Choosing a dictation service

Whether you need legal, medical, or general business transcription, the three most important factors to evaluate when choosing a dictation service are turnaround time, accuracy, and security.

Turnaround time
The standard dictation service offers 24 to 48 hour turnaround. Many also offer STAT service, which provides 1, 2, or 4 hour turnaround.

• How does time of day impact the delivery schedule? If you submit your dictation at 8 pm for STAT transcription, will it get the immediate attention you need? Or will it be queued up until the following morning?
• How do they backup their guarantee? If they return transcriptions late, do they give you a discount? Or not charge you for them?
• Do different types of notes have different times?

Accuracy
Inaccurate transcriptions are worse than no transcriptions at all: serious mistakes can endanger patients’ well-being or jeopardize legal agreements. The dictation service you choose should employ transcriptionists with significant experience in your field, as well as quality assurance (QA) staffers to double check transcripts before they’re released.

Security
For web-based communication, the industry standard for security is 128-bit SSL security. If the dictation service uses another method of communication, ask what steps they take to make sure it’s secure. Sending unencrypted files over regular email is not a secure method of transferring your audio files or the resulting transcription.

Physical security is important as well. Ask each dictation service you speak with what measures they take to ensure the security of your data at their locations: careful employee screening and tracking is essential.

Affordable Medical Transcription Service

An increase in the demand for medical transcription has led to a corresponding increase in the number of service providers offering affordable medical transcription services. These medical transcription companies are a great help to individual physicians, outpatient clinics, group practitioners, hospitals and healthcare centers. They guarantee excellent transcription serviceswith unique, reliable and complete solutions ranging from dictation capture to document distribution and storage.

High Accuracy Rates and Minimum Turnaround

Reputable medical transcription companies keep trained and experienced transcribers providing services to a number of specialties including orthopedics, gastroenterology, radiology, cardiology and more. One of the major advantages of medical transcription companies

is that they provide digitalized documentation service converting voice recorded files into text format. Ensuring perfect accuracy in transcription services, these companies maintain in-house proofreaders, quality analysts and editors to give clients three levels of quality assurance. Besides ensuring 99% accuracy rates, the recognized medical transcription companies complete all projects within minimum turnaround time.

Ensured Confidentiality and Privacy

Medical transcription companies are perfectly optimized with advanced technological devices to meet various demands of the healthcare industry. They use convenient dictation methods for a total medical transcription solution. Most of the companies offer web-based transcription service providing various advantages to the clients. In addition to this, medical transcription companies provide toll free numbers making it easy for physicians to convey dictations using telephones.

When planning to outsource your medical transcription jobs, it is important to verify whether the affordable medical transcription service is HIPAA compliant. HIPAA compliant companies guarantee high confidentiality and privacy in their services following various rules and regulations of the Health Insurance Portability and Accountability Act.

Popular medical transcription companies provide affordable and secure medical transcription service using the latest document flow management software and advanced digital systems. Depending on the requirements of the clients they provide short term and long term services.

Key Benefits Of Medical Transcription Services

Medical transcription services are a valuable component of data management for any healthcare organization and present several benefits of companies of all sizes. Instead of investing the time and money to train employees of an organization for dictation capture and reporting, medical transcription services can manage all of these operations – and more. Medical transcription companies are a valuable outsourced resource for the healthcare industry, and there are several benefits for sending dictation projects to another party. Here are the key benefits of medical transcription services:

1. HIPAA-compliant services. Medical transcription services are designed to be fully-HIPAA compliant and all data is secure. Secure data transmission is increasingly important today as files are transferred across the web and downloaded onto various interfaces. Medical transcription services can ensure all relevant data is encrypted and secured according to industry standards.
2. Easy access to data any time of day. When your physicians need to access and retrieve specific pieces of data, medical transcription services make it easy to obtain the data from a phone or other digital device 24 hours a day, 7 days a week. Files and information is stored in a secure central area where all members of your healthcare organization can have access to.
3. Confidential information. Transcribed materials are stored in a highly secure server and database, and steps are taken to ensure all documents remain confidential. This is also in compliance with HIPAA laws and regional rules and regulations that require patient information to be kept confidential at all times.
4. Access to customer service. If you’re experiencing technical difficulties in retrieving your information or have questions about any of the services from the company, medical transcription services available to you may include access to a toll-free phone number for customer support. Having the ability to interact with a customer service department takes away the stress of worrying about data transmission and transfer problems.
5. Fast turnaround times. Most medical transcription services can be performed within 24-48 hours, which means you’ll have the projects completed within a reasonable time frame. When you need a dictation for a specific patient or client, it’s easy to contact the service provider for a faster turnaround if needed.
6. Lowered costs overall. Outsourcing medical transcription services can cut costs dramatically for your healthcare organization so you can invest your resources in other departments and critical areas. Instead of spending the time to train and educate staff members about the process, you can count on a reliable company to manage all of the important elements of transcription.
7. Improved workflow. Medical transcription services can be synced with your e-mail addresses and other contact management tools for improved workflow. This means you can expect to receive documents and data at a faster rate than conventional methods such as mail and package deliveries.
8. High quality work. High quality documents and reports are essential for your organization, and medical transcription services from a reliable company will ensure the highest quality standards. Most companies employ an extensive quality control system to make sure every item is produced and distributed with accuracy.

