EHR / EMR Certification and its Impact on Your Medical Practice
How do I know whether the EMR and EHR products I am considering are truly certified by the US government as Certified Health IT products? And, if I am not confident of receiving incentive payments for my practice, why should I care whether they are certified? Isn’t it most important to have a system that digitizes my information well and makes it easily retrievable for diagnostics, information, and billing purposes?
As most medical providers understand by now, the purchase of and /or implementation of EMR and EHR software is becoming a necessity. Not everyone is convinced of immediate efficacy of EMR and EHR systems in each of their individual practices, but it is the way the medical industry is headed. So for most of us, this means biting the medical software bullet and choosing an EMR / EHR system sometime very soon making sure that it will work with the specs of your practice or medical group.
Certified EMR and EHR systems, and submitting proof of their meaningful use, can bring financial incentives and payments for medical practices. Conversely, by 2016, lack of implementation, may result in penalties for practices.
How do you know which Software Products are certified Health IT Products, and qualify for incentive payments?
The US Government maintains a Certified Health IT Product list at: http://ping.fm/MrygU.
According to the site, “The Certified HIT Product List (CHPL) provides the authoritative, comprehensive listing of Complete EHRs and EHR Modules that have been tested and certified under the Temporary Certification Program maintained by the Office of the National Coordinator for Health IT (ONC). Each Complete EHR and EHR Module listed below has been certified by an ONC-Authorized Testing and Certification Body (ONC-ATCB) and reported to ONC. Only the product versions that are included on the CHPL are certified under the ONC Temporary Certification Program.”
It should be noted that different modules of different packages can be certified independently. One should not assume that a brand name of X means that every module of product X is EMR certified. Excellent medical software reviews by companies such as CTS, Inc. online from reputable companies to review different modules of EMR packages.
Using the online listing of the Certified Health IT Product list, which is maintained by HHS should offer an authoritative listing of products. Even if you are not particularly excited by the financial incentives because you do not believe they will bring you great return, or if you feel that because of your patient base you would not qualify for many incentive payments (very few Medicare or Medicaid patients, for instance) there are other reasons you might want to buy a Certified Health IT product:
As most medical providers understand by now, the purchase of and /or implementation of EMR and EHR software is becoming a necessity. Not everyone is convinced of immediate efficacy of EMR and EHR systems in each of their individual practices, but it is the way the medical industry is headed. So for most of us, this means biting the medical software bullet and choosing an EMR / EHR system sometime very soon making sure that it will work with the specs of your practice or medical group.
Certified EMR and EHR systems, and submitting proof of their meaningful use, can bring financial incentives and payments for medical practices. Conversely, by 2016, lack of implementation, may result in penalties for practices.
How do you know which Software Products are certified Health IT Products, and qualify for incentive payments?
The US Government maintains a Certified Health IT Product list at: http://ping.fm/MrygU.
According to the site, “The Certified HIT Product List (CHPL) provides the authoritative, comprehensive listing of Complete EHRs and EHR Modules that have been tested and certified under the Temporary Certification Program maintained by the Office of the National Coordinator for Health IT (ONC). Each Complete EHR and EHR Module listed below has been certified by an ONC-Authorized Testing and Certification Body (ONC-ATCB) and reported to ONC. Only the product versions that are included on the CHPL are certified under the ONC Temporary Certification Program.”
It should be noted that different modules of different packages can be certified independently. One should not assume that a brand name of X means that every module of product X is EMR certified. Excellent medical software reviews by companies such as CTS, Inc. online from reputable companies to review different modules of EMR packages.
Using the online listing of the Certified Health IT Product list, which is maintained by HHS should offer an authoritative listing of products. Even if you are not particularly excited by the financial incentives because you do not believe they will bring you great return, or if you feel that because of your patient base you would not qualify for many incentive payments (very few Medicare or Medicaid patients, for instance) there are other reasons you might want to buy a Certified Health IT product:
- Because companies that want to compete for this large audience of buyers are eager to sell the quality of their product, they are often more aggressive about good training and problem rectification. They are eager not to have complaints lodged against them, or to receive bad reviews for their products.
- Because EHR certified systems are eager to be able to upload their material to CMS, they are eager to have good reporting capabilities and interactive modules that communicate information with each other and with of EHR systems easily.
