Kareo, now operating as Tebra, is a leading provider of integrated telemedicine software and medical billing service. In 2021, Kareo, known for its cloud-based clinical and financial software, merged with PatientPop, a leader in practice growth technology. This union resulted in the birth of Tebra, which serves as the digital backbone for practice success.

Tebra’s mission is to unlock better healthcare by empowering independent practices to deliver modernized care to patients everywhere. They are committed to improving every step of the care journey for both providers and patients. Currently, 85 million patients benefit from Tebra’s services, with over 107,000 providers (and growing) rely on Tebra. The company boasts 1,000+ employees, with 43,000 practices running on Tebra’s platform. 

Kareo Billing: Features

The central offering of Kareo is Kareo Clinical, a digital platform tailored for smaller practices. It caters to the needs of electronic charting, prescription writing, code encounters, and patient management. Additionally, Kareo Engage provides online marketing strategies and SEO services. While Kareo is well-suited for smaller practices, it may not be the ideal solution for larger enterprises.

Kareo also offers another module known as Kareo Billing, which streamlines the billing process to expedite payments to healthcare professionals. Leveraging its comprehensive end-to-end claims tracking system, Kareo efficiently reduces the time for bills to be held in accounts receivable. The process begins with Kareo's ability to upload patient demographic data, supporting documents, and verify insurance eligibility. To streamline the billing workflow, smart checks are incorporated to facilitate smooth claims processing.

An additional advantage of Kareo Billing is its cloud-based data storage. While the software is downloaded to the user's computer, all data is securely uploaded to the cloud-based Kareo server.

Kareo Billing offers comprehensive charge management, ensuring that charges are accurately captured and managed. It is ICD-10 compliant, providing integrated tools for selecting the correct codes to enhance billing and reduce resubmissions. Kareo also features a secure messaging system that facilitates secure communication between patients, providers, employees, and billers when issues arise.

Kareo Billing offers seamless integration with intuitive billing analytics. These analytics empower practice managers to readily assess the financial health of their practice through comprehensive reports. Kareo's dashboard presents this information in a user-friendly format, making it easily comprehensible and actionable for better decision-making.

Kareo Billing: Drawbacks

Kareo's older platform architecture introduces some drawbacks. It experiences frequent downtime and poses challenges for clinicians trying to upload data. Clinicians reported slow transfer speeds and incomplete data uploads, leading to missing information.

Users have reported subpar customer service from Kareo, citing a lack of follow-up when issues are reported. Recurring problems have been known to bounce between multiple departments without being resolved. Additionally, users have stated that the services provided differ from what was promised during the sales process.

Kareo Billing: Support

During the initial onboarding phase with Kareo, complimentary onboarding assistance is provided to facilitate a smooth transition for the healthcare practice. Subsequently, beyond the initial onboarding period, the available support options are streamlined, though they remain more comprehensive than most competitors offer.

Kareo offers a diverse range of support channels. These include online chat, which is accessible on weekdays, from Monday to Friday, during the hours between 5:00 AM and 5:00 PM Pacific Daylight Time (PDT), excluding holidays. Additionally, clients have the option to submit inquiries via email to support@karemo.com. Finally, clients may engage with a live agent through the Kareo chat function. It is important to note that telephone communication is reserved exclusively for sales purposes and is not available for support inquiries.

Formerly known as Kareo University, the self-help platform has undergone a rebranding initiative and is now referred to as Tebra University.

Kareo Billing: Pricing

Like other Kareo products, Kareo Billing is not transparent about its pricing structure. While each practice has different needs, providing potential customers with a rough cost estimate before requiring them to contact the company for a custom quote would enhance their experience.

Our research exposed substantial variations in the cost of Kareo software, influenced by client type and chosen modules. Physician and optometry clients face monthly costs ranging from $150 to $300, with the billing module as the priciest component. Therapists and non-MD clients enjoy a more budget-friendly monthly rate of $50 to $150 for the modules. While subsequent modules come at a 50% discount after the initial purchase, there are no discounts for additional providers. On the positive side, there are no startup costs, cancellation fees, or charges for office staff to use the software.

For busy practices, Kareo's fixed monthly cost is appealing; however, it could be the reason for the lack of assertive collections during billing. On the other hand, certain competing services have a fixed percentage structure, where they receive payment only after collections. This structure provides billing services with a greater incentive to pursue claims collection.

Despite the absence of a free trial, the company offers an alternative in the form of a free demo.

Kareo Billing: Final verdict

Among the modules offered by Tebra, Kareo Billing is a prominent one. Its advantages include an affordable fixed cost, multiple support options, and flexible plans based on the number of chosen modules. However, the service is not without its drawbacks. Poor customer service, opaque pricing, and occasional downtimes due to an aging platform are some of the areas where Kareo falls short. While it may have appealing features, some users have reported negative experiences that may outweigh the positives, making its overall service questionable.

