Health Level 7 (HL-7) is the independent standards organization that aims at optimizing work flow, providing unambiguous and uniform standards for transfer of data, and streamlining the communication of health care information.
Numinatrans has worked successfully with various EMR and EHR vendors for creating efficient and reliable clinical interfaces. HL-7 protocol defines the specific format that needs to be used by applications while exchanging health information with one another. We provide HL-7 integration solutions to medical service providers across the globe.
HL-7 Compliance Need
The framework followed by HL-7 standard facilitates interoperability of varied health information systems and connects different health care organizations. In order to achieve seamless health information exchange, medical practices and health organizations need to integrate their health records to this standard.
The process of storing and managing medical records has been evolving continuously. The modern digital mode of maintaining health information in the form of EMR Software System makes it essential to have a uniform standard that can easily interface with various health information technologies that are in use. By providing the appropriate transcription interface solution, experienced medical transcription companies help medical facilities to achieve improved productivity and better efficiency.
HL-7 Services From Numinatrans
HL-7 Billing and scheduling
HL-7 EMR integration
Practice management system integration
Qualified team of medical transcriptionists
HIPAA compliant processes
Over 99% accuracy
Periodical reports and round the clock support
With more than a decade of experience in transcription services, we have pride in being equipped with a team of trained, skilled, and quality-conscious transcription professionals.
For reliable and accurate medical transcription solutions in a timely and convenient manner, you are welcome to approach us. Logon to www.numinatrans.com for further details.
Errors in clinical documentation and incomplete medical records have been among the top reasons for restricting the number of hours for which resident physicians are permitted to work. To be able to provide the most optimal care and achieve patient safety, physicians and medical practices require full and up-to-date medical histories and other patient information. Clinical documentation plays a crucial role in the health care management of individuals.
What Makes Clinical Documentation Vital?
Erroneous medical records are one of the major reasons for patients’ death the world over. Incomplete or unclear medical records may lead physicians and other medical professionals to arrive at wrong decisions about treatment plans and procedures. Patients’ safety relies on their health information documentation to a large extent. Errors in documentation may prove disastrous.
In addition to being one of the driving factors that assist medical practices and physicians in efficiently managing patients’ health, clinical documentation plays a significant role in a medical facility’s financial setting as well. Payers, external auditors, and Medicare audit contractors who are expected to scrutinize insurance claims need to verify medical record documentation as it proves to be proof of quality indicators and medical necessity.
Frequent Medical Documentation Errors
The best route to prevent documentation disaster is through identification of the common errors and having procedures in place for stopping them. As derived by health information management experts, the following are the frequent documentation mistakes that crop up in the health care industry:
Missing or incomplete documentation
Misplaced medical documentation
Misuse of copy and paste functions in health information systems such as EMR
Errors cropping up because of illegible handwriting or misunderstood dictation
Failure to document omitted treatments or medications
New medical conditions or symptoms not being documented
Information being entered into the wrong charts
Duplication of data
Blank spaces in forms inside the records
Remedies for Common Errors in Documentation
Avoid shortcuts such as copy and paste in electronic records system
Make sure that you are charting on the right record
Avoid documentation delay – record details as soon as an action is taken
Use of vague terms such as ‘normal’ and ‘fair’ must be avoided – being specific and concise is suggested
Try to use the patient’s own words and gestures as far as possible – this helps describe things factually
Documenting treatments and medications before they are completed or administered must be avoided
When you come across mistakes, take sincere efforts to correct them promptly
Numinatrans has been offering reliable and meticulous medical transcription solutions to global medical practices. We have a satisfied client base distributed across the world. Physicians and health care facilities may approach us for accurate clinical documentation solutions. For more details, you are welcome to visit our website www.numinatrans.com