The electronic health record (EHR) is designed to improve patient care and streamline physician workflow. With the widespread adoption of digitized patient records, medical transcription companies enter physician narrations directly into the EHR instead of into word processing systems. Medical … Continue reading
Read MoreTable of ContentsUses and Risks of the EHR Copy-and-Paste Function Best Practices for Safe Use of Copy-and-PasteMonitoring of Copy-and-paste Use Documentation integrity refers to the accuracy of the complete health record. Clear, consistent, complete, precise, reliable, timely, and legible electronic health record … Continue reading
Read MoreThis is an update to the blog: “Key Features of a Good Medical Transcription Company” For any medical specialty, voice dictations or audio recordings created by physicians, nurse practitioners or other healthcare providers need to be converted into accurate transcripts. … Continue reading
Read MoreMedical records are a combination of both self-reported patient information and physicians’ notes on the diagnosis, care and treatment given to the patient. When a patient visits a physician, he or she diagnoses the patient and dictates the patient’s medical … Continue reading
Read MoreElderly patients make frequent visits to the emergency department. This is because as an individual grows older, the immune system becomes slower to respond, which increases the risk of getting sick. Medical documentation of elderly patients needs to be maintained … Continue reading
Read MoreElectronic health record (EHR) adoption in the United States has reached a new high at 89%, according to a recent SelectHub report. However, even as EHR systems are constantly evolving, usability issues still persist. Surveys have found that lack of … Continue reading
Read MoreThe demand for imaging services has increased in the U.S. in recent years. Radiologists interpret images, manage urgent cases, and consult with referring physicians. Medical transcription companies have always and will continue to support them with timely and accurate transcripts … Continue reading
Read MoreProgress notes or SOAP (Subjective, Objective, Assessment, Plan) notes, document various aspects of the patient’s treatment and highlight important issues or concerns relating to care. Good progress notes tell the patient’s story and prioritize patient care and safety. These notes … Continue reading
Read MoreVirtual healthcare has become widely accepted as a way for physicians to remain connected with patients during the global coronavirus pandemic. Real-time, audio-video communication between physicians and patients had been in force prior to the pandemic. Now, telemedicine ensures that … Continue reading
Read MoreLike any other medical specialty, occupational therapy (OT) has distinct documentation requirements. Today, electronic health records (EHR) supported by medical transcription services have eased patient data management challenges for occupational therapy practitioners. Experts say that to get the most of … Continue reading
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