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Since 2001,  Human Medical Billing, situated in Ventura, California, has excelled in billing and accounts receivable management for private medical practices. They go beyond basic services by offering valuable ancillary services such as medical coding, denial management, coding audits and negotiation of managed care contracts. They have a seasoned executive staff, with experience in the financial challenges of running a medical practice. With expertise in various billing software systems, Human Medical Billing is well-equipped to serve single and multi-provider practices across multiple locations. 

Human Medical Billing: Features

This Human Medical Billing service offers several appealing features. Firstly, it is compatible with any EHR platform a practice may be using. Given that most practices already utilize an EHR, choosing a medical billing service that integrates well with their existing platform is crucial. This approach eliminates the need for costly retraining, potential downtime, and the hassle associated with transitioning to a new system. Additionally, practices not currently using an EHR are provided with one at no extra cost.

Another advantage is the service's flexible contractual requirements. Unlike some others that impose lengthy and restrictive contracts, Human Medical Billing offers a straightforward and non-binding agreement. This allows clients to terminate the service with just a 30-day notice, ensuring no long-term commitment. The flexibility offered by Human Medical Billing serves as a motivator for them to consistently provide top-tier service, understanding that customers have the option to seek alternatives if they are not satisfied. Furthermore, their impressive A+ rating with the Better Business Bureau serves as a testament to their reliability and dedication to customer satisfaction.

This service follows a systematic process for charge collection. It begins by gathering patient charges from the office daily through the EMR or manual data entry by staff. Medical claims software is then employed to scrub the claims and eliminate errors. The claims are invoiced, and payments are received electronically and through paper remittances. Human Medical Billing allows clients to choose whether they want payments directly from the payer. According to Human Medical Billing, private payers typically process payments within 7 days, while Medicare payments are received 14 days after submission.

These payments are reviewed, cross-checked with fee schedules, and entered into the system to ensure accurate reimbursements. Patient balances are billed accordingly, and follow-up mailings and phone calls are made to collect payments. Human Medical Billing provides patients with an 800 number for billing inquiries. Additionally, the practice receives Aging Reports to stay informed about outstanding bills and collections. For overdue payments, Human Medical Billing assigns their Reimbursement Specialist to pursue the claim, maximizing collection efforts and minimizing bad debt. The practice is kept updated through regular reports, and clients can access their accounts 24/7 via a secure online interface.

Human Medical Billing: Support

There is no requirement for any software, as Human Medical Services performs their billing through the physician's existing platform. Furthermore, there are no mobile applications available for use.

Obtaining support is done through direct contact with your assigned account manager. It is reported that there are only three account managers, and their direct cell phone numbers are provided to users for assistance when required.

However, we were unable to locate any self-help information aside from a FAQ that was more applicable to the service selection process rather than its usage, as well as a blog that receives a limited number of posts per year.

Human Medical Billing: Pricing

Human Medical Billing employs a highly transparent pricing structure that is predicated upon a percentage of collections. The rate ranges from 5% to 7% of total collections, which signifies that this company has a vested interest in the outcome, as it will not receive compensation unless collections are made. This structure provides an incentive for Human Medical Billing to prioritize and maximize collections. Additionally, Human Medical Billing does not receive payment until the practice does, eliminating any upfront costs for their services.

The percentage range is determined by the total amount of collections, allowing for the negotiation of a lower rate at higher volumes. It is important to note that there is a minimum monthly expenditure requirement of $500.

Human Medical Billing offers a range of additional services, some of which incur undisclosed costs. These services include complimentary medical transcription, credentialing services, a social media profile for the practice, and online patient scheduling. While Human Medical Billing does not charge separately for these services, utilizing them is subject to a "minimum monthly billing" requirement. Additionally, there is an unspecified "low start-up" charge.

Human Medical Billing: Final verdict

For practices seeking a straightforward solution to outsource medical billing, Human Medical Billing presents a simplified service. It caters to those who want to retain their existing EHR without the need for complex software or lengthy contracts. Its uncomplicated pricing structure, based on a percentage charge of collections, aligns with the needs of these practices.

On the other hand, those seeking a comprehensive solution with advanced features like mobile apps, deeper EHR integration, and robust support options may find Human Medical Billing lacking.

For smaller practices exploring outsourcing their billing, Human Medical Billing serves as an accessible and affordable entry point.

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DrChrono was founded in 2009 by Michael Nusimow and Daniel Kivatinos. These laser-focused innovators experienced firsthand the frustrations of the current healthcare system while trying to help family members through serious diagnoses. This determination led to the creation of DrChrono, with a mission to remove administrative burdens and create a world where every provider and patient can thrive, with a focus on their EHR, and also medical billing. 

