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Frequently Asked Questions
What is Medical Transcription?
'Medical Transcription' is the process of converting medical information from an audio form (dictation) into accurate medical
reports in the text form (electronic and print).
What does a Medical Transcriptionist do?
Medical transcriptionists are medical language specialists who possess a unique set of core competencies in order to convert
voice to text. In the Health Information Management (HIM) arena, professional medical transcriptionists serve as a vital
cog in the accuracy and hence reliability of the patient's medical record.
Why is Medical Transcription important?
The quality, timeliness and confidentiality of medical documentation is more important today than ever before. The use of electronic
medical records and the wide variety of treatment options as well as greater patient awareness means that documenting patient care
is an important legal and medical requirement. This, coupled with the advent of government regulations such as the Health Insurance
Portability and Accountability Act (HIPAA) in the United States coupled with more and more insurance company requirements are key
drivers for efficient, accurate and secure medical transcription.
Increased pressure on healthcare finances are driving budget cuts on capital expenses and staff reductions. This coupled with a shortage
of qualified medical transcriptionists globally has created demand for Interscribe’s New Zealand based labor to deliver high quality,
efficient and timely service to hospitals around the globe.
What are the types of records that get transcribed?
There are numerous kinds of reports; however, the most frequently encountered are:
- History and Physical Examination Reports
This report is typically created the first time a patient presents to the clinician.
It includes information about the patient's past health problems, family's health problems, social history, current health concerns,
and the findings of the physician's physical examination of the patient.
- Consultation Reports
These are typically business letters/reports written by physicians to share patient information with other
physicians and with insurance companies.
- Operative Reports
This is a detailed report of a surgical procedure, or operation.
- Discharge Summary Reports
A report is dictated when a patient leaves the hospital, and it includes a summary of the patient's
tests and treatments, discharge medications, and plans for future care.
The preceding four reports are called the Basic 4, and are the primary reports transcribed. In addition, medical Transcriptionists
frequently transcribe the following reports:
- Emergency department report
- Radiology report
- Pathology report
- Chart Notes
How can I find out more about Medical Transcription?
You can visit the following sites to learn more about what we do;
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