Health Care Services

We provide highly qualitative and customised healthcare services keeping in tune with TAT and HIPAA regulations etc.,

Medical Transcription

We provide quality transcription services with 98%-100% accuracy levels along with highly competitive rates. We take care of your documentation while you spend more quality time with your patients.

Document Scribing

Transferring Patient Data from Hospital EHR to Doctor's EMR & RE-FILING JOBS & INDEXING - Automated re-filing Doctor's report in a systematic manner using software.

• Assisting the provider in navigating the EHR
• Responding to various messages as directed by the provider
• Locating information for review (i.e., previous notes, reports, test results, and laboratory results)
• Entering information into the EHR as directed by the provider
• Researching information requested by the provider

Overview

Overview The integration is currently manual. Our partner team will log into the customer’s ____ account and paste transcribed content into the patient’s chart note. The customer is not using the iPhone because they do not have Apple devices.

Service Details

We will provide the following services as described.

Extract content from EMR

Content to be extracted includes the following

• Active clinical data for Problems, Medications, and Allergies
• Clinical notes for the past 1 year
• Lab reports for the past 1 year

Clinical data will be extracted using the following rules

• Problems – the active problems list, including ICD9 code and description will be exported into a document.
• Medications – the active medication list, including drug name, strength, form, sig, and start date will be exported into a document.
• Allergies – the active allergy list, including allergen and reactions will be exported into a document.

Clinical notes will be extracted using the following rules

• The office note will be exported to a PDF or Text file.

Lab report documents will be exported using the following rules

• One document will be exported per report

Enter patient demographics into EMR

• Includes name, gender, date of birth, contact (address, phone), and email
• If email is unknown, a formula will be used to create the address
• Information not carried over include: chart ID, insurance policies, emergency contact, next of kin, employer, race, ethnicity

Enter clinical content into EMR

Clinical content includes the following

• Active clinical data for Problems, Medications, Allergies, and Vaccines
• Clinical notes for the past 1 year
• Lab reports for the past 1 year

Clinical data will be entered using the following rules

• Problems – using the ICD9 code provided, the associated problem will be added. Only ACTIVE problems will be entered. Date of onset will not be carried over.
• Medications – using the medication name, strength, and form, the associated medication will be added. If a match is not found, the medication name, strength, form, will be keyed manually. The SIG will also be entered. Only ACTIVE medications will be entered. The prescription details, such as quantity, # of remaining refills, pharmacy will not be carried over. Medications the patient is no longer on will not be carried over.
• Allergies – the allergen (drug, food, environmental) will be entered, along with any known reactions. Only ACTIVE allergies will be entered. Date of onset will not be carried over.

Clinical notes will be entered using the following rules

• An Office Visit will be created for each note, with Chief Complaints set to “OV mm/dd/yy” (where date is the Date of Service)
• The text of the clinical note will be copied into the text area

Lab report documents will be imported using the following rules

Electronic Health Records

An Electronic Health Record (EHR), or Electronic Medical Record (EMR), is a systematic collection of electronic health information about an individual patient or population.It is a record in digital format that is theoretically capable of being shared across different health care settings. In some cases this sharing can occur by way of network-connected, enterprise-wide information systems and other information networks or exchanges.

EHRs may include a range of data, including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal statistics like age and weight, and billing information.

The system is designed to represent data that accurately captures the state of the patient at all times. It allows for an entire patient history to be viewed without the need to track down the patient’s previous medical record volume and assists in ensuring data is accurate, appropriate and legible. It reduces the chances of data replication as there is only one modifiable file, which means the file is constantly up to date when viewed at a later date and eliminates the issue of lost forms or paperwork. Due to all the information being in a single file, it makes it much more effective when extracting medical data for the examination of possible trends and long term changes in the patient.

• One document will be uploaded per report
• The document will be posted into the patient’s chart with the appropriate document type and reviewer
• Not included is a textual description of the lab ordered or results (e.g. CBC panel, Knee XRay)