MA- Ch 15- Medical Documents

Today's medical transcription may be more involved with all of the following EXCEPT?

• Quality assurance (QA)

• Risk management

• Editing documents

• Dictating medical information

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?

• Cost contracting

• Outsourcing

• Source efficiency

• Insourcing

What is NOT considered an advantage of outsourcing medical transcription?

• Frees administrative and support personnel to complete other tasks

• Frees floor space used to support line-item expense

• Outsourcing companies work 8 hours a day

• Saves on costly employee benefit packages

Important things to consider before outsourcing transcription include?

• Be sure the office and the service use compatible hardware and software

• Be cost conscious

• Have a user-friendly method of tracking documents

• All of the above

Voice recognition software, also known as speech recognition, automatic speech recognition, or language recognition software, does what?

• Converts voice to text

• Converts text to voice

• Recognizes hard-to-understand voices

• None of the above

In order to become a CMT, you must take a voluntary examination from the:

• AAMA

• AMT

• AHDI

• AMA

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

• History and physical report

• Progress notes

• Pathology report

• Consultation letter

• Diagnostic laboratory report

In order for other providers, attorneys, or insurance companies to review medical reports, all of the following must be done EXCEPT what on all medical reports in the patient’s medical record?

• Must be scanned

• Must be scanned

• Must be complete

• Must be accurate

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?

• Family history

• History of present illness

• Final diagnosis

• Chief complaint

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

• They are a concise description of the patient’s encounter with the office.

• They are chronologically listed.

• They may chronicle the details of a surgical procedure performed in a hospital.

• They may include in-person visits to the office.

• They may include telephone inquiries.