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ASTM E2117-00

Historical Revision

Standard Guide for Identification and Establishment of a Quality Assurance Program for Medical Transcription (Withdrawn 2020)

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1.1 This guide covers the establishment of a quality assurance program for dictation, medical transcription, and related processes. Quality assurance (QA) is necessary to ensure the accuracy of healthcare documentation. It also assists in protecting healthcare providers, facilitates reimbursement, and improves communication among healthcare providers, thus improving the overall quality of patient care. This guide establishes essential and desirable elements for quality healthcare documentation, but it is not purported to be an exhaustive list.

1.2 The QA personnel for medical transcription should have an understanding of the processes and variables or alternatives involved in the creation of medicolegal documents and an understanding of quality assurance issues as they pertain to medical transcription. Qualified personnel include certified medical transcriptionists (CMTs), quality assurance professionals, or individuals who hold other appropriately related credentials or degrees.

1.3 The medical transcriptionist (MT) and QA reviewer should establish a cooperative partnership so that the review outcomes are objective and educational. Policies should be developed to minimize subjective review, which can lead to forceful implementation of one style at the expense of other reasonable choices. Objective review, including an appeals process, should follow departmental standards that have been agreed upon by the full team of QA personnel, MTs, and management staff.


SDO ASTM: ASTM International
Document Number E2117
Publication Date Dec. 10, 2000
Language en - English
Page Count 5
Revision Level 00
Supercedes
Committee E31.15
Publish Date Document Id Type View
July 1, 2011 E2117-06R11 Revision
Oct. 15, 2006 E2117-06 Revision
Dec. 10, 2000 E2117-00 Revision