Tag Archives: Medical Transcription

EHR Adoption Changes the Role of Medical Transcription and Transcriptionists

Patient medical records are extremely important for the smooth functioning of healthcare units. Healthcare organizations that maintain accurate, structured narrative reports and update their electronic health record system promptly can retain an edge over their competition. How are these reports … Continue reading

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PCPs 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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Study Shows That Good EHR Use Help Improve Prescription Management in Infectious Diseases

Though antibiotic drugs greatly reduce illness and death from infectious diseases, unnecessary and prolonged use of such drugs allows infectious organisms (that were targeted to kill by the drugs) to get adapted to them and cause antibiotic-resistant infections. The most … Continue reading

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Medical Documentation Tips to Address RAC Audits

The Centers for Medicare and Medicaid Services (CMS) closely scrutinizes hospitals and physicians to identify healthcare fraud and abuse. The actual target is not the quality of care, but the documentation that supports why a particular service or procedure was … Continue reading

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EHR Shortcuts – Are They Really Advantageous?

Many providers use shortcuts during EHR documentation to reduce the time taken for documenting a patient encounter. Though shortcut features may make you efficient, there is a greater chance for errors if you use those features inappropriately. Errors entering EHR … Continue reading

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Documenting Physician-Patient Encounters Vital to Diagnose and Treat Chronic Migraine

According to a new study presented at the 57th Annual Scientific Meeting of the American Headache Society, migraines may be underreported and under-treated in teen athletes. In most cases studied, it is unclear whether there occurred an exacerbation of primary … Continue reading

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EHR Replacement Increases in 2015

According to the 2015 EHR Software BuyerView report by Software Advice, a company that researches and provides review on software applications, found that most buyers of EHRs are choosing to replace their existing system. In their six years of research … Continue reading

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Medical Transcription Could Address the Problem of Inconsistent EHR Documentation

Recording of physician notes and subsequent medical transcription to create transcripts is an effective means of ensuring that all clinical details are correctly documented. However, the entry of electronic health records has changed this practice and providers are now required … Continue reading

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Why Medical Transcription Is More Challenging than General Transcription

The role of a transcriptionist involves reproducing recorded dictation in accurate digital text format. The recorded content could be interviews, meetings, focus group discussions, single person dictations, voice mails and so on. Transcription generally falls under three broad headings – … Continue reading

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Quality Assurance for Health Care Documentation

Quality in health care documentation is crucial when it comes to ensuring proper and timely health care. In view of this, the Association for Healthcare Documentation Integrity (AHDI) has paid down best practices to assure quality, timeliness and security in … Continue reading

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