I have been asked more than once my opinion on the effects of both Obamacare and of ICD-10 on medical transcription. So perhaps the larger question is: what is the real future of dictated and transcribed medical documentation?
Whether you are an advocate or a detractor of Obamacare, we do know that it is going to dramatically increase the required amount of documentation. Secondly, we know that the buzzword for ICD-10 (beyond the other buzzword “PAIN”) is “specificity.”
Um, so you take increased documentation beginning Jan. 1, 2014 with Obamacare and you add in a nearly ten-fold increase in specificity in patient’s medical documentation with ICD-10 implementation on Oct. 31, 2014 . . and you add in the fact that we do not have enough healthcare professionals . . . that sounds like if there isn’t more dictated and transcribed text, that there should be.
We know that while physician offices have gotten better about addressing the “my doctor is not looking at me while we are speaking” issue, we also know that there is nothing in a template or a pull-down menu that can really capture how Mrs. Smith is looking when she says “I just don’t know why I feel this ______ (fill in the blank).” Unless you’re talking about a medical issue on the level of a finger laceration, the uniqueness of every individual requires some rich verbalization (and typing by the doctor or correction of their SR-text is not a good use of their time and will become less so).
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