Outsourcing Medical Billing

In the past few years there is a dramatic change in the medical field and its treatment. Initially, while processing the insurance claims there are many administrative difficulties during the preparation of insurance policy procedures and dealing with complicated claim forms. To overcome with these obscurity doctors look out for outside help, and hire representatives to advise them, attend information about insurance company seminars, and provide them with regular clear financial reports.

This is process is called as medical billing outsourcing. Outsourcing Medical Billing acquire a profound working knowledge of the technologies and processes that are decisive to successful Business Process Outsourcing and afford a absolute scale of Back Office Outsourcing services in the areas of Medical Billing, Claim Adjudication, Call Center and Financial service. The most of the physician time is saved by means of medical billing outsourcing process. So that, physicians can much more concentrate on curing their patients. A medical billing firm will have the knowledge and experience technocrats to take care of all the medical billing issues. It makes free the other staff to concentrate on other aspects of running the practice which leads to added security to finance and transactions.

In a medical billing process all those claims will be submitted more quickly and follow-up will be more persistent-all adding up to more and quicker revenue for the practice. Medical billing firm will provide all the reports by means of monthly and detailing the financial health of the practice and can recommend ways to boost profitability as well. It process is used to improve the business and may not depend on individual to maintain the details. So the usage of medical billing outsourcing is very reliable to change medical billing expenses from a fixed cost to a variable cost and to improve the ability to manage our business.

A medical billing firm gives the detailed information that need to successfully negotiate a contract with a malpractice insurance carrier. The benefits of medical billing outsourcing include less paperwork and lower employee cost, minimized error and faster revenue receives. For minimized error the perfect audition is done by the supervisor. After the approval of supervisor the claims are sent to the process of revenue. One of the major advantage of medical billing outsourcing is it assists the physicians in saving money through payroll generation, equipment reduction, elimination of postage, and with software service support. Outsourcing to a professional billing company frees you from administration problems.

One of the important things has to be noted is while choosing the medical billing outsourcing the costs varies directly with the medical billing. If the medical billing drops, the cost drops. If the medical billing goes higher, then the costs do not rise suspiciously. This is the simple fact that makes the business planning easier. Outsourcing Medical Billing handles your Billing and Collections. Outsourcing to Offshore Medical billing will reduce your overhead while decreasing the claim payment turn around time. Enjoy the benefits of Outsourcing Medical Billing, Accounts Receivable Follow-up responsibilities to the experienced professionals in the Offshore Center.

The Role and Relevance of Medical Transcription to EMR Adoption

The U.S. healthcare system initiative to develop a national electronic health record (EHR) infrastructure by 2014 aims to successfully share and exchange health information and support personal health records for all Americans. When ambulatory healthcare organizations are unsuccessful in adopting electronic medical records (EMR) technology into their practices, interoperability for health information exchange (HIE), personal health records (PHR) and a national EHR will be limited.

In a recently published Speech Recognition Adoption White Paper written by the Medical Transcription Industry Association (MTIA) and the Association for Healthcare Documentation Integrity (AHDI, formerly AAMT), a great deal of emphasis was placed on the role medical transcriptionists must continue to play in driving a successful national EHR. In summary, the paper indicated that though many EMR and Speech Recognition technology providers have taken aim at medical transcriptionists (MTs) as being a costly and obsolescent part of healthcare documentation, the limits of EMR and speech recognition technology (SRT) are being significantly complemented by the work of MTs in cases where solution providers and savvy healthcare organizations have recognized the value of the relationship between technology and MT “knowledge workers”.