- Because standards and rules for certification are still in flux, certified packages and their various modules need to be responsive to changes in rules and in the law. So if your practice buys into an EMR / EHR that is certified, you are likely buying into a product that will stay current and be reviewed and regularly updated.
Legal Transcription services playing a crucial role in enhancing the growth and success of legal business
Outsourcing all the legal work of transcription to the experts can help lawyers not only in increasing their overall office efficiency, business workflow but work productivity too. The services of legal transcription are today available in abundance for almost every court proceeding, trials, judgments, reports, briefs and interrogations. Usually these services consist of a quality team of expert transcribers.
The transcribers are either trained or are highly qualified and experienced in handling the extensive legal work of transcription with much ease and comfort. Many successful transcription services install the software of state of the art technology for transcribing the legal documents and records. These records are then proofread and send to the editing department for further development of professional and customized cataloged files.
Benefits of companies offering services of a Legal Transcription:
- They offer you accurate transcriptions of your legal documents and records.
- They help you to manage and control your transcription with much ease and comfort.
- They ensure the confidentiality and security of all your legal documents.
- They help in reduces your responsibility of managing and controlling your documents.
- They help you with customized format of transcriptions to suit all your professional requirements.
- They assure the best services of their expert proofreaders, legal professionals and editors.
The overall cost of these services depends entirely upon the requirements of their legal professional clients. However, the beneficial factors of hiring legal transcription services help many legal professional to waive off the overall additional cost of transcription services.
Many legal transcription companies offer their services at the most affordable rates to lawyers, legal firms, courts and attorneys. Documents like testimonials, motions, briefs, court transcripts, tape recordings, summons, meeting minutes are Tran-scripted in a short span of time by the team of expert legal transcribers. Hiring the services of legal transcriptions enables legal professionals to focus their task on more productive trainings programs as offered to their employees. This helps in directly reducing the cost of business operations and increasing the productivity of their legal business.
About Mediscribes
Mediscribes, Inc. is one of the fastest growing transcription & document management systems providers in United States, based in Metro Louisville. Mediscribes is an ISO 9000-2001 certified company, rendering cost-effective consolidated transcription solutions to major hospitals, clinics, and other healthcare facilities in United States. Mediscribes is the most value-providing organization in the market today with a strong presence in America and offshore locations. The firm specializes in providing highly accurate transcription adhering to ADHI guidelines in unbeatable turnaround time with robust & proven document management system as its vantage point to its esteemed clientele.
Mediscribes provides end-to-end transcription solutions as its primary offering. For our customers, we focus on dictation systems, both ASP as well as enterprise level solutions, with the help of our most valued asset ezVoiceIntelligence (ezVI), providing specialty-specific qualitative transcription along with a “whole nine yards” document management system. Mediscribes specializes in EMR data integration as well. Our data dispatch department is highly proficient in integrating transcribed reports into any type of EMR, to include GEMMS, NextGen, Allscripts, Med-Infomatix, etc. Healthcare facilities that do not have EMR get the option to use our web-based file monitoring interface called eTranscribe for global access to their data. eTranscribe has special features of E-signing, E-faxing, auto-printing, and user-friendly document search criteria.
For additional information, please visit http://ping.fm/rVMAx http://ping.fm/O8tuf
How to Find a Legal Transcription Company
It is a far tedious process for the legal professionals to manage their large legal database and information on daily basis. Hiring the services of legal transcribers enables the professionals to reduce their workload and simultaneously concentrate on other core areas of their legal concern. Many legal transcription firms offer a team of legal professionals that have expertise knowledge in the areas of legal research methodology and terminologies. They ensure to provide their best quality work and transcription services to the legal professionals and those too at the most affordable rates.
Legal Transcription Company helps to reduce the backlog of legal files. This directly ensures reducing workload too. They also help in enhancing the productivity and efficiency by doing accurate segregation of legal documents. All the oral legal records are converted into written electronic formats. This helps the law professionals to reduce the overall cost of hiring manpower, filing documents or either choosing the latest resources and technologies to handle the task of transcription independently.
Many quality based transcription companies provide 24x 7 hours customer help to their clients along with the quality that is assured by the team of their editors, proofreaders and legal writers. There are also specialized companies that offer the services of transcribing confidential jury instructions, trials, tape recordings, witness oral records, by adopting the latest browser softwares technologies to ensure complete confidentiality while transferring transcribed documents to their clients.
