Medical Transcription for Physicians and Doctors

Sunday, September 13, 2009

Medical transcription (MT) services are valuable for healthcare firms in developed nations such as the US and UK, where daily documentation of patient records is proving difficult with considerable increase in the number of patients. The outsourcing of these services to offshore locations including India helps medical firms to have huge savings in terms of both time and money. The process is also highly advantageous for individual physicians and doctors who have their own private clinics and healthcare centers.

Hospitals and private medical practitioners require the medical records of patients including treatment modalities to be transcribed accurately and within time to enable smooth functioning. These records are also essential for patients to have their insurance claims processed faster.

The quality of medical transcription services provided is also much higher in these outsourcing firms. Most offshore medical transcription firms are providing intensive training to their employees with the help of their in-house doctors and language specialists. To ensure high levels of accuracy, most firms have employed experienced proofreaders and editors who can double check the processed records for errors. The combined effort of the entire team results in records which are almost 99% accurate, as demanded by the healthcare industry.

Most medical transcription firms offer their services for long term as well as short term requirements of the healthcare industry. These firms also have the necessary backups for staffs and equipments so that client records can be processed in time.

Thus with no capital investments required and no future upgrading services involved, having these medical transcription jobs outsourced ensures benefits to healthcare professionals. The most important of all the advantages is that they can concentrate more on personal patient care and worry less about maintaining patient records.

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posted by Outsource Strategies International @ 10:33 PM Go to Medical Transcription for Physicians and Doctors



Medical Transcription Security

Wednesday, February 6, 2008

Everyone realizes that medical transcription projects are being increasingly outsourced to low wage countries like India and the Philippines. This is mainly because these Asian countries are in a position to deliver the goods with good quality at a much lower rate than is made available within the US. But, what happens to the confidentiality of online personal / patient information? How safe is transmission over the Internet? What if someone with vested interests tries to access it? Without some assurance of the confidentiality of the data it would be futile to take the risk of outsourcing. Well HIPAA is here to take care.

So what is HIPAA? It stands for the Health Insurance Portability and Accountability Act that was enacted by the U.S. Congress in 1996. This act regulates the exchange of all patient information using electronic methods. Patients are protected from unlawful disclosure. Thus we see that companies must be HIPAA compliant. Only then will the doctors be sure that all their valuable patient data and dictations are safe and never get into wrong hands.

What are the different requirements of HIPAA compliance for any medical transcription company? Thes include,

Maintain traceable trail of all personnel who handle specific data

  • Password protection
  • Encryption of data
  • Compliance officers must be appointed

What is the purpose of encryption? Encryption and password protection is essential to protect patient data and one can be sure that no one will be able to access the sensitive information without an authorization. Data encryption makes sure that even if some one else happens to get access to the file he will no able to understand/ decipher whatever is written. Therefore, all digital voice recordings/dictations that are sent via the Internet for transcription must be encrypted. Thus the different requirements include,

  • Encrypted e-mails
  • Secure FTP (file transfer)
  • Physical protection /security
  • Login codes for employees
  • Filters
  • Firewall
  • Monitor each desktop
  • Backup of tapes
  • Be prepared for natural disasters

Outsource Strategies International (OSI) is a US based medical transcription company that offers affordable services in medical billing, medical coding and medical transcription services for clients across the USA.

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posted by Outsource Strategies International @ 7:24 PM Go to Medical Transcription Security



Medical Transcription Program Approval

Sunday, February 3, 2008

Today medical transcription has become an established and essential process for the health care sector and a profession that is well accepted and respected with increasing demands. There are many colleges and universities that provide medical transcription education and training programs at various levels. When we refer to the medical transcription approval process we are mentioning about the approval of such MT educational programs by the concerned authorities.

