Medical transcription helps healthcare providers maintain accurate medical records and provide good care to patients as well as stay clear of compliance breaches.
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Medical transcription is the process of converting voice- recorded medical
files into text format. Timely transcription helps you to maintain up-to-date and
accurate records of the patient and provide effective treatment. Keeping medical
records and medical history organized and accurate can not only save stress and
money for the physician but also ensure patient safety. Accurate medical
records enable to reconstruct the essential parts of each patient contact without
reference to memory. Medical records can be handwritten notes, scanned records
or audio/video files.
A medical transcription company can help you transcribe large volumes of
audio/video recordings and also ensure accuracy in your records. A well organized
medical record will serve the following purposes.
Good quality care for Patients
Medical records are essential for proper ongoing care of the patients and
are paramount for effective communication between healthcare providers
and their patients. These records are important as they allow practitioners
to take over the patient’s treatment simply by referring the records.
Personal protection for Medical Professionals
Accurate medical records not only help to provide good care for patients
but also protect medical practitioners from getting involved in any dispute
that may arise from treatment, alleged compliance breaches and even
lawsuits that may be brought against them.
In the case of medically related lawsuits, medical records are verified first.
This is because medical records serve as the best defence for medical
professionals at the time of any dispute. Therefore these records should be
stored securely.
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Wider accessibility to patients
Medical records should be made available to patients on their request.
Transcribing voice recorded medical records to written format and
uploading them in the provider's official website will help the patients
access their medical records from anywhere. It also helps them to keep
track of the doctor’s name, medicines prescribed, drug allergies, and
record of past tests.
Helps Medical insurance companies
Organized medical records help medical insurance companies keep track of
patients' health details and also ensure quick reimbursement of medical
bills.
A medical record should
Be clear and legible
Include details of the patient’s care such as history, diagnosis, care
rendered, advice, treatment, prescribed drugs and allergies
Maintain accuracy and avoid errors and loss of information
Eliminate derogatory reference to the patients
Include date and time and also mention the name of the patient correctly
Not contain abbreviations, unless they are standard medical abbreviations
A patient’s record should be continuously updated in chronological order so as to
demonstrate continuity of care and response to treatment. With the help of
reliable medical transcription services, medical records can be easily
transcribed in a timely manner. These companies have trained and experienced
transcriptionists who provide excellent service at affordable rates.