clinical documentation

All You Need to Know About Healthcare Documentation

Healthcare documentation or medical transcription is about transcribing what a physician or healthcare provider dictates regarding a patient encounter. This process involves a lot of medical terminologies related to health ailments, diagnoses, treatment procedures, medical equipment used, tests conducted and drugs prescribed along with the general demographic information of a patient. In India, healthcare documentation […]

Clinical Documentation Improvement and its Benefits

The creation of digital records with the details of medical treatment, clinical tests, and medical trials is called clinical documentation which is a core process of every patient encounter. Accurate and timely clinical documentation that reflects the scope of services provided properly helps to represent a patient’s clinical status accurately so that it can be […]