It is very essential to know whether the proposed transcription company is well-equipped to offer accurate transcription. You must reconsider choosing a company that possesses qualified transcribers having adequate legal terminology knowledge and expertise. You can also choose to select the company that provide quality services of transferring transcribed documents of courte proceedings and judgment reports by utilizing advances online browsers to ensure complete confidentiality to their clients.
You must take care to choose the service providers that assure to meet your customized deadlines too. One of the best ways to select a right company that offer the services of legal transcript is to do a good research online and acquire referrals from the professional who are already utilizing the expertise services of transcription service providers.
About Mediscribes
Mediscribes, Inc. is one of the fastest growing transcription & document management systems providers in United States, based in Metro Louisville. Mediscribes is an ISO 9000-2001 certified company, rendering cost-effective consolidated transcription solutions to major hospitals, clinics, and other healthcare facilities in United States. Mediscribes is the most value-providing organization in the market today with a strong presence in America and offshore locations. The firm specializes in providing highly accurate transcription adhering to ADHI guidelines in unbeatable turnaround time with robust & proven document management system as its vantage point to its esteemed clientele.
Mediscribes provides end-to-end transcription solutions as its primary offering. For our customers, we focus on dictation systems, both ASP as well as enterprise level solutions, with the help of our most valued asset ezVoiceIntelligence (ezVI), providing specialty-specific qualitative transcription along with a “whole nine yards” document management system. Mediscribes specializes in EMR data integration as well. Our data dispatch department is highly proficient in integrating transcribed reports into any type of EMR, to include GEMMS, NextGen, Allscripts, Med-Infomatix, etc. Healthcare facilities that do not have EMR get the option to use our web-based file monitoring interface called eTranscribe for global access to their data. eTranscribe has special features of E-signing, E-faxing, auto-printing, and user-friendly document search criteria.
For additional information, please visit http://ping.fm/9LiaQ http://ping.fm/6JBgB
Optimize Your Legal Practice by Outsourcing Legal Transcription Work
Well organized services.
Being busy with your legal practice, it might be difficult to systematically manage the pile of legal documents. Companies providing outsourcing transcription services have made your work much easier, reducing your responsibilities of documentation. Well organized services provided
by these firms make it possible for you to get your routine documentation work done in time.
Taking help of legal transcription services you will get your documentation done by professionals. Using outsourcing transcription services helps you save time for the focused area of your business. Similarly, you can also get help of audio transcription services who can convert
dictated information of courtroom sessions into doc files improving your office efficiency.
Legal transcription services could be given only in trusted hands as the nature of information of the content is bound to be sensitive and confidential. Because of its professional nature law firms find outsourcing transcription services extremely suitable.
Outsourcing transcription services reduce your workload ensuring an error-free production of superior quality of legal documents:
- Saves time and endeavor
- Cuts down on operating costs
- Reduces the volume of paperwork
- Prevents backlog of records
- Increases your efficiency and productivity
- Helps to focus on key business issues
- Prepares documents in your desired electronic file formats
Legal transcription service providers use updated technology and software to provide superior quality of legal documents. A skilled panel of legal experts, plus transcribers, proof readers, and editors transcribe the dictation accurately in a timely manner.
Legal transcription services carry wide experience transcribing general correspondence, legal letters, public hearings, briefs, licensing appeals, deposition statements, etc. How will you identify apt legal transcription services for you? An ideal outsourcing transcription services will have following features:
Saves time and endeavor
Cuts down on operating costs
Reduces the volume of paperwork
Prevents backlog of records
Increases your efficiency and productivity
Helps to focus on key business issues
Prepares documents in your desired electronic file formats
This article was originally posted at http://ping.fm/9AqtD
Final Medicare E-Prescribing Rule May Come Soon
CMS has sent the rule for review to the Office of Management and Budget, one of the last steps before publication in the Federal Register.
In a proposed rule published on June 1, CMS said the changes are designed to better align the eRX Incentive program with the electronic health record meaningful use incentive program. The eRX Incentive program has its own quality measure to determine whether an eligible professional is using a "qualified" electronic prescribing system that performs four specific functions. The program does not require certification of the system.
Under the proposed rule, EHRs that have received meaningful use certification would be deemed to qualify for the eRX Incentive program by expanding the definition of a qualified e-prescribing system. The proposed rule also called for additional opportunities to providers to get a "hardship exemption."
