Study Medical Transcription

Documentation is extremely important for insurance purposes and legal inquiry

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Medical transcriptionists perform an important service to physicians and patients alike by transcribing dictated information from the physician about the patient's medical report to document the patient's medical care and condition.

Documentation is extremely important for insurance purposes and for the fact that the patient's medical record is a legal document that might be used in a legal inquiry if some irregularity should arise. Obviously, in either case, it would be necessary to have an accurate report about the medical history of the patient.

Medical transcriptionists listen to dictated recordings made by physicians and other health care professionals and transcribe them into medical reports, correspondence, and other administrative material. The documents they produce include discharge summaries, history and physical examination reports, operative reports, consultation reports, autopsy reports, diagnostic imaging studies, progress notes, and referral letters. Medical transcriptionists return transcribed documents to the physicians or other health care professionals who dictated them for review and signature, or correction. Ultimately, these documents eventually become part of patient's permanent files.