Medical coding is the method of converting the medical diagnoses dictated by the physicians into global medical code numbers. Medical coding is also called as Insurance coding. The medical coders has provided with a complete training program and will be given a certification by the institute. The certificate is offered by American Health Management Association.
Medical Coding Procedure at Data Entry Solution
1. Access Patient graph
2. Pre coding
3. Quality Control
Access Patient Information
Client can upload the documents to our secure FTP server or provide access to client server through VPN connection
Pre Coding
Pre-coding is the process where the coders use to enter the details like doctors referred, insurance companies and modifiers.
Quality Control
The documents which are completed are checked by a certified coding staff who cross verify the accuracy level.
Medical transcription is generally also known as MT, It is a process of transferring voice recorded reports which is being dictated by general doctor or an surgeon and/or other health care professionals, into text format like word document.
Medical transcription will be performed by MTs who will be employees in a hospital or the person’s who work from home for the hospital . The word transcript is most generally used to refer document (electronic or physical hard copy). This report is called as a “medical record”.
A MT needs to type correct spelling of all terms that are being dictated by the physicians. All transcription reports must meet the terms with policies and confidentiality.
The process:
When the patient visits physicians, the physicians spare time with the patient analyzing his health problems which includes past history. The doctor does his physical examination and advice different laboratory examinations. When patient goes out of the hospital, the physicians records the information about the patient via digital voice recorder device. This information is recorded into a cassette recorder. This recording is now accessed by a medical transcriptionist,
Knowledge and skills needed to be an MT
• Knowledge of medical terminology
• Medical Style of writing
• Good verbal communication
• Capability to sort, count, and cross the numbers.
• Must be able to follow the written instructions.
• Maintenance of records.
Responsibilities of an MT
• The transcriber needs to transcribes accurately the patients information like name or SSN (Social Security Number. )
• Should transcribe with correct punctuation, spelling, grammar
• Maintains references for medical course and terminology.
• Maintain a transcription sheet log
• Quality check.
Due to the high demand to documents for medical records, countries started to outsource the services of medical transcription. One of the major reasons for outsourcing is cost advantage and quality.