DrChrono: Features

Managing efficient medical billing processes is essential for the financial health of any practice. DrChrono EHR can streamline these processes to reduce errors and improve cash flow.

Using DrChrono's integrated billing module, healthcare providers can generate "Clean claims" that avoid costly resubmissions and reduce the risk of rejected claims. The system also checks for human errors to ensure accuracy. This integration creates an economy of scale by allowing patient information and demographics to be entered once for both clinical documentation and billing purposes.

The ability to create a billing profile is a valuable tool for streamlining the billing process. It allows healthcare providers to save their most commonly used diagnoses and billing codes, which can then be easily retrieved when billing for patient services. This feature reduces the amount of data entry required and saves valuable time, allowing providers to focus on patient care and other critical tasks.

There are multiple benefits for creating a billing profile. These include reduced data entry, which by saving your most commonly used diagnoses and billing codes, you can reduce the amount of data entry required when billing for patient services. This can help to improve accuracy and efficiency, and it can also free up your time to focus on other important tasks. Another benefit is improved accuracy so you can be confident that you are using the correct codes for the services you have provided. This can help to reduce the risk of errors and ensure that you are reimbursed correctly for your services.Finally, there is increased efficiency to help streamline the billing process and make it more efficient. This can free up your time to focus on patient care and other critical tasks.

DrChrono EHR also fully integrates payments into its medical billing module. Healthcare providers no longer need to deal with physical checks but can instead receive payments via Electronic Remittance Advice (ERA). This eliminates the need for trips to the bank and ensures that payments are received near instantaneously via direct deposit.

The integrated billing dashboard in DrChrono EHR provides real-time analytics to maximize productivity. Through intuitive reports and graphs, providers can easily view and analyze data to make informed decisions.

DrChrono: Drawbacks

Based on reviews from DrChrono users, some drawbacks of this software have come to light. Firstly, despite having an iOS app, the lack of an Android app is a notable omission. Furthermore, users have expressed dissatisfaction with the limited customization options, along with unscheduled downtime that can disrupt productivity and hinder efficient workflows.

Another significant issue is the lack of flexibility in DrChrono's medical billing feature. It is designed exclusively to work with their EHR, which poses a problem for offices that have already invested in and transitioned to a different EHR system. This limitation necessitates ditching their existing EHR in favor of DrChrono, which can be a major inconvenience and expense. To address this concern, it would be preferable for DrChrono to offer their medical billing as a standalone application, allowing users to continue utilizing their preferred EHR while leveraging the benefits of DrChrono's billing capabilities. This approach would provide greater flexibility and enable a best-in-class solution tailored to individual needs.

DrChrono: Support

DrChrono's support system offers a unique approach. It features a well-designed self-help area, categorized for easy navigation. The Medical Billing category, in particular, provides a wealth of ready-to-use information. Topics range from "How to post an HRA payment?" to "How to select the state of accident for auto accident claims?" among many others. New users will find the "Billing Basics" sub-category especially helpful in getting up to speed quickly.

There are other multiple options for direct support. Phone support can be accessed by calling 650-988-5379 for technical assistance with regular support business hours of Monday-Friday 8 am - 8 pm EST / 5 am - 5 pm PST. You can also initiate a support ticket through the DrChrono support portal. Finally, there is live chat which you can access on the DrChrono website.

DrChrono: Pricing

DrChrono does not disclose the pricing for its medical billing services or any of their other services on their website. Interested parties must contact the company through an online form which requires the following background information: Doctor’s specialty, location, and size of the practice.

However, the medical billing gets integrated into other bundled plans, such as the Apollo plan, that puts together EHR, practice management & medical billing software. While not on the website, we did search and find that such packages start at $199.99 per provider per month.

DrChrono: Final verdict

DrChrono aims to streamline administrative tasks and enhance healthcare delivery. Its medical billing feature helps reduce errors and improve cash flow through integrated billing, clean claims generation, and accuracy checks. Creating a billing profile saves time and improves accuracy by allowing providers to store commonly used diagnoses and billing codes. The integrated billing dashboard offers real-time analytics for informed decision-making. 

However, drawbacks include the lack of an Android app, limited customization options, unscheduled downtime, and inflexibility in working with external EHR systems. DrChrono's support system includes self-help resources, phone and ticket support, and live chat. Pricing is not disclosed on the website and requires contacting the company, but integrated medical billing is available as part of bundled plans starting at $199.99 per provider per month. 

Ultimately, if the DrChronos EHR aligns with your practice's requirements, then their medical billing solution presents a logical choice. However, practices that are already utilizing another platform must carefully consider whether a complete transition to a different platform aligns with their strategic objectives and operational needs. 

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DoctorDocs Medical Transcription Services, as the name suggests, is a company devoted to the medical transcription space for the US market. DoctorDocs is a U.S.A. based, family-owned medical transcription service established in 2000 with their office in Pompano Beach, Florida. Its mission has been to assist medical professionals in producing quality, accurate transcripts for their patient records. It provides off-site transcription services for hospitals, clinics, physicians, and other ancillary care professionals.