It was the Association for Healthcare Documentation Integrity (AHDI) that instituted the medical transcription program approval process. The Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) is the accreditation organization of AHIMA. The approval process was done to make sure that compliance with the AHDI Model Curriculum is maintained by different educational bodies so that it provides,
  • Good educational programming
  • Produce competent entry-level transcription professionals
  • Good quality assurance
  • Consistent education
Take a look at the Model Curriculum at,

http://www.ahdionline.org/scriptcontent/Downloads/ModelCurriculum.pdf

List of approved programs can be seen at, http://www.ahdionline.org/scriptcontent/mtapproved.cfm

The AHDI along with AHIMA (American Health Information Management Association) has established a certifying committee for the approval of medical transcription programs called the ACCP (Approval Committee for Certificate Programs). The ACCP approval is an ongoing process and must not be confused with a guarantee as there is no formal accreditation process for medical transcription programs.

More details are available at, http://www.ahdionline.org/scriptcontent/eduprogramapproval.cfm

Outsource Strategies International (OSI) is an Oklahoma based medical transcription company that offers professional outsourcing services in medical billing, medical coding and medical transcription to clients in the US and also globally.

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posted by Outsource Strategies International @ 6:53 PM Go to Medical Transcription Program Approval



Geriatrics Medical Transcription

Friday, February 1, 2008

Geriatrics is a specialty branch of medicine that focuses on health promotion and the prevention and treatment of disease and disability in old age. Besides the regular medical attention Geriatrics also deals with the psychology, economic and social aspects of the elderly.

It is unfortunate that there is a shortage of geriatricians/ physicians with geriatric training in the US, even though the number of aged population is ever growing. Many a times we have come across cases where a surgery for the elderly patient was prevented by the timely intervention of a geriatric specialist. Due to this shortage, the nation's top academic geriatricians, focus on teaching the core principles of their specialty to everyone, including surgeons or discharge planners etc.

Geriatrics medical transcription is about medical transcription of documents from the geriatricians or other physicians trained in geriatrics. During geriatrics medical transcription it is always preferred to give the work to professional transcriptionists who have had previous experience in handling geriatrics cases. They will be more familiar with the drugs, problems and solutions of the elderly. Some of the common problems seen in the elderly are,
  • Incontinence
  • Immobility
  • Osteoporosis
  • Memory loss
  • Gastrointestinal disturbances
  • Instability
  • Obesity
  • Lung problems
  • Insufficient blood supply

Geriatrics transcription services handle all types of medical records for the elderly that can include a wide range of documents including, physical reports, clinic notes, operative reports, consultation notes, psychiatric evaluations, laboratory reports X-ray reports, pathology reports, discharge summaries etc.

Contact OSI (Outsource Strategies International) an Oklahoma based medical transcription company that offers highly professional outsourcing solutions for your entire medical billing, medical coding and medical transcription service needs.

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posted by Outsource Strategies International @ 8:06 PM Go to Geriatrics Medical Transcription



Medical Transcription Rules for Preparing Reports

Tuesday, January 29, 2008

There are certain basic rules that must be followed by all the professionals in the medical transcription industry. The American Association for Medical Transcription (AAMT) style guide is very popular and is in use around the globe. The style guide guides the medical transcription professional in all the different aspects of transcription that includes topics spacing during typing of text,numbering/ numerical typing, punctuation, hyphenation, drug terminology, capitalization rules, measurements, symbols to be used, classification rules, proofreading and more.

Let me now mention about some of the important rules that must be followed during the transcription/preparation of various medical reports.

  • While writing the history of the present illness it is preferred to use the present tense or a mixed tense.
  • Use past tense only while writing about a past medical history.
  • Type all allergies in capital
  • The Assessment/Diagnosis/Impression report must be entirely in capital letters without abbreviations for any medical terminology. However measurement units can be abbreviated.
  • Use past tense in discharge summaries
  • If no allergies found, type "No known drug allergies."
  • All major physical examination reports to be in the present tense
  • Use the correct verb tense to communicate the appropriate time of the action.(even if the dictation is wrongly tensed)
  • The title "Doctor" is to be written in full
  • Capitalize brand name medications. One must not capitalize generic medications.
  • Use Latin drug abbreviations.
  • Arabic numerals must be use when referring to strength, dosage and directions in medication.
Take a look at the basic style guide with the Courtesy of Global Medical Transcription and MT Daily at http://www.mtdaily.com/style.html

If you are looking for a professional medical transcription company that can offer outsourced medical transcription service along with medical coding/billing, just call the Oklahoma based OSI (Outsource Strategies International).