The white paper further offers a state of affairs in the world of speech recognition and compares frontend speech recognition (FESR) with backend speech recognition (BESR). FESR is the process whereby speech-to-text translation occurs real-time with the creation of a narrative dictation, typically for concurrent correction by the dictator. BESR is the process whereby the speech-to-text translation occurs subsequent to the creation of a narrative dictation, typically for later correction by a third party (such as an MT).

When comparing FESR with BESR it was found that enterprise healthcare organizations experienced significant success with BESR by routing work translated through a speech recognition engine to an MT for later correction. This method supported clinicians’ ability to narratively dictate without changing their habits and therefore was widely accepted as an effective documentation method. Further, because cost savings were generally realized, CFOS supported BESR adoption. Typically 80% of clinicians were adaptable to BESR with no change in dictation habits, and higher for certain specialties like radiology. With MTs typically producing 1.5 to 2 times the volume over that of conventional transcription, BESR has proven to be an effective option for documenting health records. The accuracy of speech-to-text translation using BESR improves over time by comparing the corrected reports to a dictator’s speech patterns thereby improving the translation algorithms over time.

FESR has also made strides in the past decade. Gone are the days of sitting in front of a computer and recording thousands of words to train the recognizer. Like BESR, FESR learns and improves with repetition and can “learn” from completed, corrected documents. The trouble with FESR that many clinicians find objectionable is the need to interact with the process to make real-time corrections, thereby causing a change in dictation habits and slowing the clinician down. Although there is an upside (real-time documentation means immediate completion for the chart) in most situations that value is diminished by the extra time it takes the clinician to compete the record, the associated costs of that clinician time, and the fact that turnaround time (TAT) via a backend process is usually adequate.

According to Claudia Tessier, VP of Medical Records Institute, in her article, Medical Transcription and EMRs: Opportunity Lost? FESR represents less than 3% of clinical documentation. On the other hand, back-end speech recognition (BESR) has made significant gains in clinical documentation this decade with hospitals and major healthcare systems effectively deploying the technology enterprise-wide.

If clinician documentation habits are relevant to adoption, it’s no surprise then that ambulatory EMR adoption has delivered such abysmal results. According to the American Medical Association (AMA), the cost of an ambulatory EMR per clinician averages $30,000. If cost is not enough of a barrier to adoption, then usability certainly is. Next time you visit your primary care physician and have your medical record manually documented into an EMR by your physician while seeing you, ask how much he/she likes the process. If you are a clinician, then you understand. Though many EMR technologies are impressive, the documentation process is not well-embraced when it distracts from the intimacy of the patient encounter or slows the documentation process down to the point that fewer patients can be seen.

In an article by Peter Waegemann, CEO of Medical Records Institute and Chair of the TEPR Conference, despite a national initiative to have complete adoption of EMR technology by the year 2014, the above-referenced findings by the New England Journal of Medicine study clearly reflect that something is “drastically wrong”, that “it is time to stop and have a hard look at what needs to be changed”, and that “it is time for all the committees, associations, and others who are touting EMRs to confront this dismal picture” and find ways to help “correct [several] areas in our national strategy”.

The areas Mr. Waegemann identifies as problematic? Cost, Information Capture, Legality, Functionality, Information Exchange, Continuity of Care. Regarding Information Capture, Mr. Waegemann states, “Another main hurdle is the process of getting information into the computer”, continuing by noting that “electronic documentation is disruptive, may take a little longer, and requires a change in habits.”

Clinician behavior is unlikely to change if the pressure of time and efficiency continue to drive the culture of healthcare. If EMR usability also continues to challenge clinicians, then the role of the MT may, in fact, be extremely relevant in helping to meet the current EMR adoption challenges. As noted by the American Health Information Management Association (AHIMA) in a Practice Brief entitled Speech Recognition in the Electronic Health Record, “MTs are poised to evolve into clinical data, data quality, and decision support specialists.” The challenge to MTSOs, Healthcare Provider organizations and EMR providers is to work cooperatively to develop and promote solutions that match this charge.

In her article, Friend or Foe, published in For the Record, Robin Daigh, a VP at MD-IT, aptly addresses that it is the blend of technology and service solutions needed to meet the present EMR adoption dilemma. In this article Ms. Daigh notes that of the three documentation options (direct data entry, FESR and narrative dictation) that “many EMR vendors with whom we’ve spoken [indicate] dictation is the preferred choice of 80% of doctors.”

