Medical Trancriptions

7/30/2019 Medical Trancriptions

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Written by:Jim PlewaChief Operating Officer

CaseReader by DPR


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MedicalTranscriptionsMedical transcription is theart (and science) of capturing

physicians dictated words ina report accurately, anincreasingly important task

when considering the growth

of electronic health recordsacross all medical practices inrecent years.

by: Jim Plewa, Chief Operating Officer of CaseReader 2


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Medical TranscriptionsThe production of medicaltranscripts is a time-consuming task but

accuracy in a patientshistory is paramount,especially when moremedical professionals across

a variety of specialties willaccess the same reportduring their interactions

with a patient.

by: Jim Plewa, Chief Operating Officer ofCaseReader 3


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Medical Transcriptions No longer are medical records simply tied to a single practice and,

therefore, medical transcription services are increasinglyoverwhelmed with requests for clear and accurate medical

transcript production.


Many practices outsource thiswork to those trained asmedical language experts butthis field of medical

administration is also thefocus of innovative voicerecognition technology to aidin producing these medicaltranscripts.


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Medical Transcriptions A patients medical transcript will contain a wealth of information,

including their symptoms, medical history, family history, testresults, details of prescriptions and procedures and a diagnosis.


Whenever a patient visitstheir physician andundergoes an examinationor spends time talkingthrough their symptomsand/or progress thephysician will make arecord of the outcome ofthe visit.


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Medical TranscriptionsOftentimes, a physician uses ahandheld voice recorder to

dictate notes after the patienthas left and these will be thenbe passed on to a medicaltranscriptionist.



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Medical Transcriptions Producing a medical transcript is not as simple as typing

out the words spoken by the physician as a patients reportis considered a legal document and requires specific

formatting.

Once the transcript is complete it is entered into thepatients file and can be called on in the future by the

physician themselves or by another specialist treating thepatient.



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Medical Transcriptions The correct formatting, review and editing of a medical

transcript is important as this not only makes it muchfaster for physicians reviewing the patients history, it alsomeans that an improperly recorded medication isidentified quickly and can be corrected to avert risk.

The physician providing the dictated notes is supposed toreview the transcript upon completion but, in practice,some physicians do not review these transcripts and theyare marked instead as dictated but not read to signal thatthere may still be potential accuracy issues.



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Medical Transcriptions Medical transcribers can also flag a transcript if they spot

inconsistencies in the report or if the words captured bythe recorder were unrecognizable.

Slow, precise and concise speech is vital to helping atranscriber produce accurate work and the same is true for

voice recognition technology when dictating the names ofmedications, the procedure undertaken and the diagnosis.



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Medical TranscriptionsMedical transcribers have tocontend with regional and evennational accents, rushed speech

(particularly from EmergencyDepartment physicians physician),mispronunciations andabbreviations of medicalterminology, disordered speech

when a physician recalls somethingout of the context of the currentsentence, and even incorrectdosages or other errors.



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Medical Transcriptions The transcriber must also make sure to check references

and the proper spelling of medical terminology andhighlight any problems they see in the report for thephysicians review. Medical transcriptionists need toconstantly be updating their database of new medicalequipment, drugs, devices and nomenclature in order toproduce accurate reports and this is just one area where acentralized database available with voice recognitionsoftware is helpful.



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Medical TranscriptionsPhysicians looking forefficiencies can also improvethe accuracy of their owndictation, produce clearer

medical transcripts that areproperly formatted and easyto review while reducing wait-times for outsourced medicaltranscription services byusing medical speech-to-textvoice recognition technologysuch as M*Modal Fluency.



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Medical Transcriptions One solution CaseReader by DPR

has embedded M*Modal voicerecognition technology.

Within CaseReader Fluency isutilized for navigation and dictationin a templated environment toproduce timely and accurate clinical

documentation.



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Medical Transcriptions The all-software solution enhances

productivity and may increaserevenue by ensuring accuracy andsafety in patients medical

transcripts.

Its seamless integration with theability to embedded images in thefinal report make CaseReader a

valuable tool for radiologists andreferring physicians.



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Medical Transcriptions

Written by:

Jim Plewa

Chief Operating OfficerCaseReader

Connect with Jim on:

http://www.linkedin.com/in/jimplewa

https://twitter.com/Jim_Plewa

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Medical Trancriptions

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