chapter 15 med documents

All of the following are acceptable means of converting existing paper medical records to electronic health records EXCEPT:

a. Old information is scanned into the EHR system to ensure continuity of care.

All of these statements are accurate regarding outsourcing EXCEPT:

a. Outsourcing companies are usually located in English-speaking countries and pay rates are high.

The term ______________ refers to the procedures your clinic has in place to ensure confidentiality.

a. protocols

For an MT who encounters a term that cannot be interpreted, which is the best course of action?

b. Flag that section of the document to alert the dictator.

__________ time refers to the specific time period in which a document is expected to be completed from the time it is received by the transcriptionist until it is returned to the provider to sign and make a part of the permanent record.

b. Turnaround

When one provider requests the services of another provider in the care and treatment of a patient, a __________ is generated.

b. consultation report

Turnaround times for hospitals fall into three categories, which include all of the following EXCEPT:

b. dated reports.

Which statement is accurate regarding integrating digital photographs into medical transcription?

c. Integrating digital photographs into medical transcription means more precise presentation using both pictures and written text to medical professionals.

Which of the following is true regarding the outsourcing of medical transcription?

c. Outsourcing transcription frees administrative and support personnel to complete tasks that often are delayed because of time crunch factors.

A ___________ report should be completed within 24 hours or less.

current