|
Medical Transcription Professional: See Where He Comes In!
Friday, January 18, 2008
|
|
You are not well and have decided to see a specialist about that nagging pain. You go and start talking about the problem to the doctor. Now you may need to talk about the past history of the problem which you will have to remember and maybe rack your brains to remember everything just as it happened. (Ideally you must have some past papers and also made specific notes about the problem).
Anyway, after you have explained your problems and also answered all the queries of the doctor, he will physically examine you and also prescribed for various laboratory tests before he is able to make a diagnosis/differential diagnosis. Only after diagnosis does the doctor comes up with the plan of treatment which he explains and gives you / your family members the required instructions/prescriptions that must be followed. Finally as you come out of the doctor's office, you see the other people waiting for their turn to get in and talk to the doctor. But before someone else walks into the doctor's cabin there is something the doctor does after you have left. Well it's just that the entire encounter he had with you is quickly recorded into a voice recording device (either a cassette recorder, telephone or some other device).
In a few minutes the doctor is on to another patient, another issue and thus the voice recordings continue. By the end of the day/session the doctor has seen many patients requiring various types of treatments. Now where is all that critical patients' data? Can we expect the doctor to remember some of the details? Certainly not! Well as of now, most of the information is on tape and tomorrow the doctor or someone else (like say the insurance people) may need to know exactly what happened with say, patient number 6 who came in last Monday?. Should they be given access to those voice recordings? Can they follow the doctor's rumblings? No indeed, everything has to be neat, and in paper. But then the doctor can't type nor does he have the time for paper work. So who does all that work of converting that technical "doctor talk" into a typed document? You guessed it!
OSI (Outsource Strategies International) is an Oklahoma based domestic and offshore outsourcing solutions provider, for medical transcription, medical billing and coding.
Labels: medical billing, medical coding, medical transcription, medical transcription professional, transcription company
posted by Outsource Strategies International @ 10:15 PM
Go to Medical Transcription Professional: See Where He Comes In!
Medical Coding Classifications
Thursday, January 17, 2008
Medical Coding classifications are useful for many different applications in the medical and medical informatics field. ISO 17115 defines a classification as 'an exhaustive set of mutually exclusive categories to aggregate data at a pre-prescribed level of specialization for a specific purpose'. Thus the different medical diagnosis and procedures are given universal code numbers. This makes it easy to track diseases. Medical codes are particularly very useful during the insurance claim process. These are the different types of medical codes.
- The diagnostic codes group the different types of diseases/ symptoms/ disorders /signs /
- The procedural codes are numbers or alphanumeric codes used to identify specific health interventions taken by medical professionals.
- Pharmaceutical codes are used in medical classification to uniquely identify medication.
- Topography codes indicate a specific location in the body.
The World Health Organization (WHO) constitution makes international classifications mandatory so that there is a consensual, meaningful and useful framework which all the different governments, providers and consumers can use in common. For more details on WHO FIC see http://www.who.int/classifications/en/FamilyDocument2007.pdf
The different types of WHO FIC classifications are
Reference Classification
- International Classification of Diseases (ICD)
- International Classification of Functioning, Disability and Health (ICF)
- International Classification of Health Interventions (ICHI)
Derived Classification (based on the reference classifications (i.e. ICD and ICF)
- International Classification of Diseases for Oncology, Third Edition (ICD-O-3)
- ICD-10 for Mental and Behavioural Disorders
- Application of the International Classification of Diseases to Dentistry and Stomatology, 3rd edition (ICD-DA)
- Application of the International Classification of Diseases to Neurology (ICD-10-NA)
- International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY)
Related Classification (those that partially refer to reference classifications)
- International Classification of Primary Care (ICPC-2)
- International Classification of External Causes of Injury (ICECI)
- Anatomical Therapeutic Chemical Classification System (ATC/DDD)
- Technical aids for persons with disabilities: Classification and terminology (ISO9999)
Do contact Outsource Strategies International (OSI) the US based BPO leader for outsourcing solutions in medical coding, medical billing and medical transcription.
Labels: ICD, ICF, medical coding, mediical classification, reference classification, WHO FIC
posted by Outsource Strategies International @ 6:10 PM
Go to Medical Coding Classifications
Wednesday, January 16, 2008
The Evolving Medical Transcription
Medical Transcription is a fast growing and evolving sector that has been influenced by many factors over the years. As preferences and standards have changed, one of the significant aspects of medical transcription has been the shift to electronic patient record. What are the basic factors for this evolution? They include,
- Advancement in technology
- Practice workflow
- Regulations
There has been a lot of demand to enhance patient safety, increase efficiency, and reduce costs. However, even though it has become mandatory for service providers and healthcare practices to migrate to a HIPAA compliant environment there are many companies who still have not yet adhere to this requirement.
In the distant future one can be sure that the voice recognition software will greatly improve and may slowly even replace manual transcription. Adopted technologies such as speech recognition software and application service providers (ASPs) can keep up with the demands of regulations, standards, and cutting-edge demands in this sector. One can also expect that unlike today, medical coding may become embedded within documentation thereby not requiring a separate process and reduce the overall cost of medical transcription.
There is also the growing need for medical transcription to comply with basic Principles of documentation that has been developed by the Consensus Workgroup on Healthcare Documentation & Report Generation. It will look into the following aspects of transcription.
- Patient details
- Accuracy of document
- Completeness
- Timeliness
- Interoperability
- Retrievability
- Authentication
- Accountability
- Auditability
- Confidentiality
- Security
Outsource Strategies International (OSI) is a US based company that offers services in medical billing, medical coding and medical transcription.
Labels: medical billing, medical coding, medical technology, medical transcription
posted by Outsource Strategies International @ 10:15 PM
Go to The Evolving Medical Transcription
|