Medical transcription service

Medical transcription services have played an important part in the healthcare documentation scenario from the very beginning. Medical transcription services have evolved along with the needs of healthcare professionals and healthcare facilities drawing on their experience in serving the needs of the healthcare sector, their expertise in using technology and the best practices developed over time to provide quality services.

Medical transcription  services contribute to the creation of patient records, which helps healthcare facilities in many ways:

• Provides the basis of continued care
• Provides information on the progress of treatment
• Acts as evidence in case of litigation
• Forms the basis of coding and billing leading to reimbursement
• Basis for referrals to other healthcare professionals

Outsourcing medical transcription ensures that records of the patient- healthcare professional encounter are created in a timely, accurate, secure and cost effective manner. However while outsourcing medical transcription it is important to source a medical transcription service provider who can provide a total solution to the medical transcription needs of the healthcare facility.

• Medical transcription solutions for varying volumes: In the healthcare business it is impossible to predict the inflow of patients and thereby it is not possible to predict the volume of transcription requirements. While outsourcing medical transcription it is important to evaluate the service provider on the basis of their ability to cope with varying volumes of transcription. To provide total solutions, the medical transcription service provider needs to be able to meet the holiday and weekend transcription requirements

• Quality medical transcription: Along with the ability to cope with varying volumes the medical transcription service provider also needs to ensure that the quality of transcription is maintained to minimize errors.  While looking for total solutions for medical transcription requirements it is important to evaluate the medical transcription company on basis of methods used to ensure quality

·       HIPAA and HITECH compliant: While outsourcing medical transcription it is important to ensure that the medical transcription service provider has adequate measures in place for protection of confidential patient information. Medical transcription service providers come under the purview of HIPAA and HITECH as business associates, as they have access to patient health information and are involved in the process of transmitting this data back and forth during the process of transcription

• Medical transcription for all specialties: While looking for total solutions for medical transcription it is important to evaluate the ability of the medical transcription service provider to cope with transcription needs of different specialties without compromising accuracy and turnaround time

• No additional investment required: While looking for total medical transcription solutions it is important to ensure that minimal or no investment is required to avail the services

• No overheads: One of the major advantages of outsourcing medical transcription is the cost factor. Outsourcing medical transcription not only ensures enormous cost savings to the healthcare facility, but also ensures that the healthcare facility incurs no indirect expenses like overheads. While looking for total solutions it is important to ascertain that cost is restricted to the cost per line of transcription

• Software and tools for medical transcription: Technology plays a vital role in medical transcription, both for ease of use and for security purposes. While sourcing total solutions for   medical transcription services it is important to evaluate the technological capabilities of the medical transcription service provider

It can be concluded that medical transcription services have a large role to play in the healthcare documentation scenario meeting the needs of all the participants.

TransDyne, a leader in the outsourced medical transcription industry has used their extensive background in information technology and their experience in serving the needs of the healthcare sector to provide affordable and integrated medical transcription solutions.

Among the software and tools offered by TransDyne for transcription, the smart delivery system has a large role to play in easing the path to EMR/EHR adoption The Smart Delivery system, which has features like User defined folder paths to enable easy imports to EMR systems is the suggested mode of document delivery where pre-defined file saving would help import documents to EMR systems.  Apart from this TransDyne also offers discounted rates for those healthcare facilities that provide demographic data entered in the EMR rather than through other modes.

Along with medical transcription services involving multiple level quality checks to ensure accuracy, the use of the right technology for ease of use, turnaround time and security, at reasonable rates, TransDyne also provides discrete reportable transcription and editing & proofreading services for adoption of EMR/ EHR .

To avail complete medical transcription services from TransDyne, click here



Medical transcription: Multiple reviews ensuring quality

Over time there have been many changes in the way the healthcare process is documented but one thing that remains constant is the need to ensure that the quality of information captured in patient medical records is the highest possible being accurate and complete. There are many methods of documenting the care process, especially with the technological advances that have taken place in the past decade. However medical transcription has always been one of the most preferred methods of documenting the care process. There are many reasons for this, some of which are:

• Healthcare professionals’ preference
• Intuitively fits into the healthcare facility’s operations
• Offers more choices in terms of modes of dictation, modes of delivery etc
• Is easy to use
• Expertise and experience of medical transcription companies in providing transcription services
• Savings on cost
• Adapts to latest technological developments like speech recognition software, EMR/ EHR

One of the other major reasons for the popularity of medical transcription services is that they ensure a high percentage of accuracy and offer turnaround time options that suit the requirements of healthcare professionals.