Ms. Daigh continues with a relevant illustration about documentation time and costs, noting the example of a typical outpatient visit to an internist and indicating that it takes about one minute to dictate a note for an established patient and costs about $4.30 versus 5 minutes and cost of about $13.50 to document the encounter directly into an EMR:

“By contrast, many EMRs use [direct] structured data entry as the primary method for entering clinical notes, in which physicians point and click their way through drop-down menus. The time required is at best equal to that of a transcribed note, and physicians often report it takes 8 to 10 minutes to complete a note using structured data entry, meaning the indirect cost to physicians is anywhere from $13.50 to $27.” states Daigh. “Indeed, physicians may ‘save’ $1.60 in outsourced transcription expense but at the cost of their valuable time. In our experience, this loss of productivity with [direct] structured data entry is the single biggest barrier to physician EMR adoption. By contrast, transcription customers are delighted to learn they can continue to dictate and let the transcription service deliver the clinical note to their EMR.”

Medical Transcription (with or without SRT) is relevant to documentation because it is the companion of narrative dictation, and narrative dictation holds a key advantage: the documentation of complete and accurate records. In another New England Journal of Medicine publication, Off the Record – Avoiding the Pitfalls of Going Electronic the article authors note that template-based documentation may distract from the important cognitive work of providing care, limiting thoughtful review and analysis. “Although completing such templates may help physicians survive a report-card review, it directs them to ask restrictive questions rather than engaging in a narrative-based, open-ended dialogue.”

In its traditional form Medical Transcription still services a significant percentage of the industry; coupled with speech recognition (BESR), it enables scalable deployment across enterprise healthcare; with HL7-based integration it feeds enterprise EMR systems with unstructured data health records; with emerging BESR technologies it feeds those same systems with structured data health records, leading to improved decision support; and in response to the endemic ambulatory EMR adoption problem it offers a bridge to acceptable usability.

Medical Transcription in fact holds a relevant role in documentation and in helping solve the ambulatory EMR adoption dilemma, vital to the future of healthcare interoperability and the national EHR initiative. Moving forward, organizations that are focused on providing integrated solutions that leverage both technology and service offerings will lead to an increase in EMR adoption and ultimately improved patient care.

The New Medical Transcription Scenario

The challenge for any medical transcription company is to enable a seamless coordination of medical care. This coordination can be provided by electronic system of medical records. This system enables seamless transmission of medical data from one doctor to another. If incorporated this system helps to provide coordinated, safe and cost effective care.

An estimated 1% to 7% of the patients have a medication error during their stay at the hospital. The medical records provide a foundation for a support system that enables a check on these kinds of errors.
The need of the hour for the transcription companies is to evolve around the electronic medical record system. Also, the companies need to understand their position in the current day scenario and also learn where they are moving to in the future.

A safe and effective medical care can not be provided without a seamless movement to medical data. This is the most exciting change that is happening all around us and the next three to four years will be the most important in the process to ensure that the timely and accurate medical data is always available to the doctor on the web with the oversight of a transcriptionist to ensure its accuracy.

The medical transcriptionist is the first line of defense in providing the accurate and the timely care that he needs by providing the necessary documentation. Though a transcriptionist works at the background but plays an important and integral part in providing safe and effective care to the patients.

Medical Transcription and EMR

Professional medical transcription companies provide excellent EMR solutions.

With the introduction of the EMR system, medical transcription has become more reliable, cost-effective and systematic. The EMR solution effectively manages records such as death summaries, radiology images, photographs, histories, clinic notes, consultation reports, referrals, laboratory summaries, medical billing, verifications, authorizations, medical coding and patient scheduling. One of the major advantages of EMR is that it permits clients to add, delete and edit records and other medical notes.

Ensures High Accuracy Rates in Transcription

EMR is a typical database system that helps medical practices to make digital formats ensuring high accuracy rates in the transcription process. Professional medical transcription service providers offer excellent EMR solutions, giving maximum automation and security for SOAP notes and other medical data. The latest features of EMR solution include:

-Management of SOAP notes
-Document scanning
-Customized data management
-Medical billing software
-Specialist support for medical billing
-Diagnosis code directory
-HL7 custom interfaces

The Advantages of EMR System in Medical Transcription

An EMR system provides physicians and medical professionals with uncomplicated interface and legible documentation. It helps to convert medical documents into PDF with electronic signature so that the files can be easily sent over the internet. The EMR system runs on a UNIX server that ensures the unique security features of UNIX. You are not required to buy any expensive hardware or software; all you require is a computer with internet connection. The advantages of the EMR system include:

-Reduces storage costs
-On-site and off-site storage facilities
-Reduces human resources
-Lessens transcription errors
-Affordable and systematic
-Speeds workflow
-Various types of data can be stored
-Specific EMR solutions for various specialties

The application of EMR system in medical transcription services ensures high accuracy rates together with a perfect management system to meet specific requirements of the clients.

