery notes and discharge summaries. These cost-effective solutions would be EMR friendly too and ensure compliance with HIPAA and HL7 standards.

Before outsourcing their medical transcription, it is crucial that physicians ensure that the company has sufficient experience in providing documentation for the infectious disease specialty. It’s also important that the company has medical transcriptionists who are certified, well-trained and experienced.

Established service providers offer a great deal of flexibility with several options.

  • Dictation via digital recording, toll-free telephone, conference call recording, or smartphone
  • File submission in any type of format
  • Customized turnaround time

With professional infectious disease transcription services, physicians can dedicate their time to resolving the challenge of examining, diagnosing, and treat complex conditions.

Efficient Documentation for Improved Clinical Encounters

Medical TranscriptionIn the healthcare industry, proper and accurate clinical documentation is a necessity. Today, the healthcare landscape is shifting and medical documentation has become more strategic and imperative. Medical records include details about an individual’s health history and other clinical data that optimizes medical claim processing.  With the help of a reliable medical transcription service, the increased demand for accurate and timely medical documentation can be met efficiently. Efficient documentation of medical records helps healthcare professionals provide better patient care and improve their medical organization.

Use of SOAP Notes for More Efficiency

Soap notes are standardized medical evaluation entries made in clinical records. These facilitate better communication between healthcare providers and the patient. Soap notes may be longer for a patient who is visiting for the first time. They include the basic details of the patient. It is flexible and different healthcare providers have their own styles of writing the SOAP note. These notes should be very specific and contain the correct information. It will help healthcare providers and hospitals to stay away from any kind of malpractice liability and also helps during an audit. Most importantly, since you have more comprehensive patient history and care records, you can also ensure better patient care and quality service.

Effective Use of EHR Documentation

EHR is a digital version of a patient’s data that can be collected and managed by multiple authorized healthcare providers. It contains all information about a patient, gathered by organizations over a period of time. It includes demographic data, medical history and clinical information such as lab results, pharmacy data and other details. It is an efficient way to improve clinical workflow, data analysis and overall patient care.

  • Good EHR systems assist with accurate and efficient documentation. They help reduce the complexity of writing down notes.
  • They help reduce paperwork costs.
  • It is important that you verify the information entered by the software during each new patient encounter.
  • Ensure that you are properly trained in the use of your EHR system.
  • Make good use of the medical templates to ensure better patient encounter.
  • Make it a point to sign each entry with your initials as well as a date and time stamp. This will remind you when a template should be used and modified.

Partnering with a Medical Transcription Company for Improved Efficiency

In the current healthcare scenario with EHRs becoming mandatory and physician workload increasing, a practical solution for healthcare providers is to hire a good medical transcription service that can offer error-free medical records. They use advanced technology and equipment to ensure prompt services customized to your requirements. You need to find a medical transcription company that offers EHR-integrated medical transcription. This is a good option for physicians who prefer dictating their notes and focusing more on patient interaction. Your dictations will be transcribed by professional transcriptionists, who will then enter the details into the EHR templates so that your EHR documentation will also be streamlined.

BUSM Study: Inconsistencies in EMR Documentation May Affect Glaucoma Medication Adherence

Glaucoma MedicationManaging documentation in an ophthalmology practice is not an easy task. Medical transcription companies provide valuable support with accurate and timely EHR/EMR-integrated ophthalmology transcription service. A recent study from the Boston University School of Medicine (BUSM) indicates just how important quality documentation is for this specialty. The researchers found that inconsistent documentation in the EMR may affect patient medication adherence.

The study, which was published in the January 2016 issue of Clinical Ophthalmology, examined glaucoma medication non-adherence which was identified at reconciliation in a system using EMRs. Ophthalmologic treatment, especially for glaucoma, involves long-term medical management with frequently changing, multiple daily eyedrop regimens. This presents challenges for the busy physician in documenting properly and also for the patient in maintaining correct medication adherence. The BUSM study suggests that the difficulties with updating EMRs with medication changes would result in an inaccurate or incomplete medical record, affecting patient care and provider efficiency.