Medical transcription companies ensure high quality of information in patient medical records using procedures that permeate every level of the transcription process ensuring quality

Some of the steps taken by medical transcription companies to ensure quality are:

Training: The quality of transcription is largely dependent on the caliber of the medical transcriptionists working on it. Medical transcription companies ensure that not only are medical transcriptionists educated on the specifics of the specialty they are transcribing in, to develop their aptitude but they are also encouraged to develop an attitude for perfection. This encourages medical transcriptionists to strive and deliver accurate patient medical records within the specified turnaround time.

Providing the right research and reference tools: As healthcare is a vast and diverse field, which is constantly evolving; it is important to not only educate medical transcriptionists but also provide them with the resources for research and reference

Transcription process: The actual transcription process also has a definite impact on the quality. It is important to ensure that the process of transcription takes place in a safe, controlled environment by specialty trained medical transcriptionists under constant supervision. Supervision in transcription is not only important to ensure quality and turnaround time but is also vital to ensure HIPAA and HITECH compliance

Editing and proofreading: The quality of transcription can only be ensured if each transcript can be put through multiple level quality checks. To ensure minimization of errors/ blanks/ discrepancies it is important to have more than one set of  “ eyes and ears” go through the audio and text files. This ensures minimization of errors and proper language

Retrospective reviews: Apart from multiple levels of quality checks after the transcription process it is important to review the transcripts to find out mistakes if any. These can be used as a learning tool to medical transcriptionists educating them on the errors made and the methods to avoid them in the future

Learning from reviews: The review of transcripts can be used as a learning tool not only to establish best practices for medical transcriptionists but also to educate healthcare professionals and support staff on dictation best practices.

Reviews for speech recognition software: The importance of reviewing the information increases in case of transcripts created by speech recognition software. Medical transcription services are invaluable in ensuring that the content in these transcripts are reviewed and edited to acceptable levels. Medical transcription companies not only provide editing and proofreading services for speech recognition software but also help healthcare professionals train this software to ensure better quality

The importance of transcription reviews at several levels cannot be overlooked in ensuring quality.

TransDyne, a leader in the outsourced medical transcription industry has used their extensive background in information technology and their experience in serving the needs of the healthcare sector to provide affordable and integrated medical transcription solutions.

TransDyne offers quality medical transcription at reasonable prices, executed by experienced and qualified medical transcriptionists with a very quick turnaround time executed through secure HIPAA and HITECH compliant channels, with very high levels of accuracy and all this with technology that is advanced but easy to use!            

To avail complete medical transcription services from TransDyne, click here.

Structured transcription

Structured transcription can be defined as medical transcription that is done within strictly acceptable standards that define medical transcription. The standards of medical transcription can be defined by accuracy, turnaround time and security along with the added benefits of using easy to use technology and being reasonably priced. Moreover healthcare is a vast field consisting of various specialties with the language and terminology of each being specific to that specialty.

Structured transcription services would include having a knowledge what the transcription for each specialty would involve and provide quality transcription in the format required for that specialty.  Structured transcription services ensure that the medical transcriptionists working on the transcription are well versed with the language, the terminologies, the report formats, drugs and procedures associated with the specialty. This would also require the transcription team to be kept constantly updated on the latest developments in the field, as medicine is a dynamic field with new developments and discoveries

Some of the types of reports that are created by medical transcriptionists are as follows:

Patient History and physical examination report: This contains a brief about the patient name, age, gender, occupation, family health history, habits like smoking etc. and the details of the physical examination.

Consultation report: This contains the details of the findings by the consultant to whom the patient has been referred to for further treatment or diagnosis depending on the symptoms

Operative report: This contains the details of the operation/surgery that a patient has undergone including details of the procedure, duration, the anesthesia given etc. This may also contains some postoperative details.

Radiology report: This contains details of the radiologists’ findings on the X-rays, MRI scan, Ct scan, nuclear medicine, fluoroscopic studies etc along with the reports.

Pathology report: This contains the findings of a pathologist of the tissue sample.

Laboratory report: This contains the laboratory findings on body fluids

Emergency report: This is a summary of the patient’s visit to the emergency room for emergency care.

SOAP note report: This contains

• Subjective: This section contains patient’s current condition like age, gender, and pertinent symptoms etc.
• Objective: This section contains vital signs, findings from physical exams. Lab test results, co morbidity etc.
• Assessment: This contains quick summary of symptoms and diagnosis etc.
• Plan: This contains treatment plans, document goals for the patient with reasonable time lines etc. 