DoctorDocs: Features

 An important part of any dictation service is the flexibility of the dictation method, as different clinicians have varied workflows, and they want a choice of dictation devices that can be used. Here, DoctorDocs has them covered, with the ability to dial in from either a digital or analog phone line for starters. Going beyond that, younger clinicians often want to use other devices, and the dictation can also be accomplished via a handheld digital recorder, or via an Android or iOS smartphone.

Another key to any medical transcription service is the level of accuracy offered, and DoctorDocs goes the extra mile in this area as well. While the trend in transcription is towards computerized voice recognition via an automated process, this produces variable results. Too often, clinicians complain that these solutions require adaptation, and in some cases to dictate slower, with less abbreviations used, making this a more cumbersome process, and begging the question if it is just faster to type it out directly.

DoctorDocs prioritizes the precision of its transcription services over the speed and efficiency of automation.

Their meticulous two-step process involves:

1. Professional transcriptionists meticulously convert voice dictation into written text.

2. Editors meticulously review the transcribed documents to identify and correct any errors.

This approach ensures an exceptionally high level of transcription accuracy.

Other details of the transcription process at DoctorDocs are also favorable, with a 24 hour turnaround time that runs 7 days a week. Documents and voice files are kept secure with 128-bit encryption, that is HIPAA compliant.

We wish things were as strong in the EMR department, and those looking for more of a virtual scribe service should look elsewhere. You will need to accept that DoctorDocs is more of a medical transcription service, and office staff time will need to be devoted to uploading completed transcriptions in their EMR of choice.

DoctorDocs: Drawbacks

However, there are some potential drawbacks to be aware of. First, it's not clear if DoctorDocs has dedicated mobile apps. It appears that users can create voice files using their mobile devices, but it's not clear if there is an app to facilitate this process. We searched both the Apple Store and Google Play Store but couldn't find an app by DoctorDocs' name.

Another criticism of DoctorDocs is the lack of user reviews. It's unclear if this is because satisfied users are less likely to leave reviews, or if there is a genuine issue with the service. The few reviews that are available generally indicate satisfaction with the service.

Additionally, DoctorDocs does not offer automatic transcription into electronic medical records (EMRs). While the service does provide transcriptions, users will need to manually upload them into their EMR of choice. This may be a disappointment for users who are looking for a virtual scribe experience where transcribed documents are automatically integrated into their EMR.

DoctorDocs: Support

DoctorDocs offers support for their service via a toll free 800 number which you can make a call and “Speak to a live person,” and also the option of a support portal. We also found chat, but it is unclear if it is for sales only, or also for support. There is some improvement from when we last looked at this service as the hours of operation are now listed at 9 am to 9pm weekdays, with a separate number listed for 24/7 emergencies. 

We did not find any self help options.

DoctorDocs: Pricing

In our previous review, we commended DoctorDocs for its transparent and straightforward pricing structure. Regrettably, we are currently unable to locate any pricing information on their website. For your reference, the previous pricing was $0.099 (£0.077) per gross line of text, regardless of length, in Courier New 12-point font, billed monthly. While we cannot confirm if this pricing is still applicable, it is worth noting that there are no setup or startup fees.

Additionally, DoctorDocs offers volume discounts for busier clinics, providing a cost-effective solution for high-volume medical transcription needs.

DoctorDocs: Final verdict

DoctorDocs, a medical transcription service, presents both benefits and drawbacks. Among its strengths are its double transcription process, which ensures high accuracy, the ability to transcribe from a wide range of devices, and higher volume discounts available.

However, there are some potential downsides to consider as well. There is a lack of user reviews, the availability of a mobile app is unclear, the pricing is opaque, and that it does not integrate directly with EMRs.

Overall, DoctorDocs may be a good fit for basic offices that require accurate transcription at an affordable rate, but those seeking advanced features or integrations may need to look elsewhere.

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The Nuance Communications-developed Dragon Medical One functions as both a conversational AI workflow assistant and documentation companion, specifically crafted for clinical settings. Its origins trace back to 1975, when Dr. James Baker created the foundational "Speech Understanding System," which he and his wife brought to market in 1982 under the Dragon Systems banner. Over the years, Dragon's corporate ownership has changed several times, ultimately leading to its current position within the Nuance brand. While the speech recognition products from Dragon are undoubtedly a core part of the Nuance portfolio, the company also offers a diverse range of additional products across sectors such as AI and biometric security.

On a global scale, Nuance takes pride in the fact that an estimated 10,000 healthcare organizations utilize Dragon Medical One for medical transcription, along with the distinct achievement of capturing 80% of the radiologist market within the United States. Notably, renowned healthcare institutions such as Banner Health, the Cleveland Clinic, and the University of Rochester Medical Center all leverage Dragon's advanced technology solutions.