Medical documentation integrity means maintaining the accuracy of the complete health record. EHRs/EMRs have customizable documentation applications with templates and smart phrases to assist users with documentation. However, the American Health Information Management Association (AHIMA) points out that these structured templates pose many issues:

  • There may be no templates for a specific problem or visit type
  • Templates cannot provide for the detailed documentation that is necessary for patients with atypical symptoms and multiple problems or extensive interventions
  • A template designed to meet reimbursement criteria may omit relevant clinical information

The BUSM researchers found that inconsistent documentation in the EMR could be a contributing factor in the medication adherence of ophthalmic patients presenting with glaucoma. They reviewed 200 EMRs of new and established glaucoma patients receiving medications from three ophthalmologist prescribers. To find discrepancies, they compared the physician- and patient-stated regimen with the EMR’s active medication list. The results were as follows:

  • 20% of medication reconciliation printouts listed medications with instructions that were incorrect based on the ophthalmologists’ treatment plans.
  • 29 of 40 discrepancies were found between the EMRs and the patient’s actual regimen
  • There were 8 discrepancies in the physicians’ and EMRs’ medication list
  • 3 patients were taking the EMRs’ documented medications that were different from the physician-stated list

The study also found that while more than 70% of the patients took their medications correctly by following their physician’s instructions instead of their printed medication list, 7.25% of patients took their medications incorrectly as they relied on the printed regimen.

Practices that rely on an approach that blends ophthalmology medical transcription services and EHR can avoid medication errors. AHIMA points out that the continued use of narrative documentation options make EHRs more user-friendly and successful. Medical transcription companies that provide documentation solutions for ophthalmologists have experienced transcriptionists with extensive knowledge of the medical terminology, medical conditions, drugs, procedures, tests, and treatments related to this specific specialty. By updating EMRs on a regular basis, they help promote documentation integrity and ensure that physicians have more time for patient care.

Accurate EHR Documentation Can Help Detect Undiagnosed Type 2 Diabetes, says ULCA Study

EHR Documentation Detect Type 2 DiabetesSpecialists in internal medicine use customized EMR software integrated with internal medicine transcription services to ensure complete, up-to-date medical records and provide timely, quality care. Diabetes is one of the most common conditions in patients seen by internists. However, what’s worrying is that many cases go undetected, eventually leading to serious health complications.

Linked to a variety of serious complications and co-morbid conditions such as hypertension, cardiac disease, kidney disorders, diabetes was the seventh leading cause of death in the United States in 2010. Now, ULCA researchers report that the information that a patient’s electronic health record contains can prove invaluable in detecting undiagnosed Type 2 diabetes. This can prevent complications and save lives, says the study.

The ULCA researchers began mining thousands of electronic health records in health care facilities across the U.S. in 2012. Their goal was to develop a more accurate and cost-effective way of identifying people who have undiagnosed Type 2 diabetes using the records which included information on vital signs, prescription medications and reported ailments, categorized according to the ICD diagnostic codes.

The team was able to:

  • Develop a screening algorithm that can vastly increase the number of correct diagnoses of the disease by refining the pool of candidates put forward for screening
  • Discover several previously unknown risk factors for diabetes, including a history of sexual and gender identity disorders, intestinal infections and a category of illnesses that includes such sexually transmitted diseases as Chlamydia
  • Determine certain factors that appear to be related to a lower risk for diabetes such as being prone to migraines and taking anti-anxiety and anti-seizure medications

They found that people’s risk for Type 2 diabetes was higher by about 130 percent with a diagnosis of sexual and gender identity disorders, by 82 percent with a history of viral infections and Chlamydia, and by 88 percent with a history of intestinal infections such as colitis, enteritis and gastroenteritis.

One of the lead researchers pointed out that the overall message is that ordinary record keeping that doctors do is a very, very rich source of information.  Using a computerized approach to study patterns in that data helps physicians greatly improve diagnosis and medical care, they noted.

The importance of internal medicine transcription service in ensuring accuracy in medical documentation hardly needs to be stressed. Today, the role of a medical transcription company has evolved to keep pace with the adoption of electronic health records. While EHRs and the increasing use of structured templates are here to stay, in many situations, the cookie-cutter templates cannot create a complete picture of the patient’s health. This would affect any type of research such as the ULCA study which was based on a comprehensive analysis of electronic health records over a period of several years. As physician needs, documentation requirements, EHR use, and research goals combine, health care organizations need to optimize dictation and medical transcription along with their EHRs.