Advantages of Outsourcing to Online Legal Transcription Services
Outsourcing to providers of online legal transcription services is advantageous for legal professionals including lawyers, law firms, attorneys, paralegals and other legal groups who do not have enough time to transcribe their legal proceedings. Legal transcription companies hire professionals to do the transcription job and ensure superior quality work within a short time. These professionals are well-versed in the legal proceedings and terminology.Legal transcription outsourcing benefits legal professionals in a number of ways. Services are available in all fields of law such as human rights, criminal law, human resources, family law, personal injury, employment and clinical negligence. For the production of quality transcripts, reliable and established transcription firms make use of the latest advanced technology as well as specialized software.
Benefits of Online Legal Transcription Services
- Competent solutions in minimum turnaround time
- Legal documents with 99% precision
- Promptly updated legal files
- Reduces backlog – since outsourcing firms offer quick turnaround time of 24 hours, it minimizes backlog, which is a major issue in most of the law firms.
- Considerably reduces administrative responsibilities of legal practitioners
- Saves your valuable time as well as effort: legal professionals can save considerable amount of time, which can be devoted to other important activities
- Enhanced efficiency and productivity
- Simplifies your workload
- Better organization of files
- Ensures easy retrieval of information
- Helps avoid overhead on manpower, technology and resources needed to perform transcription jobs
- The entire process of transferring audio/video files are done online
- Helps save on office resources: by signing up for online legal transcription service, you can save on hiring and training personnel to do the transcription job. This helps you to reduce the office size, thus reducing taxes.
- Secure method of file delivery: your legal transcription company makes use of 256-bit encryption technology for delivering legal files that contain highly sensitive data
- Can be customized to serve the specific needs of legal professionals and law firms
- Flexibility of dictation: the transcription firms offer two methods of dictation–digital recording machines and toll-free telephone.
- Customizable interface
- Provides backup of audio and document files
- Provides progress reports of each file transcript
- Improved report accessibility
- Round the clock service: the legal transcription outsourcing firms offer 24×7 customer support.
- Secure data storage
- Delivery of legal files in the formats of your choice
- Three level quality control
- Confidentiality of legal records
The advantages of outsourcing to providers of online legal transcription services are so attractive that legal firms and legal professionals would do well to hire a reliable legal transcription company for their transcription needs.
Legal Proceedings Transcription Outsourcing
The complaint with this set up is that with as well many customers to hoop and as well many files to keep and stockpile, there is no way a singular person can hoop all or everything. With flourishing demands, this is the correct draw close to such problem. Hence, authorised transcription outsourcing is born. Other renouned transcription services add audio transcription services, online transcription services, digital transcription services and more.
- Advantages of Legal Transcription Outsourcing
- Communication accessibility is 24/7
- Reliable service and files handling
- File sort welfare options available
- Low up above cost entangled in outsourcing
- More high quality time to outlay for critical business sections
- Less room to make typographical and technical record mistakes
- 24/7 database accessibility great for emergencies and unexpected needs
- Assurance of authorised files confidentiality for both customer and you
- Security and no must be coordinate and re coordinate files all the time
To comprehend more about what your business needs, greatfully revisit us or search the not similar outsourcing services you offer at Trusted Transcription. I hope the above referred to advantages if you outsource business needs are enought to help you see an general outlook of what to design if you try to bend out a few tools of your business so you can combine more on other more critical aspects that needs made to order handling.
Medical Transcription And Speech Recognition Software
The bad news is that yes, the latest technology has posed a decrease in the amount of available transcription jobs because it helps to type a portion of the reports. What was that? Yes, a "portion" - not the entire thing. For some doctors, this means less money spent on high-cost transcriptionists. Although, this is only "some", not all. Unfortunately, this also means lower pay for most transcriptionists as well - but, don't make any assumptions yet. There is a bright side.
The fact that there has been a dramatic change in the medical transcription business does not mean that all hope is lost. It does mean that there are brand new opportunities for individuals in this profession. One of them includes the opportunity to work as a transcription editor. The advantage is that although the pay is lower, a portion of the report has already been typed, leading to an increased production rate. Overall, this presents an even more abundant opportunity in the realm of money and career value for the transcriptionist.