Medical transcription companies bracing up for newer challenges

The Medical Transcription industry, recently rechristened as the Clinical Documentation industry, is gearing up to counter the challenges posed by technology and outsourcing. In order to reinvent itself, the industry has resolved to move beyond conventional medical transcription services to encompass every touch point in the clinical documentation continuum, according to the newly-formed Clinical Documentation Industry Association.

Hitherto, a medical transcription company’s sole job was to convert voice files into text format, edit them, and send them back for the physician’s review. But CDIA is now looking at a broader role for medical transcription companies. It now wants transcription services to include not just transcribing and editing but also producing meticulously documented clinical reports which could also be used for coding and billing to ultimately make a practice’s workflow faster and more efficient.

The industry which is already facing an existential threat from medical transcription outsourcing firms in developing countries is also seeing some competition from sophisticated transcription software.

A case in point is the front-end and back-end speech recognition (SR) transcription software. While the front-end SR software captures physician voice files directly into the computer and converts them to electronic text format, the back-end SR software additionally sends the transcribed files to a professional transcriptionist for correction and editing. The latter is more popular among physicians as it is screened both by a transcriptionist and physician, and makes the reports more reliable and error-proof.

But technological advances and the threat from outsourcing notwithstanding, the role of medical transcription companies continues to remain important. With more and more patients to tend to each day, providers have little time for medical transcription functions even with the aid of software. So they would continue to use the services of medical transcription companies who in turn would have to raise the bar and add more value to their services.

Ultimately the future of medical transcription industry will depend on its willingness and ability to modify transcription services in line with the changing physician requirements and technological advances.

Medical Transcription

Medical transcription, also known as MT, is an allied health profession, which deals in the process of transcription, or converting voice-recorded reports as dictated by physicians and/or other healthcare professionals into text format.

Traditional medical transcription is a form of document creation that the medical industry considers outdated, but necessary as a means of providing the necessary documentation needed to satisfy regulatory and insurance provider requirements. The practice of modern medicine dictates that the physicians spend more time serving patient needs than creating documents in order to make financial ends meet. More modern methods of document creation are being implemented through the technology of computers and the internet. Voice Recognition (VR) is one of these new-age technologies. With the power to write up to 200 words per minute with 99% accuracy Voice Recognition has freed physicians from the shackles of traditional transcription services.

Medical transcription is still the primary mechanism for a physician to clearly communicate with other healthcare providers who access the patient record; to advise them on the state of the patient’s health and past/current treatment; to assure continuity of care. More recently, following Federal and State Disability Act changes, a written report (IME) became a requirement for documentation of a medical bill or an application for Workers’ Compensation (or continuation thereof) insurance benefits based on requirements of Federal and State agencies.

The medical transcription industry will continue to undergo metamorphosis based on many contributing factors like advancement in technology, practice workflow, regulations etc. The evolution toward the electronic patient record demonstrates that, over time, documentation habits will change either through standards and regulations or through personal preferences. Until recently, there were few standards and regulations that MTs and their employers had to meet. First, we had the Health Insurance Portability and Accountability Act (HIPAA). It wasn’t long ago “experts” stated that HIPAA would not have any effect on the medical transcription industry. Either in a state of denial or ignorance of the law, many transcriptionists and companies have continued on their existing course of providing medical transcription. Many providers are concerned that the majority of the transcription industry will not be able to meet several specific requirements: namely, access controls, policies and procedures, and audits of access to the patient information. Without the knowledge or resources to comply, many in the industry are claiming to comply and signing their Business Associates Agreements without taking the security measures required. Many are uninformed, and some are choosing to remain so, believing that the world of transcription cannot possibly be expected to make these adaptations. The fact is that the employers will demand HIPAA compliance and will change employees and contractors when they don’t get it. There will also be demands to enhance patient safety, increase efficiency, and reduce costs. It is mandatory for service providers and healthcare practices to migrate to a HIPAA compliant environment.