Google Docs’ Voice Recording Feature Is a Breakthrough

Medical transcription and medical transcription services have remained an integral part of the healthcare industry with physicians depending on these to get their dictations transcribed in a timely manner. However, with the new speech recognition software systems available now that facilitate front-end speech recognition as well as back-end speech recognition, medical transcriptionists play a different role. They function as medical language specialists or MLS who edit the speech-recognized first drafts.

Google Docs’ Voice Recording

Voice Transcription among the Cool New Features of Google Docs

Speaking of speech recognition technology, the new voice recording feature in Google Docs opens up new transcription opportunities. Google chose the start of a new academic year in 2015 as the time to introduce updates to its Docs – updates themed on making the life of students easier. These tools include:

  • Voice transcription
  • Simpler data visualization
  • Templates in the style of Microsoft Office
  • The capability to check who edited a file recently
  • The capability for taking surveys, and
  • Research capabilities

Google revealed that the updates are aimed primarily at students and teachers.

Wide Sharing and Research Options

Another update by Google for its Docs was a new extension on Chrome that enables teachers to share a webpage with the entire classroom, whatever be the laptops the students use. The Research tool too has been a breathtaking development. It is extremely useful since it enables users to carry out Google searches right from Docs, which means text, images and links can be directly copied from the web without users ever having to leave Docs.

The Breakthrough Voice Recording Transcription Tool

But the greatest focus has been on the voice recording or transcription tool. This updated feature is indeed a massive breakthrough and holds new user potential for educational transcription. Voice transcription makes it possible to dictate content, and according to a test conducted the feature was able to interpret sentences rapidly, recognize proper names of random individuals and celebrities, and understand geographic locations. This can help to significantly reduce the typing effort for students.

The voice dictation feature is supported from Chrome, Android and Docs iOS app. The feature needs to be enabled from Chrome’s Tools menu, and documents can be dictated with the microphone icon from either the Docs on Chrome, or the Docs app on Android or iOS.

Improved Speech, Command, Dialect and Accent Recognition

Google has further improved the voice transcription feature with better speech recognition that enables formatting and editing of Doc files all by voice. This means it can distinguish between the actual content dictated and the voice commands for formatting, though this feature is not present in the Docs mobile version.

Google also enables comprehension of various dialects and accents, enabling users to talk in a natural manner in their accent without resulting in any errors in the dictated content. So whether you have an Indian accent, Asian accent or Mexican accent you don’t need to alter your pronunciation to an American or neutral accent for the recording.

Transcription Services Are Still Needed

While Google has been promoting this for students and teachers, the transcription feature of Google Docs has potential for various industries. However, it cannot be proven if the technology could prove useful for the large volumes of data typically dealt with by law firms or physicians, healthcare practices and hospitals.

That’s where outsourced medical transcription services come in to provide cost-effective and accurate transcription since till now no technology has ever cropped up that could completely do away with the need for professional transcription services.

Focused Ultrasound Being Researched for Brain Cancer Treatment

Focused UltrasoundThe importance of accurate neurosurgery transcription services is particularly felt by physicians treating complex conditions such as brain cancer that require consideration of various factors including the extent and growth of the tumor in order to come up with a treatment plan which inevitably involves surgery. Timely transcription helps them have a clear overview of the various medical facts and prepare an effective treatment plan.

New treatment options are being explored that could transform the treatment of brain cancer as well as other cancers and neurological conditions. This requires accurate and opportune documentation that will prove useful to all members of the care providing team.

Could ultrasound therapy become standard cancer treatment one day, without surgery or uncomfortable chemotherapy? The fictional character in John Grisham’s latest book “The Tumor” certainly received successful ultrasound treatment for his brain cancer, but the scene was set 10 years into the future.

Focused Ultrasound Treatment on its Way

But that’s not to say that this technology is unheard of. It has already been approved by the United States to treat various conditions including prostate cancer. In March 2016, a successful prostate ablation treatment was carried out with ultrasound technology. However, for other cancers including those affecting the brain, it really hasn’t been accepted as a treatment option with research being in its early stages and clinical data lacking.

Focused ultrasound has found its use only for treating small tumors at an early stage of diagnosis and those easily visible on imaging devices. But that’s not to say that the scope of treatment couldn’t improve with further research. And Grisham’s book could generate the needed interest among investors and the scientific community. Primarily, the book increases awareness of the existence of this technology and the massive potential it holds. Research has already begun into studying the potential for focused ultrasound to cure over 50 diseases.