The fact that speech recognition has been added to the medical transcription not only increases overall pay, but shines a light on the importance of medical transcriptionist's in general. Because no speech recognition software is perfect, there will always be need for quality transcriptionists. There is much more to this career field than merely typing and listening to dictation. So, when someone asks you what you do for a living, you no longer have to say "I am a medical transcriptionist", but instead tell them that you are a "medical transcription editor".
So, not only are you now typing medical reports, you're also editing the errors that the speech recognition software has made, which really does not change your job any at all, especially since you've been editing all along anyway. The only difference is that you're producing twice as many reports, and making significantly more money per hour.
There will always be a need for qualified person for medical transcription services, as computed, man-made technology will almost always certainly create errors. Doctors do not have the time to sit down and correct these mistakes, and someone's got to do it. Medical coders can't do it, nor can medical receptionists. Who does that leave? A well-trained, certified, highly knowledgeable medical transcriptionist.
U.S. Lays out Incentives in Health Reform Law
WASHINGTON - The U.S. government Friday laid out incentives for states and people to participate in health insurance exchanges, including tax credits and funding grants for the states.The health regulators also clarified how they will decide who is eligible to participate in the exchanges, a key program under President Barack Obama's healthcare overhaul.The exchanges are envisioned as open marketplaces of competing insurance plans that allow uninsured people and small businesses to band together to negotiate cheaper rates.In the guidelines released Friday, the U.S. Health and Human Services and Treasury departments outlined the premium tax credits to help Americans afford private insurance. They also detailed processes to check income and determine eligibility for federal subsidies such as Medicaid, the state insurance program for the poor.
States, insurance companies and patient groups have been awaiting these details because they are critical to establishing the exchanges.
The HHS Friday also awarded 13 states and the District of Columbia $185 million in grants to help them build the exchanges. Last year, HHS gave $50 million in planning grants to nearly all states and $241 million in "early innovator" grants to help seven states establish exchanges that other local governments could use as a model.
States are facing a deadline of Jan. 1, 2013, to submit detailed plans for how their exchanges will work, or the HHS would come in and do the work to ensure the exchanges are operational by 2014.
HHS and the Treasury department are soliciting comments on the guidelines, which are here.
© 2011 Thomson/Reuters. All rights reserved.
States, insurance companies and patient groups have been awaiting these details because they are critical to establishing the exchanges.
The HHS Friday also awarded 13 states and the District of Columbia $185 million in grants to help them build the exchanges. Last year, HHS gave $50 million in planning grants to nearly all states and $241 million in "early innovator" grants to help seven states establish exchanges that other local governments could use as a model.
States are facing a deadline of Jan. 1, 2013, to submit detailed plans for how their exchanges will work, or the HHS would come in and do the work to ensure the exchanges are operational by 2014.
HHS and the Treasury department are soliciting comments on the guidelines, which are here.
© 2011 Thomson/Reuters. All rights reserved.
Transcription services for business and tape recordings
The need for a business transcribing service became essential, because of the recent economic reforms and the urge for most of the business organizations to be more transparent.in the minds of the public.
What is meant by business transcription services?
The business dictation service is nothing but offering of service for transcribing the audiotape recordings of business meetings, discussions, meetings or conference calls into text format. These transcribed documents are sent by the business houses to its potential investors, shareholders and financial journalists to exhibit their performance. Hence the business transcription service has been used as a vital tool by an organization to build its brand name and fame.
Many leading business and tape transcription service provider offer accurate transcription service at competitive price
The offer a variety of transcription services like business meeting transcription, Business conferences, seminars, Face to face (F2F) interviews
These leading business transcription service providers are experts in transcribing difficult business dictations like,
- Audio tapes having constant background noise.
- Audio tapes that are recorded with feeble tone or low voice that is hardly heard.
- Audios, with overlapping of voices.
- Audios that needs regular time stamping.
- Audio tapes that are recorded with thick accent, with stony gruff voice.
- Even audios that are recorded with poor quality.
Another unique service provided by the business transcription service provider is it also offers verbatim (word for word) business transcription service which comprises of transcribing even the ums, uhs and stammers
The business transcription service provider offers prompt business and tape dictation services at competitive price and quick turn around time.
