Why would a medical transcriptionist place a flag within a medical document?
A flag located within a medical document indicates: The dictator could not be understood. Authentication means: The information was accurate and complete at the time of dictation and as transcribed, and has been signed and dated by the dictating provider.
What is a temporary anatomic diagnosis?
temporary anatomic diagnosis, also called a necropsy report. pathology report. gross and microscopic examination. laboratory report. includes results on blood and urinalysis testing.
What is the turnaround time for most Stat reports?
Turnaround time for most stat reports should be: Within 2-4 hours.
What are the 10 general sections found inside the medical records?
It includes informationally typically found in paper charts as well as vital signs, diagnoses, medical history, immunization dates, progress notes, lab data, imaging reports and allergies.
Which of the following is the role of a medical transcriptionist in the health care setting?
Medical transcriptionists typically do the following: Listen to the recorded dictation of a doctor or other healthcare worker. Interpret and transcribe the dictation into patient history, exam notes, operative reports, referral letters, discharge summaries, and other documents.
When editing a transcription document and you flag a certain area What does this mean?
aged. when editing transcription document, and you flag a certain area, what does this mean? there’s an incorrect spelling. The process of reviewing the transcribed document for accuracy and clarity is known as what? editing.
What does discharge summary mean?
A discharge summary is a letter written by the doctor caring for you in hospital. It contains important information about your. hospital visit, including: • why you came into hospital.
What is STAT sample?
A “stat” test is defined as a quick turnaround time, generally an hour or less from specimen receipt until test result reporting. Such stat tests are usually ordered when the result is needed quickly for a decision regarding patient management. Such tests must be performed ahead of others in the queue.
What is stat blood work?
DEFINITIONS. STAT laboratory tests and services are those that are needed immediately in order to manage medical emergencies. STAT test requests are given the highest priority by the Clinical Laboratory for processing, analysis and reporting.