Question 1

Which of the following is NOT true about transcribing chart notes?

Accepted Answer

A)  They are a concise description of the patient's encounter with the office. 
B)  They are chronologically listed. 
C)  They may chronicle the details of a surgical procedure performed in a hospital. 
D)  They may include in-person visits to the office. 
E)  They may include telephone inquiries. 
A)  They are a concise description of the patient's encounter with the office. 
B)  They are chronologically listed. 
C)  They may chronicle the details of a surgical procedure performed in a hospital. 
D)  They may include in-person visits to the office. 
E)  They may include telephone inquiries.

Question 2

Which of the following is the part of the history and physical examination report that contains information about the patient's symptoms,problems,or conditions which brought the patient to the office?

Accepted Answer

A)  Family history 
B)  History of present illness 
C)  Final diagnosis 
D)  Chief complaint 
A)  Family history 
B)  History of present illness 
C)  Final diagnosis 
D)  Chief complaint

Question 3

Which of the following are components of the history and physical report?
1)CC
2)HPI
3)ROS
4)RX
5)DX

Accepted Answer

A) 3, 4, 5 
B) 1, 2 5 
C) 2, 3, 4 
D) 1, 2, 3 
A) 3, 4, 5 
B) 1, 2 5 
C) 2, 3, 4 
D) 1, 2, 3

Question 4

Important things to consider before outsourcing transcription include?

Accepted Answer

A)  Be sure the office and the service use compatible hardware and software 
B)  Be cost conscious 
C)  Have a user-friendly method of tracking documents 
D)  All of the above 
A)  Be sure the office and the service use compatible hardware and software 
B)  Be cost conscious 
C)  Have a user-friendly method of tracking documents 
D)  All of the above

Question 5

MATCHING
Match the common transcribed report to content found within the report.

-elements of an H & P

Accepted Answer

A) radiology report 
B) operative report 
C) autopsy report 
D) pathology report 
E) H & P
F)consultation
G)discharge summary 
A) radiology report 
B) operative report 
C) autopsy report 
D) pathology report 
E) H & P
F)consultation
G)discharge summary

Question 6

Job opportunities should remain good for transcriptionists who are___?

Accepted Answer

A)  experienced 
B)  new to the job market 
C)  certified 
D)  employed by hospitals 
A)  experienced 
B)  new to the job market 
C)  certified 
D)  employed by hospitals

Question 7

What issue(s)must be resolved in the physical transition from existing paper records to electronic health records?

Accepted Answer

A)  The process by which the material is copyedited. 
B)  How much of the paper chart to convert. 
C)  How to make the majority of the clinical history available to the physician. 
D)  Both b & c 
A)  The process by which the material is copyedited. 
B)  How much of the paper chart to convert. 
C)  How to make the majority of the clinical history available to the physician. 
D)  Both b & c

Question 8

Which of the following is NOT a common type of transcribed medical report?

Accepted Answer

A)  History and physical report 
B)  Progress notes 
C)  Pathology report 
D)  Consultation letter 
E)  Diagnostic laboratory report 
A)  History and physical report 
B)  Progress notes 
C)  Pathology report 
D)  Consultation letter 
E)  Diagnostic laboratory report

Question 9

Today MTs may be more involved with all of the following EXCEPT?

Accepted Answer

A)  Quality assurance (Q
A)  
B)  Risk management 
C)  Editing documents 
D)  Dictating medical information 
A)  Quality assurance (Q
A)  
B)  Risk management 
C)  Editing documents 
D)  Dictating medical information

Which of the following is NOT true about transcribing chart notes?

Which of the following is the part of the history and physical examination report that contains information about the patient's symptoms,problems,or conditions which brought the patient to the office?

Which of the following are components of the history and physical report? 1)CC 2)HPI 3)ROS 4)RX 5)DX

Important things to consider before outsourcing transcription include?

MATCHING Match the common transcribed report to content found within the report. -elements of an H & P

Job opportunities should remain good for transcriptionists who are___?

What issue(s)must be resolved in the physical transition from existing paper records to electronic health records?

Which of the following is NOT a common type of transcribed medical report?

Today MTs may be more involved with all of the following EXCEPT?

The Medical Assisting Profession

Health Care Settings and the Health Care Team

History of Medicine

Coping Skills for the Medical Assistant

Therapeutic Communication Skills

The Therapeutic Approach to the Patient With Life-Threatening Illness

Legal Considerations

Ethical Considerations

Emergency Procedures and First AID

Creating the Facility Environment

Computers in the Ambulatory Care Setting

Telecommunications

Patient Scheduling

Medical Records Management

Written Communications

Medical Insurance

Medical Insurance Coding

Daily Financial Practices

Billing and Collections

Accounting Practices

The Medical Assistant As Clinic Manager

The Medical Assistant As Human Resources Manager

Preparing for Medical Assisting Credentials

Employment Strategies

Filters

Exam 16: Medical Documents

Which of the following is NOT true about transcribing chart notes?

Which of the following is the part of the history and physical examination report that contains information about the patient's symptoms,problems,or conditions which brought the patient to the office?

Which of the following are components of the history and physical report? 1)CC 2)HPI 3)ROS 4)RX 5)DX

Important things to consider before outsourcing transcription include?

MATCHING Match the common transcribed report to content found within the report. -elements of an H & P

Job opportunities should remain good for transcriptionists who are___?

What issue(s)must be resolved in the physical transition from existing paper records to electronic health records?

Which of the following is NOT a common type of transcribed medical report?

Today MTs may be more involved with all of the following EXCEPT?

The Medical Assisting Profession

Health Care Settings and the Health Care Team

History of Medicine

Coping Skills for the Medical Assistant

Therapeutic Communication Skills

The Therapeutic Approach to the Patient With Life-Threatening Illness

Legal Considerations

Ethical Considerations

Emergency Procedures and First AID

Creating the Facility Environment

Computers in the Ambulatory Care Setting

Telecommunications

Patient Scheduling

Medical Records Management

Written Communications

Medical Insurance

Medical Insurance Coding

Daily Financial Practices

Billing and Collections

Accounting Practices

The Medical Assistant As Clinic Manager

The Medical Assistant As Human Resources Manager

Preparing for Medical Assisting Credentials

Employment Strategies

Filters