Term
Medical Statistical Information |
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Definition
paper & electronic information received |
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Term
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File cabinets have locks, shelves have to be stored in a secure room with a lock |
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Indexing units in Alphabetic filing |
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Definition
Last name, first name, middle name or middle initial. Name with only two units is filed before a name is three units, a unit with only an initial is filed before a full name beginning with that initial, business names are indexed in order of the names in the business, if last name has prefix (Mc, Mac, Van, de, Des or D) it is considered part of the last name therefor the first indexing unit, abbreviated first and last names be filed as written, nicknames be filed as if it were the legal name, hyphenated names are indexed as one unit, disregard titles unless the complete name is not given or unless they are necessary to distinguish between two individuals with exact same name, seniority terms such as Jr may be indexed as last unit, numeric seniority terms are indexed in numeric order before alphabetical terms, married women may retain her original name or use maiden and married name. If two last names are used they may or may not hyphenated, it may be necessary to cross index to prevent confusion, names of companies and businesses are indexed in the same order as written, disregard punctuation, articles such as a, an, the, acronym is indexed as one word, Identical names index them first under the name, and then under the location, beginning with the city as the first unit, state as second, street as third, and street number from lowest to highest |
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Term
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Definition
six digit number with a hyphen between each group of two digits, final group of digits is used as first indexing unit, it mixes up active and inactive records in the files so the numbers of the newest (and usually most active) pts are not all located in the same section of the file shelves as they tend to be in a consecutive numeric system |
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minor medical records are kept |
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Definition
til age of majority and statue of states limitations |
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a physician can ___ when it has been 7 years inactive of after statue of limitations has expired |
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best way to back up electronic medical records |
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what is used to prepare a business letter |
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all lines in the inside address, salutation, and body of letter and reference lines are left justified, paragraphs are indented 5-8 spaces, and there are double spaces between paragraphs. Date line, complimentary closing, and signature lines begin in the center of the letter or are sometimes right justified |
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different parts of a letter |
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Definition
Heading, inside address, salutation or greeting, Body of the letter, complimentary closing, signature, printed signature, and title, end notations |
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Spacing in business letter |
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single space with double space between paragraphs |
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Times New Roman 12 point, the entire letter should be one font |
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Letterhead may be centered but all other lines are left justified. One or two blank lines should be left between paragraphs |
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should be used for privacy, and the recipient shoudl be notified by telephone when the ___ is being sent so that he/she can remove it fro receiving fax machine promptly. |
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if an item is strictly confidential, limits delivery to the authorized individual, the individual authorized in writing to sign for the addressee or a parent or guardian. |
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to print postage on envelopes |
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establish and maintain things to protect office & staff |
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Professional Liability insurance |
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Definition
protects a medical professional against pt claims that dx procedures, test or tx either caused an injury or failed to detect an existing medical condition that should have been detected using good medical practice |
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Definition
Date/Time of incident, name and identifying info of the individual(s) involved, address, building and room #, description of how incident occured and exactly what happened, complete description of any injury or potential injury, Name(s) and any identifying info on witnesses, name and contact info for the person in the organization to whom the incident was reported, date of receipt and follow-up by supervisor |
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