Medical Transcription Alabama | Not just Verbatim – Relevant & Meaningful Transcripts are Significant
Fundamentals of Medical Transcription
The practice of Physicians and all types of medical practices normally keeping details of their patients in the form of medical records has been in existence since long. The diagnosis, treatment, and overall health management processes performed by the physician are dictated in audio format and this is recorded in text format for future reference. While the medical professional dictates the report in any convenient form, the transcriptionist takes up responsibility of storing the medical information in an error-free manner.
Importance of Quality Medical Transcripts
- Medical Transcription forms the basis of the reference record about a patient’s complete medical history that helps clinicians to manage their health
- Patients may need t be treated by different physicians. Detailed health records enable physicians to manage the patient’s health using the medical information that has been recorded in the form of transcripts
- Nurses and other paramedics will be able to perform better, if patient records are presented in easy to follow and relevant manner
- Billing & Coding staff may use accurate medical transcription for claims and reimbursement purposes
Verbatim Transcription Service
Making use of exactly the same words that were originally used by the medical professional is what is basically expected in transcripts. The very objective of the patient health record is providing a comprehensive and transparent picture of past and the present patient history, contraindications, and treatment, in addition to future plans for treatment. Having to achieve these crucial needs, if each and every word as used by the author, were used, the purpose may not be solved.
Relevance is Vital in Medical Transcripts
In the venture of assisting medical professionals to better-manage the health of patients, transcriptionists play a vital role. They need to be trained and skilled in not only following the dictation of physicians perfectly but also rendering the transcripts meaningful and supportive. Certain comments and noises, exclamations and insignificant remarks need to be filtered. The transcriptionist has to be an expert in language, medical terminology, and relevant processes involved in the particular medical condition or disorder that is being managed.
General Guidelines for creating effective transcripts
Transcriptionists must follow certain steps in order to come up with the most effective and useful transcripts that help practices and physicians. A few have been listed below:
- Following author’s dictation pattern so long as it produces clear meaning
- Correcting and editing minor punctuation and grammar errors
- Flagging questionable or contradictory information
- Expanding abbreviations to deliver clarity
- Transcribing headings and titles as dictated
- Removing redundant data
- Flagging things that require major edits
The very purpose of medical transcription is to deliver easy to follow health records, hence, the transcript must be precise and explanatory. Transcripts must not dilute the integrity of the basic record and its author’s intentions. The balance between maintaining the record’s integrity and author’s style is what the expert transcriptionist is expected to achieve.
Numinatrans has been in medical transcription field since last 16 years. We are pioneers of transcription process in India.
Medical Transcription Indiana | Major Transcription Types and Effective Outputs
Fundamentals of Transcription
Transcription in the broader sense is the conversion of recorded dictation that is present in either audio or video format into text format. In reality, transcription is much more than just listening or viewing and typing – it involves presenting the content in a meaningful and relevant manner that fulfills its intended purpose of serving the users effectively.
How Transcription is classified
In the initial stages, transcription used to be just a paper and pen affair, with professionals and individuals dictation either personally or over phone lines and transcriptionists performing the transcribing act. The process of transcription has undergone huge transformation with the advent of information technologies and tools. Voice recorders and online sources have rendered the process of dictation and transcription efficient and accurate.
In the contemporary world, there are several ways of categorizing the transcription process. Depending on the primary factor- the client requirement, three types of transcriptions are found to take the major share. These three types are listed below:
Verbatim Transcription
Edited Transcription
Intelligent Transcription
Verbatim Transcription: Every single sound made or spoken, including exclamations, mumblings, and noises are exactly reproduced in text format in this type of transcription. This in fact includes half-spoken sentences and emotions expressed by means of gestures, and the transcriptionist is supposed to furnish each and every detail in the same sequence without losing even minute stuff. Legal transcriptions involve files that may have to be used as evidences and hence demand a close and careful attention on the dictation to be able to satisfy the purpose. Verbatim transcriptions consume time and are found to be expensive.
Edited Transcription: In this type of transcription, the role of transcriptionist is not mere reproduction of the source file- it is rather putting in a sincere effort to understand the content of the video or audio file and come up with meaningful and enlightening output that satiates the user requirement efficiently. Unnecessary and irrelevant portions need to be omitted by the transcriptionist without spoiling the source file’s information. Demanding expertise and contextual skills, this type of transcription is not only tough but also the well-paid type.
Intelligent Transcription: This type of transcription requires a thorough knowledge about the subject matter and ability to ensure that the transcripts make absolute sense and consist of content that accurately conveys the intended meaning of the person who dictates. Only those words and content that are useful and make meaning need to be transcribed while leaving out other insignificant phrases and sounds must be eliminated. The aim of this type of transcription is to provide a totally meaningful and usable content that furnishes comprehensive output to the user.
Numina Transcription Services, Inc has been in the field of providing efficient and accurate transcriptions services to global clients since more than a decade. We offer all types of transcription solutions that cater to the needs of users in different industry verticals.