EMR interfacing costs too high? Don't panic.

As a service to the medical facilities, Emdat, with very few exceptions, provides interfacing at no charge.  That is not always the case for EMR companies. At times, the costs charged for the EMR side of the interface can be prohibitive to moving forward. This is frustrating not only to transcription companies trying to win the business by providing better service, but also to the medical facilities which would realize  more value with their EMR. HL7 is the most common interface, but generally requires involvement for either the scheduling/demographic interface or textual/discrete interface back into the EMR.

If costs are prohibitive or cooperation is not forthcoming by the EMR software provider, we do have some options which are pretty straightforward and will save on cost. Don't panic - you can still interface to the scheduler to improve accuracy for the transcriptionist, and Emdat will store all transcriptions on our servers for as long as you are a client. Additionally we can bring past historical transcriptions over to the EMR if/when you so desire and are ready.

We continue to strive to provide additional features such as interfacing at little or no costs because or philosophy has always been to treat clients the way you want to be treated. Generally speaking this feature is of big value.  If you are moving forward with  EMR software in the near future, I would ask them about their ability, willingness and costs to interface with their transcription platform provider.

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Internet Provides Selection of Dictation Methods

For companies that pay attention to progress, every advancement in technology helps streamline an existing process, even if it was once thought it couldn't get any better.  With dictation, cassette tapes were first used to help offload the documentation of patient visits by freeing up some of the provider's time.  As telephone systems became popular, getting these audio files to typists that were off-site became easier, and reduced turnaround time for reports.  The internet had an almost immediate affect on how the dictation and transcription process could be made easier - transcriptions were now able to be transferred back to the physician electronically.  And as digital recorders became popular, physicians were able to use the software that came with these devices to transfer audio to the typists via e-mail or FTP.  But no system was available that really took advantage of every kind of dictation method, while keeping security of the process in mind.

The number of people on the internet has boomed.  Third party research shows high-speed access to the internet increased 40% over the past year, making the internet a viable solution for dictation and transcription.  With typists working at home with a broadband internet connection, instant access to dictation files and completed transcription has become a reality.

But what about all the choices for dictation devices?  Some doctors prefer the freedom that a handheld recorder provides.  Others like the ability to dictate using their telephone, which gets the audio file to the typist even faster, even when away from a computer.  Still others prefer to dictate into a computer, where they can easily reference prior patient records or radiology images while dictating.  The Emdat system takes all of that into account. 

For digital recorders, the Emdat InSync application directly supports many models, from Olympus, Phillips, Grundig, Voice-It and Uher.  Doctors don't even have to touch the computer to upload from these devices - they just dock the recorder and everything works.  Additionally, if a provider has his own preferred recorder, the software that comes with the recorder can still be used to obtain these files and transfer them to Emdat.

For telephone dictation, Emdat has it's own server that can be used, or larger facilities can purchase one to put internally.  Additionally, Emdat has integrated with many other dictation servers, such as DVI, so that we can accept dictations created from these external systems.

In addition to these traditional methods, PDAs have advanced medical documentation and provide a method of integrating a physicians schedule with a dictation device.  Emdat is releasing it's own PDA software this quarter, but also integrates with other vendors that produce audio files via a PDA device.

Finally, the InSync application can be used to directly dictate via the PC, with the audio transferring over the internet to the typist.  Or, if they physician prefers, he can continue to use cassette tapes and send them to the typist - and Emdat will still allow for those typed transcriptions to get back electronically to the medical facility.

In summary, I do not know of any other system which integrates every possible method that a provider may use to dictate, from devices to third-party systems.

Voodoo Line Counting Exposed

Although it should be pretty straightforward to estimate your costs for transcription I have found that it has been very difficult to do a direct comparison without validating numbers. To make a complex comparison simple I will only look at billing by the line and not compare that to other methods of billing (page, word etc.). Generally speaking there are three ways to bill by the line. 1) The  standard which is 65 characters per line which will include spaces and punctuation. 2) Basic (Gross) Method which counts each carriage return as a line. 3) Microsoft Word which uses an embedded line word counter similar to the basic method. The differences in costs of these three measures can be as different as an apple to an orange. Let me give you an example....


Emdat, Incorporated

857 Collins Blvd.

Covington, Louisiana 70533


  1. AAMT standard calculates this address as 1 line
  2. Basic (Gross) calculates this address as 3 lines
  3. Word calculates this address as 3 lines

To validate what you are paying per line you first must verify what you are paying for an individual document. Then you should compare the cost of your document to what is being proposed. Only then can you do an apple to apple comparison. "Trust but Verify" was a favorite saying of Ronald Reagan.

I can tell you that I was told by one client that they were paying 12 cents per line. Knowing this was a very competitive price, I wanted to take the conservative route and validate that indeed I could save them money. Once I received copies of 3 transcriptions and analyzed the line counts I was able to compare line counting method with the 65 character standard. According to 65 character standard they were paying 20 cents a line.  Nothing illegal at all in how a line is represented although one method is 60% higher in cost than the other. I know some articles have exposed some fraudulent billing practices but this should not be able to happen if your transcription platform offers excellent reporting tools.

 

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