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posted by Outsource Strategies International @ 6:47 PM Go to Medical Transcription Rules for Preparing Reports



Medical Transcription Equipment and Technologies

Wednesday, December 26, 2007

As in many other fields, digital equipment technology forms the backbone of the modern medical transcription industry. The keyword here is "digital". Over the years most transcription equipment have evolved and digital technology has made it possible for finished medical transcripts to be delivered across the globe in minimal turnaround time. It has also enabled effective outsourcing /offshoring of medical transcription and enabled transcription professionals from other developing countries like India/Philippines to offer their services at competitive rates. Good transcription professionals around the globe can now work even from the comfort of their homes.

Some of the technology/software and gears commonly used in the medical transcription business include,
  • Digital microphones
  • PC based transcriber software
  • Digital transcriber stations
  • Speed typing software
  • Telephone dictation equipment
  • Dictation management software
  • Transcription desk reference
  • Medical spelling checker
  • Micro-cassette voice recorder
  • Transcription wrist gloves (fingerless)
  • FTP software
  • Audio file encryption software
  • Conference recorders
  • Universal foot pedals
  • Stedman's electronic medical dictionary
  • Phone-in dictation system
  • Transcriber headset
  • Speech mikes
  • Storage memory stick
  • Document counting/ invoicing software
  • Voice recognition software
While a dictation system is the primary requirement from where the physician actually starts the audio recording process, a transcription tracking system can track transcription jobs from the time they are received until they are delivered back to the customer. The system keeps track of all details like the time/date the job was received, transcription date assigned to a transcriptionist, actual date the transcription, date printed, delivery date/time of the transcript, and the delivery mode. A very convenient statistical report lets us to track the propagation time, balance workloads, manage delivery commitments, and provide a multitude of detailed information to the customer - in both paper and electronic form. The most common form of dictation format used today is the .DSS File Extension

Outsource Strategies International (OSI) is a US based medical transcription company that offers affordable outsourcing of medical transcription, medical coding and medical billing to clients globally and in all the US States and cities.

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posted by Outsource Strategies International @ 7:05 PM Go to Medical Transcription Equipment and Technologies



Skills and Duties of a Medical Transcription Professional

Sunday, December 23, 2007

Becoming a professional medical transcriptionist is today worth considering as a career especially because it is predicted that the MT profession will be in high demand for some time to come. This is chiefly because the rise in the total number of the aging population will cause the entire health care sector to experience a boom for the next ten years at least as predicted by the US Department of Labor. So as the years go by, one can expect that there will be more and more hospitals /doctors/ nurses and other health care technicians including Medical transcriptionists.

What are the basic requirements to become a good medical transcription professional? They include,

  • High school level education
  • Good communication skill
  • Above average in spelling
  • Should be good at sorting, checking verifying numerical data
  • Ability to follow written instruction
  • Records maintenance ability
  • Good typing speed/skill
  • Skill in use of computer/automation
  • Good eye / hand / foot coordination

A good medical transcriptionist has to learn and have a good knowledge of basic to advanced medical terminology. The proper application of grammar and the ability to use correct punctuation are also essential to be successful as a transcriptionist.

Among the various duties of a medical transcription are,

  • Transcribing patient information like Social security number/Medical record
  • Maintaining references for medical terminology/ procedures
  • Maintaining a transcription log book
  • Collecting dictation tapes
  • Distributing finished transcripts/ reports

Medical Transcription Supervisors are seniors who do all the follow ups on the physicians, take care of all the missing and /or late dictations and are responsible for the timely delivery of reports. Other duties include doing quality assurance checking, maintaining backups, ordering supplies, reports generation and reporting of problems in the infrastructure/ machinery etc.

Outsource Strategies International (OSI) is a US based medical transcription company that offers services in medical billing, medical coding and medical transcription from both domestic as well as offshore work groups.

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posted by Outsource Strategies International @ 7:23 PM Go to Skills and Duties of a Medical Transcription Professional