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#920 02/15/2007 12:54 AM
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I am lookimg for ways to enhance the efficiency of entering dictated notes into AC. Right mow, my transcriptionist types a word doc from my dictation and then cuts and pastes each section into the corresponding section of the encounter note. Anybody found a better way to do it?


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Why doesn't she just type and use templates directly in AC???


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I would assume she can't and doesn't want to take typing classes. And "hunt & peck" is, well...


Wayne
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Wayne #929 02/16/2007 10:56 AM
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Personally, for me, one of the greatest benefits of having an EMR is not having to pay a transcriptionist. I am not a skilled typist either but, with the use of the templates and my ever-improving "hunt and peck" style, I have managed to do very well without having to pay for transcription. Of course, another option would be to dictate into your notes using Dragon or another voice-recognition software. Many on this forum are doing that very successfully it seems


Leslie
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Thanks for the replies. Our transcriptuion service is outsourced and for billing needs to generate a line count, which is impossible by direct text entry into AC. We also keep the printed transciption, at least for the moment, in our paper files as backup.
We are a subspecialty practice for which templates are not terribly useful except as cues for the RN patient intake process.
I've worked with Dragon for years (since version 3). There is no question that its capalities have evolved remarkably in the 12 or 13 years since I first worked with it. However, it still generates text that contains 2-3% significant, occasionally nonsensical, insertions that have to be found and corrected. In my hands, this takes as long (and, in some ways, is harder) than finding and correcting typos.
So, for all those reasons, we depend on human transciptionists. As there may be others who would find the facility helpful, I'm going to take the initiative of talking with the IMH folks to see if their import interface might be adaptable for transciption for a little monthly cost.

Bob Burr

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Hi,

We use a transcriptionist for my notes in our practice. The way we set this up was to create two new users - one for the dictation queue and one for returned dictation.

When I see the patient and finish dictating the note, I save it into HER mailbox. She picks up the tapes, and pulls the note from her mailbox. When she's done, she forwards them back to my PRINT mailbox, and I proof them, code them and print them.

She does not have authority to sign the notes, so I don't have to worry about accidently having an unfinished note accidently get saved to the database.

Since half the lines in the note come from me, some come from templates, etc, what has worked for us is paying her by the hours, rather than by the line.

We've done this for about 2 years. Works great.

Vinny


Vincent Meyer, MD
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Thanks. I'll discuss the hourly rate idea with my transcription outfit.


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Mark@AC: NewCrop just informed us that there is an outage. They are investigating, but no ETA at this time.
koby: yes what a combo new crop and AC reliable as Amazon......NOT
Mnemonic: A lot of fake stuff on Amazon, Just saying.
koby: but they take it back....NewCrops fixed
Mark@AC: Updox System Issues An update has been posted We will be taking the application offline at 4:30 PM (Eastern) to perform emergency maintenance. The application will be down for approximately 1 hour.
AmazingDave: 10/14. Multiple eRx failures. Anyone else?
JBS: eRx not working for us this morning 10/15 630am Eastern
JBS: Looks like its related to the migration - we completed it by NewCrops apparently doesnt think so
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ChrisFNP: yep, refills have crashed twice today
Dr M @ EmmFamPr: newcrop down for us also; and we did the migration; unable to send anything electronically
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Pinky: Yes. Prescriptions aren't going through.
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AMCS: Same
AMCS: This is from newcrop: New incident: Investigating We are currently investigating an error that may occur when attempting to transmit prescriptions. This is resulting in prescriptions remaining queued. Our engineers are working on resolution presently.
Bert: I am sure AC knows. It's probably a NewCrop issue and they are working on it
Pinky: It is working now. 1pm EST. 11/11/24.
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tcosta: @ Clem Surak: yes, this has been going on for MONTHS in our office. We've been told it's the payers fault and it has to do with loop segments and payer response. Doesn't make sense to me, considering it's ALL the time now on multiple EOB's a week.
tcosta: It almost never used to happen and now it's constant.
tcosta: ACPM is extremely short staffed and it's taking them days to respond and fix the issue.
Clem Surak: Yes, it has been getting progressively worse. I have a ticket logged, but have not heard back, so I keep retyping the EOBs so that our accounting is up to date. Hope the migration to the new Clearinghouse fixes this issue. Thanks for the response.
Bert: Can anyone tell me where the post is from AIDevelopment
ChrisFNP: Anyone else experinencing sloooowwww prescribing? 11/22/2024 1550CST
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ChrisFNP: 12/16 very slow escribe but working
ChrisFNP: I think escribe is already on Holiday 12/20
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DRMO: anyone else having problems with e-prescribing today? Had issue on Friday also, but it autocorrected. now back 12 30 24
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DRMO: AC support did a remote assist. problem fixed. TY
ChrisFNP: MIne corrected about 2 cst
Headcase: I cannot Rx Fioricet last few days, put in support ticket....
Headcase: This Fioricet thing probably is of limited general interest, but I was able to send generic...
Bert: This sucks
ChrisFNP: A/C meeting today at NOON EST
ChrisFNP: Meeting is 2/26/2025 should have an email with the invite
koby: does it matter if NewCrap is worse on a Friday than a Monday?
ChrisFNP: nope, both are busy for me
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ChrisFNP: 3/18 Does anyone else feel like the prescibing is slower than usual?
ChrisFNP: AC meeting today if anyone is interested, 3/19
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