Dragon Medical One: Features

Medical professionals did not endure years of rigorous medical school and advanced residency training solely to spend their days fixated on computer screens. However, the burdensome reality of extensive paperwork has now been replaced by the constant documentation requirements of electronic health records (EHRs) for most clinicians.

Some have turned to employing medical scribes as a means to alleviate this burden, thereby allowing clinicians more time with patients. However, this solution is costly and less than ideal, as unlicensed individuals attempt to keep pace with the clinician's dictation, ultimately hoping that information is entered accurately. This conundrum has led astute clinicians to explore alternative options.

Nuance Dragon offers a range of medical transcription solutions, with Medical One being a popular cloud-based offering. It is specifically designed to ensure both security and efficient completion of EHR documentation. Medical One is powered by cutting-edge "Conversational AI" technology, which enables clinicians to maintain their natural workflow. In essence, the software adapts to the clinician's working style, rather than the clinician being forced to adjust to the software. This is exemplified by the fact that no voice profile training is required, as Dragon Medical One achieves 99% accuracy from the outset.

Dragon Medical One incorporates numerous features to enhance physician satisfaction and minimize frustration. These include the ability to generate customized vocabularies and templates, and then not only utilize them, but also share them with colleagues across a diverse range of devices. Additionally, it offers a single cloud-based profile that is automatically established upon initial use, leveraging advanced AI algorithms.

A cloud-based system offers certain advantages, such as eliminating the need for end users to perform updates or undertake complex software installations. However, the effectiveness of such a system is ultimately dependent on the underlying infrastructure upon which it is built. Dragon Medical One boasts an impressive 99.5% uptime, powered by Microsoft Azure servers that are strategically distributed to maximize both uptime and data security. Moreover, the system is fully compliant with HIPAA regulations, hosted on HITRUST CSF-certified infrastructure.

Dragon Medical One goes above and beyond to ensure exceptional accuracy in its transcription process, delivering a remarkable 99% accuracy right from the start, without any prior training. Furthermore, a personalized voice profile is developed for each clinician and stored securely in the cloud. The accuracy is further enhanced through an automated process that incorporates microphone calibration and accent adjustments, with the aim of achieving even higher accuracy and reducing the word error rate.

Dragon Medical One: Drawbacks

Although Dragon is the most experienced voice recognition software, it is not without flaws. Users have reported issues with the quality of transcriptions, including a lengthy initial learning period for the user's voice. Additionally, despite the name "Naturally Speaking," users have complained that they need to speak unnaturally to improve voice recognition, which can lead to errors. These errors are more common for users with heavy accents but have also been reported by American-born speakers.

However, it is important to consider that Dragon Medical One is a computer-driven process, without any live transcription input. This can make it difficult to maintain a high level of accuracy on more challenging transcriptions, where a professional transcriptionist could produce a higher-quality result.

Dragon Medical One: Support

We note the support options readily accessible within the Dragon platform. Nuance generously provides support through an intuitive online support portal, a direct chat interface with a live agent, and a dedicated toll-free support line. The phone number serves as a convenient avenue for addressing product and sales inquiries, activation processes, licensing matters, registration procedures, and return-related concerns. It is operational from Monday through Friday, within the time frame of 9 am to 8 pm, adhering to the Eastern Standard Time (EST) or Eastern Daylight Time (EDT) time zone. The support line can be reached by dialing the following number: (800) 654-1187.

On the self help side, there is a robust Knowledge Base. It has plenty of content, including multiple user guides, cheat sheets, workbooks and whitepapers. We also note that this database is searchable for convenience.

Dragon Medical One: Pricing

Here are the key details about Medical One’s pricing:

Dragon Medical One operates on a subscription basis with the option to choose from 1-year, 2-year, or 3-year terms.

The standard monthly cost for Dragon Medical One is $99 for a 1 year contract. This subscription fee allows you to use the service and benefit from regular updates and improvements. The price drops to $89/month with a 2 year contract, and $79/month with a 3 year commitment.

Finally, there is a one-time implementation fee of $525 that covers installation, training, and ongoing support. It also includes PowerMic Mobile, a secure, wireless microphone app.

Dragon Medical One: Final verdict

Nuance Dragon Medical One is an AI workflow assistant for clinical settings. It offers customizable features, such as vocabularies and templates. With a 99.5% uptime, it is used by 10,000 healthcare organizations globally. Benefits include reduced documentation time, improved accuracy, and increased security. It eliminates the need for medical scribes and provides ongoing support. However, it has some issues with transcription quality. Users with heavy accents may experience errors. Overall, for those looking for a computerized voice recognition solution, we can see why it is a market leader. 