Why Medical Transcription Services are in High Demand

Medical transcription services are in high demand in a variety of healthcare settings. These services are in high demand mainly because:

• They help speedy processing of patient insurance claims
• They ensure accurate and detailed medical records which are of great importance in any healthcare setting
• They can efficiently handle the growing volume of medical reports in hospitals, clinics, primary healthcare centers, acute care centers
• They ensure that clients receive properly formatted, edited and reviewed documents

Most companies in the medical transcription field offer HIPAA (Health Insurance Portability and Accountability Act) compliant transcription services. Reliable transcription services are available for operative reports, diagnostic imaging studies, laboratory summaries, x-ray reports, physical examination reports, patient histories, ER reports, clinic notes, referral letters, progress notes, psychiatric evaluations, physical examination reports, pathology reports and death summaries.

Convenient Dictation Options and Flexible File Formats

Leading transcription companies offer affordable and convenient dictation options – toll free number, digital recorders or computer based dictations. The voice-recorded files can be in any format including WMV, MPG, AVI, MOV, ASF, ASX, RM, SWF, DIC or extended audio formats such as WMA and MP.

Qualified Professionals to Handle the Rising Transcription Demands

To handle transcription services in various specialties–including pediatrics, gastroenterology, internal medicine, radiology, orthopedics, cardiology, chiropractic and podiatry–at 99% accuracy, these service providers have a team of skilled and experienced medical transcriptionists, quality analysts and proofreaders. They utilize the best combination of tools and techniques to output transcribed files in various formats (such as JPG, GIF, XML, PageMaker, XML, PDF, HTML, TIFF, FrameMaker, QuarkXpress, Word and Excel) through FTP or browser based 256 bit AES encryption protocol.

If you need medical transcription service for generating accurate transcripts, it is important to get the support of a dependable service provider.

Benefits of Outsource Medical Transcription Services

Medical Transcription is the process of understanding and transcribing the transcript made by healthcare professionals, such as doctors, treatment procedures, prognoses, diagnoses etc. It is the wide procedure of transcribing voice-recorded reports done by doctors and healthcare professionals into text formats for various uses.

Today there are extensive medical transcription services are available that cover all kind of the specialties in medicine. As the health care industry grows up, one finds that the number of companies is specialized in providing medical transcription services. Medical transcription is growing day by day. These services are provided to a wide range of practices and organizations that can include healthcare facilities, hospitals, laboratories, clinics, individual doctors and physicians’ groups.

Electronic storing of medical records is preferred by contemporary medical organization because of the giant number of patient information being accumulate. It crafts it very easy to integrate all details including the medicine, diseases details and other diagnostic information. Maintaining of this type of records is primarily to facilitate the patient’s healthcare. Also to use it as a general use data bank while still maintaining privacy of patient data.

Medical transcription services are offered exclusively for all the different medical specialists. Nowadays we have experienced medical transcriptionists who do specializations in transcription of different branches of medicine.

Medical Transcription Services includes:

• Radiology Transcription
• Cardiology Transcription
• Gynecology Transcription
• Dental Transcription
• Psychology Transcription
• Neurology Transcription
• Dermatology Transcription
• Orthopedic Transcription
• Academic Transcription

Medical transcription is one of the most widely outsourced works in the healthcare industry. Medical transcription services can consistently give you the combined unique experience of 99% accuracy, data security and absolute privacy for your records and documents. The concentrated training provided at these outsourcing companies guarantees quality and speed. To guarantee maximum accuracy in medical transcription, all these medical transcription services have experienced editors and proofreaders. Another foremost benefit of outsourcing these medical transcription works is that backup copies of patient data. These are forever available at the servers of these outsourcing companies and so it is easier to search and access patient records. Medical Transcription outsourcing is one of the most important industries in the outsourcing range.

Medical Transcription: Proven Accelerator of EHR Adoption

The recently enacted Health Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009 represents an important first step towards achieving the vision of a nationwide, fully interoperable electronic health record (EHR) system. However, the gap between that vision and current reality remains wide. Many healthcare providers still use paper records. Other providers have tried to implement EHR systems, but unfortunately, many such projects have failed. “Industry experts agree that failure rates of electronic medical record (EMR) implementations range from 50 to 80 percent.” Clearly, the challenges of EHR adoption and implementation remain great.

