MediTalk Electronic Medical Records Software
Speech Enabled Medical Records VS
Menu Driven Systems
Menu Driven
Systems (or drop down) charting and medical
records systems are popular today. These systems usually consist
of a series of screens that the physician clicks through
detailing the symptoms, prognosis, diagnosis, history etc. The
results are then compiled and a knowledge base within the
program is used to generate a report or a note. The benefits of
a system like this are obvious. However, systems such as these
are increasingly coming under fire from the regulatory agencies
for many reasons including the following:
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The systems are usually hard to maintain.
In the ever changing world of medicine you have to stay up
to date on the latest guidelines for outcomes, etc. To stay
current with these types of systems you either have to
subscribe to their service to stay updated (so that you
continue to pay for the product long after the initial
purchase) or you have to wait for upgrades to come out which
can result in improper documentation. This also puts you at
extreme risk from the company you purchased from. If they go
out of business and requirements change you may have wasted
your investment. With
MediTalkTM software and it's open
architecture and flexibility you can be completely
self-reliant.
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There is a tendency in these systems
toward over-documentation. According to Medicare this can be
just as bad as under-documentation. Everyone who deals with
Medicare knows that in the event of an audit, records that
are not completely (or illegibly) documented can result in
huge fines. There are increasing signs that the reverse
might also be true. Over-documenting records can also result
in censure. Diana Adams, a highly regarded independent
consultant and auditor of physicians for Medicare compliance
recently commented to us:
"Doctors are so scared of not being
compliant that they will buy or create systems that do
too much. In a recent audit we looked at an office and
every H&P looked EXACTLY the same. It didn't matter what
the patient's complaint was, there was an identical 3
page H&P, with this boilerplate 'NORMAL' text in most of
the entries. Even to the extent that when the patient's
complaint is a head cold, there's an entry on the H&P
that says 'The Prostate appears normal and not enlarged'
now we KNOW that this type of exam was not done but the
software he was using still put it into the document
because the doctor wanted to make sure his documentation
was adequate."
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With
MediTalkTM software the macros that
you create are in your own words. You can have different
macros that insert boilerplate text and mix in your own
custom comments by voice. The situation described above can
never happen with
MediTalkTM software, it's impossible.
You are automatically protected against both sides of the
pendulum. You document each case with exactly what is needed
and EVERY NOTE IS CUSTOM. If documentation requirements
change you modify your template ONCE so that the new
requirements are there when you start the document so that
you won't forget to include them in your dictation.
For more information:
Call 888-822-8232
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