We provide accurate and timely services to doctors and medical professionals by processing, transcribing and documenting these audio records in the desired format, compliant with the Health Insurance Portability and Accountability Act (HIPAA).
It is an important reference document that provides concise information about a patient's history and exam findings at the time of admission. It outlines a plan for addressing the issues which prompted the hospitalization.
complete record of a patient's key clinical data and medical history, such as demographics, vital signs, diagnoses, medications, treatment plans, progress notes, problems, immunization dates, allergies, radiology images, and laboratory and test results.
to inform a supervisor, associate, or customer about progress you've made on a project over a certain period of time. The project can be the design, construction, or repair of something, the study or research of a problem or question, or the gathering of information on a technical subject.
The primary means of communication between the radiologist and the referring physician. The report reflects the attitude, perception and capability of the radiologist and serves as a legal document.
a clinical report prepared by a health professional at the conclusion of a hospital stay or series of treatments. It is often the primary mode of communication between the hospital care team and aftercare providers.
Measure of brain waves. It is a readily available test that provides evidence of how the brain functions over time. The EEG is used in the evaluation of brain disorders. Most commonly it is used to show the type and location of the activity in the brain during a seizure.
Documenting patient encounters in the medical record is an integral part of practice workflow starting with patient appointment scheduling, to writing out notes, to medical billing.
he process of gathering information about a person within a psychiatric service, with the purpose of making a diagnosis. The assessment is usually the first stage of a treatment process, but psychiatric assessments may also be used for various legal purposes.
Restore some or all of the patient's physical, sensory, and mental capabilities that were lost due to injury, illness, or disease. Rehabilitation includes assisting the patient to compensate for deficits that cannot be reversed medically.
A written communication between the radiologist interpreting the imaging study and the physician who requested the examination.
Measures the electrical activity of your heart to show whether or not it is working normally. An ECG records the heart's rhythm and activity on a moving strip of paper or a line on a screen.
Procedure to examine how well your heart is working. A thin, hollow tube called a catheter is inserted into a large blood vessel that leads to your heart.
The patient's personal details and. indications for operation, details of steps of a procedure. Performed along with instructions for post-operative care.