This article was originally posted at http://ping.fm/RAJUL
What Benefits Do Legal Transcription Services Offer
Legal transcription services offer a wide range of benefits for legal professionals including lawyers, attorneys, paralegals, prosecutors, court reporters, public defenders, law firms, business firms, legal departments, courts, prosecutor's offices, and more. With the support of a good transcription firm, legal professionals can have various documents such as legal letters, briefs, reports and wire tap; court proceedings, court transcripts, verbatim, legal pleadings, client letters, general correspondence and more transcribed on time.Normally legal professionals have to manage a large volume of legal data on a regular basis, which might often prove to be rather tedious. One of the most important benefits legal transcription services offer is that legal professionals can minimize their workload considerably and thus save their valuable time as well as effort. With the transcription tasks outsourced to a reliable firm, legal professionals can concentrate on their core tasks with greater competency.
In order to provide client-focused transcription solutions, legal transcription companies have on staff a team of professionals with excellent knowledge in legal terminologies and methodology. They not only ensure high quality of work, but also completion of all transcription tasks within minimum turnaround.
Major Benefits Offered by Legal Transcription Services:
- Error-free and updated legal documents with 99% precision
- Reduced file backlog
- Reduced workload
- Enhanced efficiency and productivity
- Better categorization and filing of legal proceedings
- Legal records are provided as hard copies or in electronic file formats
- Avoid overhead on manpower, technology and resources needed to perform transcription jobs
- Reduced infrastructure investment
- Customizable interface
- Round the clock service : 24x7 customer support for greater convenience
- Secure method of file delivery: 256-bit encryption for delivery of legal files that contain sensitive data
- 3 levels of quality assurance by proofreaders, editors, and legal experts
- Improved data security and confidentiality
- Flexible dictation options : digital recorders and toll free number
- Fast and customized turnaround time
- Secure data storage
- Confidentiality of legal records
- Full work flow modules
- Competitive pricing
- Easy retrieval of information
Find the Right Service Provider to Maximize Benefits
Considering all these outstanding benefits, outsourcing legal transcription services would be an ideal option. Today legal transcription services play a vital role in the legal field. The most important consideration should of course be the service provider. Visit the websites of reputable legal transcription companies and carefully study their terms of service.
Find out if they have the right staff and excellent infrastructure to carry out your transcription jobs in a timely and efficient manner. Take advantage of any free trial offer provided so that you can evaluate their service quality. Choose your service provider carefully so that you can rest assured of comprehensive legal transcription solutions that would ideally meet your transcription needs and budget specifications.
Article Source: http://www.zimbio.com/
Why Do Court Reporters Interrupt People When They Are Talking?
Mumbling
Witnesses sometimes do not really want to talk about things, especially things that cause them to be in a lawsuit. As most people do when they say something that they don't really want other people to hear, they mumble. When witnesses mumble and the court reporter cannot understand what they are saying, the stenographer will interrupt. They will tell the judge or the person's attorney that they cannot hear the witness or are unable to decipher what was said. Under most circumstances, they will normally not speak directly to the witness, because they are not involved in the proceedings. They are an observer that basically blends in to the background. When a clear record cannot be made, the words must be repeated so that it can be taken down, the court reporter can do their job of providing legal transcription services and the record will be complete.
Speed
Some people speak faster than a court reporter can take down what they are saying sound by sound and syllable by syllable. They may think it is funny after being after being asked to slow down. Some people even brag that they talk so fast that they make stenographers interrupt. Rather than helping to make a clear and accurate record, these individuals are instead putting their own words in jeopardy. One missed syllable can completely change the meaning of a word. For example, if a fast speaker said "it was unintentional," but spoke so quickly that everyone in the room heard "it was intentional," that could change the whole light of someone's testimony. Instead, the witness would be wise to slow down when asked, speak clearly and deliberately and help not only themselves, but the person reporting what they say and others in the room that are trying to understand every aspect of the legal case.
Overlapping
When court reporters take down multiple speakers in a proceeding, each one is identified in the record before their spoken words. Only one person can be taken at a time, as the court reporter follows the words of one speaker. They can stop that speaker and start another, but cannot take down two people at the same time. Sometimes people interrupt each other in normal conversation. This is not helpful in a deposition or court setting. If only one person's words are on the record, the other person talking is not included. This makes the record incomplete. Usually, the court reporter will interrupt the people talking overtop each other and ask them to speak one at a time. When people are arguing, they not only speak faster, but will run over each other's words as well. This make for extra difficulty in creating a reliable transcription of the proceedings.
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