Question 1

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 2

Contracting with a service outside of the clinic or hospital with a company where a task can be accomplished at a lower cost with a faster turnaround time is known as what?

Accepted Answer

A) Cost contracting 
B) Outsourcing 
C) Source efficiency 
D) Insourcing 
A) Cost contracting 
B) Outsourcing 
C) Source efficiency 
D) Insourcing

Question 3

Match the common transcribed report to content found within the report.
-gross examination

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 4

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 5

Match the common transcribed report to content found within the report.
-patient's history of hospital admissions

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

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 7

Which turnaround time has the longest time frame to be completed?

Accepted Answer

A) ASAP 
B) STAT 
C) Aged 
D) Current 
A) ASAP 
B) STAT 
C) Aged 
D) Current

Question 8

Turnaround times for hospital reports fall into three categories.Which one is NOT a category?

Accepted Answer

A) ASAP 
B) STAT 
C) Aged 
D) Current 
A) ASAP 
B) STAT 
C) Aged 
D) Current

Exam 15: Medical Documents

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

Contracting with a service outside of the clinic or hospital with a company where a task can be accomplished at a lower cost with a faster turnaround time is known as what?

Match the common transcribed report to content found within the report. -gross examination

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

Match the common transcribed report to content found within the report. -patient's history of hospital admissions

Important things to consider before outsourcing transcription include?

Which turnaround time has the longest time frame to be completed?

Turnaround times for hospital reports fall into three categories.Which one is NOT a category?

The Medical Assisting Profession

Health Care Settings and the Health Care Team

Coping Skills for the Medical Assistant

Therapeutic Communication Skills

The Therapeutic Approach to the Patient With a Life-Threatening Illness

Legal Considerations

Ethical Considerations

Emergency Procedures and First Aid

Creating the Facility Environment

Computers in the Medical Clinic

Telecommunications

Patient Scheduling

Medical Records Management

Written Communications

Medical Insurance

Medical Coding

Daily Financial Practices

Billing and Collections

Accounting Practices

Infection Control and Medical Asepsis

The Patient History and Documentation

Vital Signs and Measurements

The Physical Examination

Obstetrics and Gynecology

Pediatrics

Male Reproductive System

Gerontology

Examinations and Procedures of Body Systems

Assisting With Minor Surgery

Diagnostic Imaging

Rehabilitation and Therapeutic Modalities

Nutrition in Health and Disease

Basic Pharmacology

Calculation of Medication Dosage and Medication Administration

Cardiac Procedures

Regulatory Guidelines for Safety and Quality in the Medical Laboratory

Introduction to the Medical Laboratory

Phlebotomy: Venipuncture and Capillary Puncture

Hematology

Urinalysis

Basic Microbiology

Speciality Laboratory Tests

The Medical Assistant As Clinic Manager

The Medical Assistant As Human Resources Manager

Preparing for Medical Assisting Credentials

Employment Strategies

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