Medical Transcription Services

by David H. Urmann

Posted on Monday 12th of October 2009

MT firms offer the healthcare industry with special services like transcribing physician dictations as well as audio recordings in all medical fields.

As an important adjunct of the medical and healthcare industry, the Medical Transcription (MT) segment offers services parallel to the many specialties and subfields in the medical profession. Bringing organizational and technical expertise into play, medical transcription services transcribe doctor dictations and audio recordings in virtually all specialties, from Orthopedics and Dermatology to Pediatrics and Ophthalmology to Cardiology and Vascular Surgery.

Patient records are important and useful to a wide variety of users even outside the medical profession or healthcare industry. For one, it’s often used as reference or evidence in legal questions involving patient care and even in medical malpractice lawsuits and actions to resolve disputes in health insurance claims. The role of medical transcription in the healthcare industry can’t be overrated; its value to the medical profession can’t be exaggerated.

In such a sensitive billion-dollar industry, accuracy and data security is paramount. Most organizations offering medical transcription services have teams with experts in transcribing audio inputs in specific medical specialties. Service offerings vary but would usually include some or all of the following:

First is the Emergency Room (ER) visit summaries. The ER is one of the most toxic areas of a hospital. As most cases brought in could be life-threatening or requiring urgent medical care, nurses, residents and other staff would inevitably be speaking at relatively fast speeds, sometimes even simultaneously. A trained listening ear is very important to assure accuracy in an ER summary transcript.

Second is clinic notes and consultation reports. Useful for further assessment or diagnoses, doctor’s clinic notes and consultation reports are often used as references for accurate diagnostics.

Third is patient history and physical reports. Interviews with patients detail family background and important medical history. Diagnostics and assessment of current conditions are largely dependent on the details and accuracy of patient histories. Physical reports reveal all perceivable symptoms that give a first clue to the patient’s condition.

Fourth is discharge summaries. This medical transcription report details the doctor’s instructions for home care. It would also inform patients of any special instructions or restrictions they need to do for speedy recoveries. Doctors also use discharge summaries as ballparks for assessing patient improvement on visits following a hospital stay.

And fifth is therapy reports. These are invariably narratives of what a patient has said and done and what the therapist notes in the patient’s physical or mental condition. In physical therapy, the reports detail what exercises were given to a patient and how much of it was accomplished. It includes some progress notes and plans for further sessions. In psychiatric sessions, it’s a transcript of what transpired in a session and the therapist’s observation.

Besides all these, Medical Transcription firms also have expert teams that transcribe surgery reports, death summaries, patient progress notes, letters and referrals, SOAP notes, laboratory summaries and reports and others.

MT’s are indispensable partners of the health care system and medical professionals in the quest for optimum patient care in the world.

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