Question 1

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

Outsourcing involves contracting with an external company or service to perform a task or service, usually at a lower cost and faster turnaround time. Cost contracting and source efficiency are not commonly used terms, and insourcing involves transferring a task or service from an external company to be completed in-house.

Question 2

What is NOT considered an advantage of outsourcing medical transcription?

Accepted Answer

The statement "Outsourcing companies work 8 hours a day" is not a considered advantage of outsourcing medical transcription because outsourcing companies can work 24/7 to provide faster turnaround times for clients. The other options are all advantages of outsourcing medical transcription.

Question 3

Important things to consider before outsourcing transcription include?

Accepted Answer

It is important to make sure that the office and service use compatible hardware and software to prevent any compatibility issues. Cost consciousness is also important, but it shouldn't come at the expense of quality. Having a user-friendly method of tracking documents is essential to ensure that the transcription service is transparent and accountable. Therefore, all of the above choices are crucial considerations before outsourcing transcription.

Question 4

What type of report chronicles the details of a surgical procedure?

Accepted Answer

An operative report provides a detailed account of a surgical procedure, including pre- and post-operative diagnoses, the procedure performed, equipment used, and any complications encountered. Radiology reports detail imaging studies, pathology reports analyze tissue samples, and autopsy reports document findings during a post-mortem examination.

Question 5

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

Accepted Answer

Aged refers to a task that has been waiting for an extended period, which means it has the longest time frame to be completed. ASAP stands for "as soon as possible" and implies a sense of urgency. STAT means "immediately" and is usually reserved for urgent medical situations. Current refers to tasks that are currently being worked on or are expected to be completed soon.

Question 6

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

Accepted Answer

Diagnostic laboratory reports are typically not transcribed as they are generated electronically and sent electronically to the ordering physician or healthcare provider. The other options listed (history and physical report, progress notes, pathology report, and consultation letter) are all common types of transcribed medical reports.

Question 7

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

Accepted Answer

Voice recognition software converts spoken words into text, making it easier for users to communicate with their devices and enabling them to dictate text without needing to type it themselves.

Question 8

Today MTs may be more involved with all of the following EXCEPT?

Accepted Answer

With the advancement of technology, MTs are no longer solely responsible for dictating medical information. Many healthcare providers now use speech recognition software which enables them to directly input patient information into electronic health records. Therefore, MTs may no longer be involved in dictating medical information as much as they used to be. Instead, they may focus more on quality assurance, risk management, and editing documents.

Question 9

Which specialized report is also known as a necropsy report?

Accepted Answer

An autopsy report, also known as a necropsy report, is a medical document that details the findings from a post-mortem examination, including the cause of death and any diseases or injuries found.

Question 10

The process of reviewing the transcribed document for accuracy and clarity is known as what?

Accepted Answer

The process of reviewing the transcribed document for accuracy and clarity is known as editing. It involves checking for any errors and correcting them to ensure that the final document is error-free and makes sense. Scanning refers to quickly looking through a document for specific information, while controlling and cutting are not relevant to the transcription process.

Question 11

When transcribing radiology or imaging reports,what detail does NOT need to be included on the report?

Accepted Answer

The date of dictation is not necessary for understanding the content of the report and can be omitted. The number of views taken, normal findings, and radiologist's recommendations are all crucial details that must be included.

Question 12

Which of the following are components of the history and physical report?
1)CC
2)HPI
3)ROS
4)RX
5)DX

Accepted Answer

CC (Chief Complaint), HPI (History of Present Illness), and ROS (Review of Systems) are components of the history section, while RX (Treatment/Plan) and DX (Diagnosis) are components of the physical examination section. Therefore, the correct answer is D, which includes CC, HPI, and ROS.

Question 13

When one provider requests the services of another provider in the care and treatment of a patient,what type of report is generated?

Accepted Answer

A consultation report is generated when one provider requests the services of another provider in the care and treatment of a patient. This report provides information on the patient's history and current condition, as well as the requesting provider's reason for the consultation and questions they want answered. The consulting provider then evaluates the patient and provides their own assessment and recommendations, which are documented in the report.

Question 14

The MT profession is represented by which of the following organizations?

Accepted Answer

The American Association for Medical Transcription (AAMT) is the professional organization that represents the MT profession.

Question 15

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?

Accepted Answer

The Chief Complaint section of a history and physical examination report specifically addresses the reason(s) why a patient sought medical attention, detailing their symptoms, problems, or conditions.

Question 16

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

Accepted Answer

Chart notes are typically used to document office visits, both in-person and via telephone, as well as any treatments or procedures performed. However, chart notes do not typically chronicle surgical procedures performed in a hospital setting as those notes would be included in the patient's hospital medical record.

Question 17

Which of the following is a common characteristic of an MT?

Accepted Answer

All of the above characteristics are commonly associated with medical transcriptionists. They need to be detail-oriented to accurately transcribe medical reports, independent to work remotely or with minimal supervision, and self-disciplined to meet deadlines and manage their own workload.

Question 18

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

Accepted Answer

The answer of Turnaround times for hospital reports fall into...

Question 19

When editing a transcription document,and you flag a certain area. What does this mean?

Accepted Answer

Flagging a certain area in a transcription document means that you are unsure or unable to interpret the flagged area, which could be due to unclear audio or unfamiliar medical terminology.

Question 20

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?

Accepted Answer

Scanning medical reports is not a requirement for other providers, attorneys, or insurance companies to review them. Neatness, completeness, and accuracy are essential for the utility and legality of medical records, but scanning is related to the format of storage and not a prerequisite for review.

Quiz 16: Medical Documents