Progress note report: This contains progress of the patient after treatment/ operation/ procedure etc.

Therapy report: This contains details of the therapy given to the patient

Discharge summary: This contains all the details, which are generated when the patient is discharged including the treatment given, the progress of the patient, any reports and findings etc.

TransDyne, a leader in the outsourced medical transcription industry has used their extensive background in information technology and their experience in serving the needs of the healthcare sector to provide affordable and integrated medical transcription solutions.

TransDyne understands that the needs of each specialty of medicine are unique. Therefore the transcription requirements of each specialty are different. Knowing this and the importance of creating accurate and timely records, TransDyne has created a unique training program for its medical transcriptionists. Under this program medical transcriptionists are trained to become expert transcriptionists in one or two specialties of medicine.

The structured transcription services offered by TransDyne are an important step towards adoption of EMR/ EHR using HL7 interface, so that discrete data elements can easily be parsed into the relevant areas.

TransDyne offers structured transcription services at reasonable prices, executed by experienced and qualified medical transcriptionists with a very quick turnaround time executed through secure HIPAA and HITECH compliant channels, with very high levels of accuracy and all this with technology that is advanced but easy to use!            

To avail complete and reliable medical transcription services from TransDyne, click here

Structured dictation: Leading to better transcription output

Dictation has been one of the most popular means of documenting the patient encounter from the very beginning. This is due to the convenience of this method and the way it lends itself to flexibility and better documentation. Additionally dictation requires minimum time and effort from the healthcare professional. Using the right medical transcription service these dictation files can be converted to text ensuring legibility, easy access, accuracy, clarity and speed.

Structured dictation is a refined form of dictation that necessitates the healthcare professional to follow a structured pattern of dictation that ensures that all the necessary pieces of information that are required are included in the dictation and the unnecessary information (noise) is eliminated.

Structured dictation formats can be customized to include:

• Specialty
• Format of report
• Type of encounter (initial/ follow-up/ specialist consultation etc)
• Type of treatment/ procedure

Some of the benefits of structured dictation include:

Complete information: One of the major advantages of using structured dictation for creating patient medical records is that it would ensure that healthcare professionals do not miss out on any vital information during the dictation process. As the information in patient medical records are used for various purposes like clinical decision-making, reimbursements, risk management and other purposes, capturing the complete information is vital. Using structured dictation also supports easy transcription

Precision: Apart from ensuring that complete information is captured, using structured dictation also ensures that the information in the patient medical record is precise and to the point. This enables the end-user to quickly grasp the salient points and facilitates easy usage.

Clarity: The use of structured dictation also ensures that the information in the patient medical record is laid out in a clear format ensuring that every entity using the information from the patient medical record gets the right data, this also ensures easy information sharing.

Standardization: Using structured dictation ensures that report formats are standardized and this enables better treatment, especially when the treatment process involves more than one healthcare professional

Accuracy: Using structured dictation also ensures that the medical transcription company transcribing the dictation is able to provide accurate transcription. The medical transcriptionists are able to develop domain expertise in the specialty they are transcribing in and would be able reduce errors dramatically

Prompt: Another major advantage of using structured dictation is that it allows for lesser turnaround time in creating patient medical records. Due to the standardized dictation pattern, the medical transcription service provider would be able to deliver quality transcripts on time

Easy to share: Creating patient medical records using structured dictation ensures that the patient medical records are easy to share.

Lends itself to discrete reportable transcription: Creating patient medical records using structured dictation ensures that discrete reportable transcription for EMR/ EHR is possible given that the data is already available in an easy to sort format.

TransDyne, a leader in the outsourced medical transcription industry has used their extensive background in information technology and their experience in serving the needs of the healthcare sector to provide affordable and integrated medical transcription solutions.

TransDyne, medical transcription company with an experience of over a decade in providing customized transcription solutions to some of the leaders in the healthcare industry offers healthcare facilities and healthcare professionals the benefit of their expertise in defining the standards for structured dictation

TransDyne offers transcription services for healthcare professionals using structured dictation at reasonable prices, executed by experienced and qualified medical transcriptionists with a very quick turnaround time executed through secure HIPAA and HITECH compliant channels, with very high levels of accuracy and all this with technology that is advanced but easy to use!                   

To avail complete and reliable medical transcription services from TransDyne, click here.

