Create an account
dates of injuries, treatment, notes regarding patient's condition
what are the 3 things that are included in a patient history file?
draw a single line, write correction above, initial, date, include why correction was made
what is the proper procedure for correcting a handwritten entry on a progress note?
this section of file holds x-rays and non-lab reports and testing information?
abnormal lab results, rx refills, patient concerns
3 types of call backs that should never be left for the next day?
a chronological record of each visit, prescription refill, calls and other encounters should be filed under?
spell name correct, keep organized/neat, proper filing, update timely/appropriately, write legibly in black ink
5 steps toward proper records management?
follow-up letters from other professionals and insurance companies should be filed under?
the process of cleaning out and removing files when cabinets become full and have no room for other charts?
when a shorter surname is identical with the first part of a longer surname, which is listed first?
inspect, index, coding, sort, storing
5 steps to remember when filing?
where does it go
highlight pt name
arrainging, put in order
designed to establish a relationship between the patient profile, complaints, reivew of systems, physical examination, laboratory findings and other relevent information?
Most offices use the same number of these for each patient when using numerical filing?
date, time am/pm, who you spoke to, discussion, patient questions, unable to reach, document pt chart
describe the important points of documenting follow up calls when calling a patient regarding 'normal' test results?
date & name of physician
If dictating and transcribing are used to chart patients visits, this must be included on the dictation notes?
track files, decreases search time, reduce lost files, eliminates outguides
3 Pros for using Bar Codes on files?
These type of records usually begin with the patient's general information for billing and scheduling?
CMS (centers for medicare and medicaid service) cannot review this item when auditing files?
requires you to decide the name, subject or other caption under which you will file the material?
regulates electronic information and ways to protect it from invasion, accidental disclosure, or loss of the records?
the material is arranged in numerical order in the main file, and the main file is supplemented by an alphabetically arranged index card?
DVDs, CD-ROMs, memory sticks
In a paperless office today, electronic information can be stored using these modes?
Please allow access to your computer’s microphone to use Voice Recording.
Having trouble? Click here for help.
We can’t access your microphone!
Click the icon above to update your browser permissions and try again
Reload the page to try again!Reload
Press Cmd-0 to reset your zoom
Press Ctrl-0 to reset your zoom
It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.
Please upgrade Flash or install Chrome
to use Voice Recording.
For more help, see our troubleshooting page.
Your microphone is muted
For help fixing this issue, see this FAQ.
Star this term
You can study starred terms together