Tag Archives: Professional Transcription Company

How to Prevent Pathology Documentation Errors

A pathology report is an important document that guides diagnostic and prognostic decisions. Accurate documentation of pathology reports is therefore very critical to provide appropriate and high quality patient care. Incomplete and inaccurate pathology reports can have a negative impact on patient … Continue reading

Read More

Documenting History of Present Illness (HPI) Report in Ophthalmology Care

Obtaining an accurate history is the critical first step in determining the etiology of a patient coming with eye problems. Most of the time, you will be able to make a diagnosis based on the history alone. However, the value … Continue reading

Read More

Changing Role of Medical Transcriptionists with EHR Implementation

The pressure for EHR (Electronic Health Record) adoption is increasing, thanks to the incentives assured and warnings of reimbursement cuts. Though electronic clinical documentation is said to reduce the relevance and significance of medical transcription, the truth is that EHR … Continue reading

Read More

Common Nurse Charting Mistakes and the Role of EHR Transcription

Accurate record keeping and careful documentation are an integral part of efficient nursing practice. However, mistakes may happen while attending several cases a day and documenting the details of each patient quickly. Even though electronic health records (EHR) offer an opportunity to document such details easily with pre-filled templates and fields, there is a great chance to make errors. Continue reading

Read More