Discrete Reportable Transcription: A balanced approach to EMR adoption

Discrete reportable transcription can be defined as a unique approach to adoption of EMR/ EHR, which continues to use the traditional method of transcription to create transcripts while instantly populating the EMR/ EHR with discrete data elements. Under this method once the healthcare professional has finished dictating his/her notes, transcripts are created through the usual transcription process using expert medical transcriptionists who ensure accuracy and speed.  After transcription, the transcription software automatically tags the discrete data within the document, such as lab values and medications into the appropriate fields in the EMR/ EHR, using XML coding.

Discrete reportable transcription offers a solution for easy adoption of EMR/ EHR with the following advantages:

Retaining dictation: For years healthcare professionals have shown a marked preference for dictation as a means of capturing information regarding the patient encounter. By allowing dictation as a means of collecting information regarding the patient encounter, discrete reportable transcription allows healthcare professionals the convenience of using dictation devices of their choice and dictating as per their schedule.

Retaining narrative: Discrete reportable transcription not only helps populate the EMR with discrete data elements it also retains the narrative portion of patient medical record. The narrative portion of the patient medical record provides useful insights and information to healthcare professionals in a speedy manner rather than the voluminous records created by EMR/ EHR

Minimum disruption to the healthcare facilities workflow: Using discrete reportable transcription for adoption of EMR/ EHR ensures minimum disruption to the healthcare professionals’ workflow in terms of style of dictation or the need to train speech recognition software to their needs.

Focus on the care process: Unlike other methods like entering data into structured templates, discrete reportable transcription allows the healthcare professional to focus totally on the patient rather than the documentation process.

Expert transcription: Other methods of adopting EMR/ EHR expect the healthcare professional to be an expert on documentation taking away focus from their core competence, however discrete reportable transcription ensures that creation of patient medical records is undertaken by experts

Accurate transcription: The information in patient medical records is used for various purposes like coding & billing, follow-up treatments, research etc. Therefore accuracy of the information becomes vital. By using discrete reportable transcription, healthcare professionals and healthcare facilities are ensured of the accuracy.

Speedy: Apart from eliminating waste and ensuring accuracy, discrete reportable transcription also ensures speedy adoption of EMR/ EHR by meeting the turnaround time requirements of healthcare professionals and healthcare facilities

Reduces cost: Using discrete reportable transcription also ensures considerable reduction of costs by maximizing the productivity of healthcare professionals and ensuring minimum disruption to the workflow of healthcare facilities.

TransDyne, a leader in the outsourced medical transcription industry has used their extensive background in information technology and their experience in serving the needs of the healthcare sector to provide affordable and integrated medical transcription solutions.

Among the software and tools offered by TransDyne for transcription, the smart delivery system has a large role to play in easing the path to EMR/EHR adoption The Smart Delivery system, which has features like User defined folder paths to enable easy imports to EMR systems is the suggested mode of document delivery where pre-defined file saving would help import documents to EMR systems.  Apart from this TransDyne also offers discounted rates for those healthcare facilities that provide demographic data entered in the EMR rather than through other modes.

Along with medical transcription services involving multiple level quality checks to ensure accuracy, the use of the right technology for ease of use, turnaround time and security, at reasonable rates, TransDyne also provides discrete reportable transcription for adoption of EMR/ EHR 

To avail complete medical transcription services from TransDyne, click here.

Medical transcription outsourcing: Flexible and adaptable services

Medical transcription services have been serving the healthcare sector from the very beginning. As patient medical records are an essential component of the healthcare process mainly supporting aspects like the actual process, the reimbursement process among various other aspects, the medical transcription process is an important component of healthcare facility operations. The remarkable feature of medical transcription services is the flexibility and adaptability of these services.   The present form of medical transcription has evolved from the initial days to suit the changing needs of the healthcare documentation scenario. The roots of flexible and adaptable medical transcription services can be traced back to the evolution of these services.

Given below are the main stages of evolution of medical transcription and how these services have flexibly adapted themselves to the changing needs:

·       Dictation- shorthand- typing: Initially patient medical records were created when the healthcare professional would dictate notes and recorded in shorthand form and then typed out

·       Dictation- recording- typing: At this stage the healthcare professional would record their dictation on to a cassette and this would be transcribed using a typewriter.

·       Electronic format: With the evolution of the electronic media healthcare professionals would dictate their notes into electronic media and these would typed on the computer

·       Internet and outsourcing: With the advent of the internet it became possible for the transcription process to take place in remote locations leading to the concept of outsourced medical transcription services

By the very nature of the services provided outsourced medical transcription services lend themselves to flexibility and adaptability.

