History of medical transcription

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History of Medical Transcription www.medicaltranscriptionservicecompany.com

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Medical transcription is the process of converting the medical notes dictated by doctors and other medical professionals into text. Accuracy is a very important aspect when transcribing the recordings because even the smallest error can lead to grave consequences. Poor quality of medical records can result even in malpractice claims.

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Medical transcription has existed since the beginning of the 20th century, when standardization of medical data became critical to research. Earlier, medical transcription was done at the hospitals itself.

Transcribers performed the work on electric typewriters, with deafening background noise. As computer hardware and software became more sophisticated, hospitals started sending their dictations digitally via computers to a service instead of transcribing them at the hospital.

Hospitals found outsourcing a better option as they were able to save time and reduce hospital expenditures on office space and computers.

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Transcribed Medical Records - Their Relevance Healthcare providers use transcribed medical records in the following ways –  To track patients’ medical history  To provide quality patient care  For legal proof of medical advice  To meet regulatory and auditing requirements  To submit bills for claims and reimbursements

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Transcription Equipment over the Centuries

Manual Typewriters

Electric Typewriters

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Word Processors

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Transcription Equipment over the Centuries

Computers

Digital Recorders

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Speech Recognition Software

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The Medical Transcription Process  The physician dictates the medical information using a digital recorder, telephone, conference call recording system etc.  The medical transcriptionist listens to the dictation and transcribes it into the desired text format.  Editors and proofreaders perform quality assurance checks to ensure maximum accuracy and excellent quality.  The transcripts are returned to the provider ensuring security and confidentiality.

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Medical Transcription Market Analysis 2015 Technavio’s recent report, “Global Medical Transcription Market 2015-2019”, estimates the market to grow at CAGR of 6% over the period 2014-19.

The report highlights trends such as  Growing popularity of speech recognition software  Use of mobile health solutions While focus on automation, cost-effectiveness and increased patient care drives the market, challenges include intense competition, data quality and security concerns.

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Technological Advancements in the Industry

EMR Electronic Medical Records (EMR) is software that provides a complete, correct and timely view of patients’ healthcare information. In 2013, as part of the major digital shift in the health industry, it became mandatory for physicians to adopt a certified electronic health record (EHR) technology by 2015. EMR can facilitate good record keeping practices.

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Speech Recognition Voice recognition technology has had a significant impact on the medical transcription industry over the past decade. The current limitation of the software is that it must be trained to recognize the voice of each individual physician user. Though speech recognition software has become an important tool in the medical transcription production process, demand is still very high for medical transcriptionists.

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Speech Recognition The tools make mistakes in data and are even more prone to errors when used in noisy places. With this, there came the demand for human intervention for editing and proofreading the output. As a result, medical transcriptionists now function as medical editors to edit the software generated documents.

Safety of patients, the outcome of litigation and the promptness of reimbursement depend on the adequacy, legibility, completeness, timeliness and accuracy of medical records. Good documentation protects physicians and other health professionals against claims of negligence.

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