Focused ultrasound is an amazing technology that makes use of sound waves for destroying damaged tissue deep inside the body, even without radiation therapy or using incisions. A few companies are already persevering to develop the technology further, and the release of Grisham’s book has already resulted in investors and scientists making more and more enquiries.

Device Manufacturers Being Sought

One of the ultrasound device manufacturers has received approval for applications such as treatment of uterine fibroids, benign growths in uterus walls, and bone metastases.  Another company manufactures two ultrasound devices – one for ablating prostate tissue and the other for treating soft tissue diseased cells. The company’s device used for treating prostate cancer provides a significant possibility of the MRI scan turning up no tumor signs 12 months following the treatment.

Case-by-case Coverage by Insurance Providers

The treatment is expensive, and American insurance companies pay for the procedure case-by-case. But they do not offer widespread coverage thanks to the technology being relatively untested and still being in developmental stage. The ultrasound devices have their biggest markets in countries having a solid reimbursement structure. However Grisham’s latest novel, which he has released for free, could make this technology more visible and attractive. It could ease the path for developers to get access to investor money.

In fact, the strength of the technology to penetrate the protective blood-brain barrier makes it ideal to deliver drugs directly to the brain, and can therefore treat many other neurodegenerative diseases including Alzheimer’s, according to Kevyan Farahani of the National Cancer Institute.

If the intended research and development of this revolutionary treatment takes place, neurosurgery transcription services could be dealing with focused ultrasound therapy in the not-so-distant future.

How Neurology Transcription Service Can Help Avoid Hidden EMR Malpractice Risks

Neurology Transcription ServiceTill recently, most neurologists relied solely on neurology transcription service providers to maintain patient information. Electronic medical record (EMR) systems have made it easier for neurologists to manage patient data more accurately, efficiently, and in a comprehensive manner. They have also made information retrieval simpler. However, experience shows that EMR can increase malpractice risks in documenting clinical findings. An article published in MedScape revealed how this is especially relevant for neurology practices.

Use of wrong template: According to the report, a neurologist had just migrated to a new EMR system and completed a neurologic examination of a one-year-old boy, recorded that the baby boy was oriented as to time, place, and person. This is a serious error as when assessing infants or small children who are not aware about their whereabouts or the time of day, the physician cannot use the same criteria as for adults. The culprit, in this case, was the use of the wrong template.

Though this particular incident did not result in a malpractice suit, it is indicative of the potential problems that neurologists and other specialists face when using the EMR system. If it had, the neurologist would have found it very difficult to defend himself against the charges of wrongly documenting clinical findings.

Increases risk of missing critical information: Another problem relates to the plethora of information that EMRs allow physicians to enter few keystrokes, a checkmark or the push of a button. The software allows them to provide a detailed description of a comprehensive examination and list negative findings. The pitfall is that it is very difficult for the physician to review such repetitive documentation. As a result, the risk of missing important details, and consequently malpractice, increases.

Diverts attention from the patient: Entering information into the EMR could divert the neurologist’s attention from patient signs and symptoms. This is a potentially a great malpractice risk.

Role of Neurology Medical Transcription

Industry experts recommend a blended approach or integrating medical transcription and EMR. This would offer many benefits for a neurology practice:

Increases accuracy: With their in-depth knowledge of neurology terms and procedures, medical transcriptionists can improve the quality of clinical documentation by accurately transcribing the details of a patient visit. These can be fed into the EMR and no critical details would be missed.

Greater visibility of findings: By documenting clinical findings clearly and placing them in a separate section of the record, transcriptionists help neurologists find critical information easily when it is needed.

Efficient use of different documentation modalities: Structured history and physical templates populated by a physician assistant may be used certain care settings. On the other hand, narrative reports that are dictated and transcribed could be the best option when documenting inpatient discharge summaries, encounter notes, findings, and assessments in a neurology practice. This also minimizes errors.

Better focus on patient care: Neurologists can also reduce risks of malpractice with transcription-integrated EMR as it allows them to focus more in patient care.

In addition to avoiding hidden malpractice risks, using the services of a professional neurology transcription company helps physicians improve productivity, efficiency and workflow.