Flexible and adaptable medical transcription services:

Volume flexibility: One of the major benefits of flexible medical transcription services is the ability to provide quality medical transcription in spite of the fluctuation in volumes.  Medical transcription services also provide transcription support for holiday and weekend transcription needs.

Turnaround time flexibility: Most medical transcription companies offer flexible turnaround time options to suit the needs of healthcare professionals. This ensures that the information from patient medical records is available to the healthcare professionals within the time frame specified by them

Flexible dictation devices: Medical transcription companies offer healthcare professionals the option to retain the dictation devices of their choice. This ensures convenience and savings on time

Flexible document delivery: Medical transcription companies provide various options for document delivery, which can be customized as per the convenience of healthcare professionals and the healthcare facility.

Adapting to speech recognition software: One of the technological innovations in the healthcare documentation scenario is speech recognition software. However the transcripts created by speech recognition software do not meet the requisite accuracy standards. Medical transcription companies have adapted themselves to provide editing and proofreading services for transcripts produced by speech recognition software ensuring accuracy standards are met with.

Adapting for EMR/ EHR adoption: Another change in the healthcare documentation scenario that medical transcription companies have adapted is providing HL7 interface for EMR/ EHR adoption.

It can be concluded that the right medical transcription company can provide flexible and adaptable transcription solutions

TransDyne, a leader in the outsourced medical transcription industry has used their extensive background in information technology and their experience in serving the needs of the healthcare sector to provide affordable and integrated medical transcription solutions.

TransDyne offers quality medical transcription at reasonable prices, executed by experienced and qualified medical transcriptionists with a very quick turnaround time executed through secure HIPAA and HITECH compliant channels, with very high levels of accuracy and all this with technology that is advanced but easy to use!            

To avail complete medical transcription services from TransDyne, click here.

Medical transcription outsourcing: Serving the healthcare sector with ability and agility

Given the current demands placed on the healthcare sector it is important for the services associated with healthcare to have both the ability to provide quality services consistently and the agility to quickly come up with solutions for the changing needs.  Medical transcription is one such service that has had to constantly demonstrate its ability to consistently provide quality services and the agility to meet the requirements of the changing healthcare documentation scenario.

Medical transcription by its very nature is a service that requires not only the right ability and agility but also requires inputs in the form of the right team, the right process and the right technology. Therefore the prudent option for healthcare facilities and healthcare professionals seeking to avail efficient transcription services while keeping costs under control is to outsource medical transcription to a professional transcription vendor.

Medical transcription services with ability and agility:

Quality services: The ability of a medical transcription company can be evaluated based on the quality of services provided. The quality of transcription services can be defined by the following:

·       Accuracy: Accuracy in case of transcription can be defined by the percentage of accuracy in the finished transcripts versus the dictation. The ability of the medical transcription company to provide accurate transcription can be evaluated by assessing the quality process and the training process to ensure skilled medical transcriptionists.

·       Turnaround time: Turnaround time can be defined as the time taken to deliver the finished transcripts. The ability of the medical transcription company to meet turnaround time commitments can be evaluated by assessing the quality process, the availability of skilled medical transcriptionists and the technology used by the medical transcription company

·       Cost: Savings on cost of transcription is one of the most important motivating factors for outsourcing. This can be evaluated based on the billing method used by the medical transcription company.

Technology, which is easy to use: Medical transcription services have become more efficient using technology. In fact every step of the transcription process relies on technology to provide maximum benefits while still being easy to use. Some of the benefits of technology are:

·       Various dictation modes and automatic upload for transcription

·       Options for document delivery once  transcription has taken place

·       An interface for tracking the transcription work

·       HIPAA and HITECH compliance during the transcription process

Meeting changing requirements: The agility of the medical transcription company can be defined by the way they adapt their services to changing needs. Some of the areas in which medical transcription services have demonstrated their agility are:

·       Hl7 interface for EMR/ EHR adoption while still retaining transcription as  the means of documenting the patient encounter

·       Editing and proofreading services for speech recognition software transcription

It can be seen that outsourcing medical transcription ensures that the needs of healthcare professionals and healthcare facilities are met with the right ability and agility.

TransDyne, a leader in the outsourced medical transcription industry has used their extensive background in information technology and their experience in serving the needs of the healthcare sector to provide affordable and integrated medical transcription solutions.

TransDyne offers quality medical transcription at reasonable prices, executed by experienced and qualified medical transcriptionists with a very quick turnaround time executed through secure HIPAA and HITECH compliant channels, with very high levels of accuracy and all this with technology that is advanced but easy to use!            

To avail complete medical transcription services from TransDyne, click here.