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The Dictation Source, established in 1991 and headquartered in Bethel Park, PA, is a U.S. based medical transcription company. It offers cost-effective and efficient dictation and transcription solutions supported by its proprietary automated platform. The company has gained recognition for quality control and accuracy in documentation, serving over 1400 healthcare clinics nationwide. Since 2013, it has been owned by National Billing Center, founded by Armen Geronian. The Dictation Source understands the significance of accuracy and secure, timely delivery in clinical documentation.

The Dictation Source: Features

The transcription process, like many other professions in society, is undergoing a transformative phase driven by the integration of automation and digital technologies. The primary objective of these advancements is to augment efficiency and reduce costs. As an established entity in the medical transcription domain, The Dictation Source strategically leverages a hybrid approach that combines automated transcription with human-led editing. This synergistic model empowers the organization to deliver accurate and efficient medical transcription services at competitive rates.

The Dictation Source offers a diverse range of methods to facilitate the dictation of office notes, although it does not explicitly outline these options. Of particular note is the potential provision of mobile platform applications, which are gaining popularity, particularly among younger clinicians. The strategic deployment of technology enhances the workflow's efficiency, beginning with the implementation of predefined macros to minimize redundant text. Furthermore, templates are extensively utilized to reduce the clinician's dictation workload.

The actual transcription process at The Dictation Source is multifaceted. The initial phase, aimed at optimizing efficiency and speed, involves the utilization of an automated system to convert the voice file into text. Subsequently, a medical transcriptionist reviews the dictation to ensure accuracy. The turnaround time is targeted for the next business day, and the company maintains control over the files by refraining from outsourcing the work to external providers, thereby enhancing security.

The Dictation Source offers various secure and convenient methods for delivering transcribed notes. These options encompass automated emails, secure site downloads, printouts, and direct transmission to electronic medical records (EMRs)- all for no additional charge.

The Dictation Source: Speech recognition

For a more economically viable alternative, the Speech Recognition package is also available. This package is specifically designed to process an uploaded audio file and convert it into a text-based format in less than 60 seconds, utilizing Automated Speech Recognition (ASR) technology. The primary cost advantage is the elimination of the need for a transcriptionist to review and correct the generated text. The claimed accuracy of this system is 95%, which may be sufficiently adequate for certain users. Additionally, the accuracy of the system can be further enhanced through training and by providing a more conducive audio environment, with the company indicating the potential to achieve an accuracy rate approaching 99%. 

In contrast, The Dictation Source provides the Virtual Scribe service, which attempts to offer the comprehensive services of a specialized and dedicated medical transcriptionist, eliminating the personnel difficulties associated with turnover and training. Although this service has a higher cost, it remains less expensive than employing a full-time medical scribe in the healthcare facility. The Virtual Scribe can substantially enhance the productivity of the clinician by providing real-time transcription directly into the electronic medical record (EMR) during the patient's visit. 

Furthermore, there is no initial training required, unlike traditional medical scribes, as these virtual scribes are already proficient in utilizing multiple EMR systems. The Dictation Source also incorporates "Coding automation technology" capable of performing coding entry and Physician Quality Recording System (PQRS) services for the clinical encounter. Lastly, any inquiries or communications between the medical scribe and the physician are securely managed through a private messenger application. 

The Dictation Source: Drawbacks

The Dictation Source falls short in several areas. For example, it does not supply complete pricing details. Furthermore, since it is entirely web-based, there are no installable applications for either iOS or Android, nor is there an option for dedicated software for Windows or Mac. This may prove inconvenient for certain offices with less than optimal internet connections.

Another criticism that we have encountered from online reviews is that this platform has a steep learning curve.

The Dictation Source: Support

The Dictation Source support can be reached anytime, 24/7/365, through a number of methods.

Direct support is available via phone by calling them at 877-206-0974. The alternate is email available at operations@thedictationsource.com.

A shortcoming is that there are no self help options, chat, nor a support portal.

The Dictation Source: Pricing

The pricing structure of The Dictation Source does not include any setup or cancellation fees. It is calculated based on the standard 65-character line, with the option to format notes using pre-existing templates or directly onto the practice’s letterhead at no additional cost.

Unlike many other services, The Dictation Source provides at least an indication of its pricing, which ranges from 7.5 cents (£0.058) to 10 cents (£0.078) per line. To obtain a final price quote with selected options, it is necessary to contact the company for a custom quote. It is appreciated that The Dictation Source offers some upfront insight into its pricing range. The higher price range applies to faster turnaround times for stat dictations and for directly entering notes into the client’s electronic medical record (EMR).

The Dictation Source offers all of its medical transcription services with a 7-day free trial, with no obligation. However, it should be noted that this trial period is shorter than that of its competitors, many of whom offer free trials ranging from 14 to 30 days.