Move to Make EHRs Easier for Consumers to Access

EHRsHealth care providers and technology companies are to take measures to make electronic health records (EHRs) easier for consumers to access and use, according to a Fox News report. With medical transcription integrated into them, EHRs have become an accurate and effective tool for physicians. The current proposal to provide patients with access to their EHRs is expected to further improve the quality of care they receive.

The agreement covers 16 health care technology vendors that manufacture about 90 percent of hospital electronic records currently in use across the nation. Major hospital systems, insurers, the American Medical Association, the American Society of Clinical Oncology and other medical groups are also participating in this venture. The transition to computerized medical records is being supervised by the Health and Human Services (HSS) department office.

According to the report, while most hospitals and physician practices have adopted EHRs, the absence of integration among health care providers limits the usefulness of digital records to patients. This new initiative is aimed at removing technological bottlenecks in the provision of care. The goal is to improve care where it matters the most by making patient data “free and liquid and available”.

The stakeholders have decided to:

  • Improve consumer access to medical records: Patients will be able to easily access their records from one provider and transfer them to another. That second provider would be able to seamlessly import the earlier records into their system. This will remove geographical barriers to care.
  • Stop blocking health information sharing: Last year, the HSS noticed that some health care organizations prevented sharing of information outside their group. The new steps will enhance “direct exchange,” a secure messaging pathway between registered medical providers.
  • Enforce standards to establish secure, efficient digital communications: This will allow communication among different systems across the health care network.

Last year, a small study conducted at the University of Colorado in Denver found that allowing patients to see their medical records while they are in the hospital would make them more engaged in their care, more satisfied, and more likely to ask questions and catch errors.

As patients are given access to their medical information and their records get shared across the system, the role of medical transcription services will become even more relevant. Transcripts are attached to the electronic medical charts and work in conjunction with computerized records to provide a clear and accurate picture of the continuity, quality and consistency of care provided.

Focused History Taking Critical for Evaluating Returned Travelers

Evaluating Returned TravelersWith the rise in the incidence of travel-related infectious diseases, people traveling abroad are at a high risk of health problems. Zika is the latest in the list of travel-related health diseases. The History and Physical exam (H&P) has become a critical component in the treatment of returned travelers who present with fever or disease. Even otherwise, admitting H&P forms a central part of the medical transcription task.

Evaluating the Returned Traveler

The Centers for Disease Prevention and Control recommends that when evaluating a returned traveler who is unwell, the physician should focus on identifying infections that are rapidly progressive, treatable, or transmissible. Public health officials need to be alerted if the condition is contagious and poses a health risk.

One of the main problems with patients who return unwell is that they may have been exposed to conditions that the physician is not familiar with or even not aware of. Therefore, history taking must include questions pertaining to the following aspects:

  • Probable cause of the disease, which will depend on area of travel as well as risk-taking behavior and conditions encountered
  • Nature, onset, and duration of symptoms
  • Travel departure and return dates
  • Area of travel to understand exposure to disease
  • Duration of visit as risk increases with longer stay
  • Purpose of travel – risk of infectious diseases is higher for emergency relief workers and healthcare workers
  • Behavior and lifestyle of traveler and extent of contact with the local population
  • Whether any known disease contacts or known insect or animal bites, scratches or licks
  • Injuries or illnesses including treatment modalities – injections, blood taken or transfused, and surgery
  • Unprotected intercourse
  • Diet during travel/visit
  • Vaccination history

A detailed history that extends beyond a few months before presentation is important for diseases such as tuberculosis as they can manifest several months later.

The degree of detail in a history and physical examination would depend on the nature and complexity of the patient’s condition. Accurate and timely transcription of the medical record can help physicians quickly review the patient’s medical history at repeat visits and add on to it.

Professional Medical Transcription Services for Reliable and Timely H&P Reports

A professional medical transcription company provides invaluable support for physicians with accurate and timely transcripts pertaining to the history and physical exam.  The transcribed medical records would help the physician quickly review the patient’s medical history and proceed with diagnosis and treatment. In established companies, trained and experienced medical transcriptionists document the dictated reports accurately and legibly. Dedicated infectious diseases transcription service would certainly prove very useful for physicians evaluating and treating the returned traveler.

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