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



Tips for Medical Transcription Dictation

Monday, January 28, 2008

Years back when I was in India, I knew a pharmacist who was the only one who could decipher everything our hospital's only physician scribbled /prescribed on his pad. (Many rural Indian hospitals still follow the system). Believe it or not, whenever the pharmacist took a day off or was on leave, the pharmacy would give out wrong medications that turned up to be tragic. We later solved the problem by getting a mobile phone for our pharmacist friend whom we called up even on his "off days" and clarified what the physician prescribed. Surprisingly he could solve the problem even over the telephone.

Today it is not bad handwriting but bad dictation. It indeed makes the medical transcriptionist's job more difficult and highly prone to mistakes. Further it causes waste of valuable time. So what can be the solution to this problem? Is it possible to have an exclusive transcription professional for each doctor so that he gets know the physician like the back of his hand?

Well here is a guide with tips to proper dictation that will be very useful for the physician to give good dictations and get error free transcripts. I recently came across a group of medical transcription from different specialty groups who all had similar types of requests/appeal for the dictating physicians /doctors.

  • While dictating a difficult medical term it would be greatly appreciated if care is taken to see that the term gets well recorded via the microphone.
  • Please start the dictation mentioning about the type/title of document that is been dictated instead of keeping the transcriptionist guessing about it till the end.
  • Please avoid the tendency to summarize every thing/procedure and include everything in few long sentences. It would be ideal to present the facts in shorter and more communicative sentences if possible.
  • Would appreciate if uncommon abbreviations are expanded and dictated when possible.
  • Please move your face away for a moment from the microphone to sneeze/cough.
  • Please finish your snack before beginning the dictation or keep it for afterwards.
  • Never forget to mention the basic information like date/name/ summary etc
  • Try and avoid talking fast/ yawns /hiccups while dictating.
Physicians/surgeons should be aware of the background sounds/ noise and how it can become a hindrance to listening to the dictation. Just a pause at such occasions would be greatly appreciated and can save a lot of time.

Outsource Strategies International(OSI) is a US based medical transcription company that offers outsourcing solutions in medical billing, medical coding and medical transcription service for clients globally.

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posted by Outsource Strategies International @ 10:24 PM Go to Tips for Medical Transcription Dictation



The Origins of Medical Transcription

Wednesday, January 23, 2008

Medical transcription has become a common term today. Technological advances have slowly changed and always defined the medical transcription industry and it still continues to be so. The latest development of voice recognition software and its evolution may some day totally automate and even remove the human element in the medical transcription process. As of now, the traditional medical transcriptionist (MT) is happy to become an editor who has to just edit the documents produced by the VRS (Voice Recording Software) as its technology is still crude and has a long way to go.

Looking back into the past, all hand written medical records were highly abbreviated and written by the physician who actually treated the patient. Files kept in filing cabinets, that consisted of collections of handwritten notes/scribbles along with typed documents had to be physically retrieved from shelves every time the physician wanted to have a look at them. Further development just involved the duplication of medical records /documents using carbon paper. (I remember doing it myself)

While talking about the history of Medical transcription systems one remembers that various systems had started evolving right from the year 1960. The second generation computers evolved at this time replacing vacuum tubes with transistors. However, all the systems of that period were primarily designed to help the manufacturing process. The very first transcription that was developed happens to be MRP (Medical Resource Planning) in the year 1975 closely followed by MRP2 and referred to the Manufacturing Resource Planning. These systems were yet not useful enough to be used in transcribing records in the medical / health sector. It is only much later in the early 90s that the actual medical transcription, as we know it today, came into existence.

Today when we talk of medical transcription it automatically encompasses the speedy desktop, the Internet, digital transmission, information systems, PDAs, dictation systems, foot pedals, headphones and more. The evolution toward the electronic patient record and HIPAA compliance is forcing everyone to catch up with technology and there is no looking back. Globalization has enabled the medical transcription professional to even sit at home and work for clients who may be located anywhere else on the globe or beyond. As cutting edge technology evolves it would not be wrong for us to say that one can only wait and see how the distant future of this industry is going to be. One can however expect transcription to become a much easier process.

For highly professional and affordable medical transcription, medical billing and coding services call OSI (Outsource Strategies International).

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posted by Outsource Strategies International @ 6:01 PM Go to The Origins of Medical Transcription



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.

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posted by Outsource Strategies International @ 10:15 PM Go to Medical Transcription Professional: See Where He Comes In!