The Dictation Source: Final verdict

Among the many medical transcription services available, US-based The Dictation Source stands out. It offers 24/7 support via email and phone, multiple delivery options, and an automated transcription process that combines the efficiency of automation with the precision of professional transcriptionists. However, prospective users should consider the absence of mobile apps and dedicated software to assess if this solution meets their medical transcription requirements. 

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DataMatrix Medical, formerly known as DataMatrix Tech, is a leading professional  medical transcription services company based in White Plains, NY. Its mission is to provide a comprehensive and innovative suite of medical transcription solutions that serve as an integral component in the growth of our clients’ medical practices. Its solutions empower medical practices by streamlining administrative tasks, allowing physicians to focus on patient care. We serve hospitals, health systems, physicians, and group practices across the country. With over 20 years of experience, DataMatrix Medical offers flexible service options, adheres to HIPAA compliance, ensures accuracy, and provides 24-hour capabilities.

DataMatrix Medical:

DataMatrix Medical's primary objective is to alleviate a significant source of frustration for medical professionals: the extensive documentation and administrative tasks that are an inherent part of contemporary medical practice. It is widely acknowledged that physicians did not enter the field to spend excessive time on administrative tasks, such as typing notes and completing reports. Unfortunately, this has become a common reality in the current healthcare landscape, with numerous reports of physicians working long hours beyond their scheduled shifts to complete their daily documentation. Consequently, DataMatrix Medical's core service, medical transcription, is designed to address this issue and mitigate physician burnout.

Instead of manually typing each note, DataMatrix Medical offers clinicians the ability to dictate notes using a phone, digital recorder, or mobile app. This sets DataMatrix Medical apart from many other medical transcription services, as the company supports both the Android and iOS platforms.

Subsequently, professional medical transcriptionists undertake the transcription of the notes. These real individuals, assigned to the physician's account, transcribe the dictation with a remarkable 98% accuracy rate.

Thereafter, the notes undergo a rigorous multi-tiered quality assurance process specifically designed to ensure a high level of accuracy.

Lastly, within a 24-hour turnaround time, the notes are integrated into the physician's EHR.

Beyond simply uploading the transcribed note into the EHR, the company offers additional options. For instance, discrete data can be directly inserted into specific fields within the EHR, and various report sections can be placed in different parts of the patient's chart rather than being presented as a single document.

DataMatrix Medical possesses the adaptability to integrate seamlessly with diverse workflow models. Notably, some healthcare professionals utilize Voice Recognition Software (VRS) as their preferred transcription method. While this approach offers cost-effective benefits, it presents challenges in terms of result variability and the need for extensive editing. DataMatrix Medical addresses this issue by seamlessly integrating with the clinician's VRS, enabling the software to identify potential errors, rectify mistakes, and comprehensively review the notes to ensure their completion and accuracy, thereby eliminating any omissions.

Data security poses a significant challenge when granting access to electronic health records (EHRs), a challenge that DataMatrix Medical directly addresses. Physical security measures are in place to restrict access to servers stored at their Tier 1 data centers, which are designed to eliminate downtime and enable continuous, reliable access to patient data.  These measures are complemented by optimal security practices, such as the deployment of robust operating systems equipped with up-to-date security patches.

DataMatrix Medical: Drawbacks

While no dictation service is without its flaws, DataMatrix Medical does have several shortcomings in particular. These include the opaque pricing model, which necessitates contacting the company directly to obtain a quote, the lack of transparency regarding support options, and the absence of a toll-free phone line for sales or support inquiries.

Additionally, it is noteworthy that DataMatrix Medical is a relatively small provider, with a significantly lower customer base compared to its more prominent competitors. While this may imply greater individual attention to each account, it also renders their services more specialized and niche-oriented. Furthermore, despite conducting extensive online searches, we were unable to locate any user reviews for their service, aside from a few brief testimonials on their website. Their Facebook page, too, lacks even a solitary recommendation of their services, although it has almost 400 likes, but was last updated in 2019.

DataMatrix Medical: Support

The level of support offered by DataMatrix Medical is not clearly outlined on their website. The specific hours of availability and response times are not listed. However, the company does provide a support phone line, which is not toll-free but is separate from the sales line, and a support email address. This gives users two options for submitting their queries.

Disappointingly, there was a chat, but when we inquired if it was only for sales, we confirmed that indeed it was, and not to be used for support.

DataMatrix Medical: Pricing

DataMatrix Medical extends a complimentary two-week trial period, enabling prospective clients to comprehensively evaluate their service offerings. This comprehensive trial includes 2,000 transcribed lines, access to their iPhone application, template setup, customized EHR integration, and a complimentary workflow consultation.

