Intro to Transcription
Chapter 6
Worksheet
1. Explain the twofold role of medical office charting.
2. Explain the turnaround time parameters for medical office charting.
3. Explain coding and how a medical transcriptionist may be asked to assist with this office function.
4. List the three types of medical office visits and the corresponding chart notes.
5. Describe preventive medicine and how it relates to charting.
6. Name the two basic categories of privately practicing physicians, and describe how their correspondence differs.
7. What is the difference between objective and subjective data, and what are their equivalents in the “HEAP” format?
8. Name and describe at least three major letter components.
9. What is the difference between mixed and open punctuation?
10. Name and describe the letter style that contains a tab at the beginning of each new paragraph.
_____ 1. One medical office visit can be linked to another office visit.
_____ 2. The CPT-4 and ICD-9-CM are texts used for coding.
_____ 3. A patient’s signs are “subjective” findings and a patient’s symptoms are “objective” findings.
_____ 4. The problem-oriented format is often used for checkups.
_____ 5. General practitioners are physicians who generally provide specific body system health care.
_____ 6. Specialists primarily dictate letters of introduction.
_____ 7. Chart notes are usually keyed on letterhead.
_____ 8. With left justified letters, test is equally spaced between margins and lines up on both margins.
_____ 9. Use at least two blank lines between the inside address and any postal letter notations.
_____ 10. The complimentary close and signature block should not stand alone on a page.