EHRs promise to lower costs resulting from inefficiency and inappropriate and/or redundant care while improving the coordination of care and exchange of information among healthcare enterprises. However, despite these promises and efforts to date, adoption rates among physicians still remain relatively low, with costs cited as a major deterrent. Other adoption concerns include complex organizational and system work flow issues and the increased documentation burdens on the part of physicians when they are asked to use direct text entry. Several studies have shown that practice productivity can decrease by at least 10 percent for several months following EHR implementation. In some non-oncology studies, the average drop in revenue from that loss of productivity was approximately $7,500 per physician.”

Outsourcing Medical Transcription Can Help Reduce Costs

Need to organize physicians’ handwritten notes and prescriptions into electronic documents without spending a fortune? A medical transcription service is what you need.

What is the need for medical transcription service?

All medical institutions require computerization of medical notes for clean and compact record-keeping, insurance claims processing, quick reference, conferencing and various other reasons. Hospitals and clinics have long been hiring full time transcriptionists to do the same. But this is an expensive option and not the ideal solution if you have varying volume of transcription needs. Alternatively, you can give transcription duties to other clerical staff or use voice recognition software. But these solutions can be quite inaccurate, putting the health of your patients at stake. Your clerical staff may not be well trained for medical transcription and accuracy of voice recognition usually is too low to be useful. A medical transcription service gives you the best combination of expense, quality and accuracy.

How does medical transcription work?

• Physicians dictate their notes into a recording device, usually a toll-free phone line or handheld digital recorder. Most medical transcription services support both these methods. Some services also accept recorded cassettes. Mp3 is the preferred sound format when using digital recorders, though other formats can also be used.
• The recorded information is then sent to the medical transcription service provider. Information security during transfer is critical. Your patients’ personal information must not be leaked out at any cost. Digital recordings are submitted via the Internet. This can be done using a secure web site and file transfer protocol (FTP) using custom software from the provider, or even through encrypted email. In case of a toll-free line, the information is directly recorded on the provider’s servers.
• The recorded notes are then transcribed and returned to the hospital or clinic. Information is usually returned as word files, though other formats like pdf can also be specified. Delivery methods include secure web sites, FTP, custom software, encrypted email and in some cases fax.

More comprehensive medical transcription services are also available. They offer an online system that stores both the audio files and transcripts, organizes them by date, doctor, or patient, and keeps track of progress as they’re being transcribed. These services are more expensive but offer substantial management benefits.

Important Considerations

Accuracy: The returned work must have accuracy close to 100 per cent. Select a medical transcription service that employs experienced and skilled medical transcriptionists and quality assurance professionals who review the transcriptions before delivering them to you. Your doctors should review and evaluate each transcript on delivery to prevent any damage to your patients’ health and well-being.

Turnaround Time: It refers to the maximum time within which medical transcripts will be delivered to you after submitting the audio recordings. Most medical transcription services offer a turnaround time of 24 to 48 hours. Most also include a STAT service that allows you to specify a turnaround time of one-, two- or four-hours at an additional cost. Different types of notes can have different turnaround times.

Security: Medical transcription services are subject to HIPAA rules about patient confidentiality. The industry standard for internet security is 128-bit SSL security. Physical security at the provider location is also important. Careful employee screening and tracking is essential. Audit trails can assist in tracking employees. An audit trail keeps track of each individual who accesses a given set of notes and the modifications they make.

Sound Quality: Good quality of sound recording is essential for performance. Digital handheld recorders provide better sound, though they carry an additional hardware cost. Some medical transcription services charge lower prices if you provide them with better quality recordings.

Location of service: Many medical transcription services use both domestic and international transcriptionists. There is generally no difference in quality and accuracy between the domestic and outsourced services. Having transcription teams all around the world enables the service providers to meet deadlines. You will most like pay more for service if you insist on using medical transcriptionists located in a developed country like the US.

How much will you have to pay?

You are charged per line of text. The industry standard is 65 characters in a single line including spaces. Some medical transcription companies however, include lesser number of characters in a single line. Price usually ranges from $.05 to $.20 per line.

Most medical transcription service providers offer free trial runs. Carefully assess the provider’s ability to meet deadlines, the accuracy of transcripts, and ease of interaction with his customer service representatives during the trial run. Many providers assign a dedicated team of transcriptionists for long term contracts and also offer lower prices. Carefully evaluate your requirements, and compare medical transcription services before making a decision.