However, beyond this initial trial, pricing details become less transparent, necessitating direct contact with DataMatrix Medical for a personalized quote. Based on information available on their website, it can be inferred that a primary factor influencing pricing is the anticipated monthly volume of transcribed documents. The service can be utilized as a primary transcription solution or as a supplementary resource during periods of high demand, exceeding the capacity of an in-house transcription team. There are also discount programs available, but no further detail is provided. Furthermore, DataMatrix Medical emphasizes that they do not require clients to enter into long-term contracts, offering flexibility and freedom from lock-in commitments.

DataMatrix Medical: Final verdict

DataMatrix Medical, formerly DataMatrix Tech, is a professional medical transcription company based in White Plains, NY. It aims to provide innovative medical transcription solutions that facilitate the growth of clients' medical practices. Their services empower medical practices by streamlining administrative tasks and allowing physicians to focus on patient care. They offer flexible service options, ensure accuracy, and have 24-hour capabilities. We appreciate the free trial to decide if this service suits your practice. 

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EHR Transcriptions is a Service Disabled Veteran Owned Small Business that was formed in 2012 through its sister company, Same Day Transcriptions, Inc. It was founded by Robert J. Foley, and is headquartered in Lakewood Ranch, Florida. The company specializes in providing user-friendly medical dictation transcription services for doctors who prefer a straightforward approach over complicated technology. For those doctors continuing to grapple with Electronic Health Records (EHRs), many are returning from trials with voice recognition and electronic templates, seeking to reinstate a more personalized medical dictation transcription service.

EHR Transcriptions: Features

EHR Transcriptions simplifies the dictation process for clinicians, recognizing that their expertise lies in patient care, not in being computer experts. They offer various dictation options to accommodate different preferences, including telephone, iPhone, digital voice recorder, and computer microphone, ensuring compatibility with any clinician's workflow. 

Once the dictation is complete, it enters the "Tru-Trac Transcription Trail," which immediately tags it for tracking during processing. To maintain HIPAA compliance, all data is transferred via a VPN with 528-bit encryption, exceeding the standard 256-bit encryption used for governmental "Top Secret" communications. Their commitment to data security is further emphasized by their "$500 No-Lost-Transcription-Guarantee," assuring clients that their dictation will not be lost.

EHR Transcriptions is dedicated to delivering high-quality transcriptions. They employ specialty-specific medical language experts who are well-versed in the jargon of each field to ensure accurate transcription. This team of experts not only transcribes the dictation accurately but also provides personalized formatting based on the clinician's preferences.

Their rigorous process, dubbed "Triple-Proof Accuracy," involves each transcription being reviewed three times by specially trained medical language experts. It then undergoes a final check through their "Online medical transcription quality assurance software." If, despite these measures, the transcription does not meet expectations, clients can request a free revision.

EHR Transcriptions offers a 24-hour turnaround time for reports. In urgent cases, a rapid backlog service is available. The online platform allows clinicians to view, edit, fax, or e-sign notes with a single click. Notes can be printed or downloaded from the system. Dictations are indexed and can be accessed anytime, from anywhere, providing convenience for clinicians outside the office.

The software is entirely browser-based, offering the advantage of no installation required, except for Apple's iOS mobile platform. This ensures compatibility with Windows, Mac, and Linux devices, as well as popular browsers like Firefox, Chrome, Safari, and Internet Explorer. However, the downside is the lack of support for the Android platform, and some users may prefer dedicated software, especially if their internet connection is unstable.

EHR Transcriptions: Drawbacks

The absence of Android support is a significant limitation, given its popularity, despite the availability of iPhone support in EHR Transcriptions 

EHR Transcriptions: Support

Telephone-based EHR transcription support is available within the US. Although the service is not accessible 24/7, it does offer extended hours during weekdays and some weekend availability. Other communication options, such as email, chat, or live support, are currently not provided.

We also did not find any self support options, which is a shortcoming as there are times it can be efficient to get some assistance through some prepared articles or guides for more straightforward issues.

EHR Transcriptions: Pricing

A 7-day free trial is available, and it's hard to disagree with the company's guarantee: "If we fail to deliver as promised, you can quit for free."

There are no setup charges, hidden fees, or contracts, but the rest of the pricing information is not available on their website. Instead, you must contact them by phone or email to obtain a quote. This can be inconvenient, but we appreciate their promise of "No pushy sales stuff," ensuring that you will not be pressured into subscribing to the service before you are ready. EHR Transcriptions claims to offer competitive pricing and value, but without specific figures to compare, we cannot assess the validity of this claim.

EHR Transcriptions: Final verdict

EHR transcriptions present a compelling solution for medical transcription. It offers an intuitive platform for clinicians with robust security measures and flexible dictation options. However, it lacks support for Android devices, and its pricing structure is unclear. Additionally, it only provides telephone-based support. Despite these shortcomings, EHR transcriptions effectively fulfills its primary purpose, making it an appealing option for physicians seeking a reliable medical transcription solution. 

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