Dictations are very carefully recorded by critical care specialists/intensivists who work in the hospital ICUs (Intensive Care Units) where patients are often seen struggling for life. These critical care dictations will be later transcribed by specialist transcriptionists who have made themselves familiar with all the different critical human conditions and other ICU related processes. They also have a good knowledge of different critical care equipment like defibrillators, ventilators, bedside monitors etc. Thus they can see themselves in the shoes of the critical care specialist / Intensivist and are at home with his murmurings that are usually recorded into digital hand held devices.
By definition Intensive Care Medicine or critical care medicine is a branch of medicine that is concerned with the provision of life support or organ support systems to patients who are critically ill and require intensive monitoring. It is one of the most expensive, high technology and resource intensive area of medical care. In the year 2000, the US spending on critical care medicine ranged from US$15-55 billion accounting, which is about 13% of the total national health care expenditure for the year. Way back in 1997, more than 5,000 ICUs were operational in intensive care units across the United States. Today it must be much more.
Besides Intensivists, ICU care usually consists of other health care providers also including pharmacists and nurses; respiratory care therapists; and other medical consultants from a broad range of specialties including surgery, pediatrics, and anesthesiology. Critical care transcripts are usually very important documents as it generally involves big money and have to be sent to the insurance companies for claims. Proper transcription, coding and billing are essential prerequisites for the assured reimbursement of insurance claims.
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