Medical Transcription. Techniques and Procedures

By Marcy O. Diehl, BVE, CMA-A, CMT, AHDI-F, Professor Emeritus, Medical Transcriptionist Specialist Curriculum, Grossmont Community College, El Cajon, California

Description:

Master the fundamentals of medical transcription and meet the challenges of the evolving medical transcription field with Medical Transcription: Techniques and Procedures, 7th Edition. Respected authority Marcy O. Diehl delivers proven, practical training in the skills and technology essential to your success, including proofreading, editing, speech recognition technology, and more. This new edition also reflects an increased emphasis on medical editing and other related fields to keep you current with the changing medical transcription profession and fully prepare you for your role in health information management.

Features:

• Comprehensive coverage and practical exercises demonstrate fundamental editing/transcription concepts and boost your proficiency in:
  • Punctuation
  • Capitalization
  • Numbers
  • Abbreviations and symbols
  • Word endings
  • Formation of plural forms
• Exercises and helpful hints enhance your proofreading and editing skills and help you prevent common errors.
• Extensive practice and review exercises on Evolve reinforce your understanding and give you the experience to confidently move into the transcription workforce.

New To This Edition:

• New chapter highlights the transcriptionist's emerging role as a medical editor and how it impacts health information management and patient safety.
• Take Note boxes provide quick access to key editing/transcription tips.
• From the Field sections deliver helpful insight from practicing medical transcriptionists.
• Updated information familiarizes you with the latest medical transcription equipment.
• Live transcription exercises help you meet the Association for Healthcare Documentation Integrity (ADHI)'s live transcription requirement and practice applying your transcription skills to scenarios commonly encountered in practice.
• Additional exercises test your ability to edit voice recognition software-generated reports.

Table of Contents:

Section 1: Career Role and Responsibilities

1. The Medical Transcription's Career, Including Ethical and Legal Responsibilities

Section 2: Tools of Transcription

2. Equipment and Technology

Section 3: Transcription Guidelines

3. Punctuation
4. Capitalization
5. Transcribing Numbers, Figures, and Abbreviations
6. Letter Transcription
7. Proofreading, Making Corrections, and Quality Assurance
8. Using Reference Books: Learn How to Get Help From the Experts
9. Word Endings: Plurals, Nouns, and Adjectives
10. Grammar Review

Section 4: Medical Records and Reports

11. Outpatient Medical Chart Notes and Daily Progress Notes
12. Preparation of a History and Physical Examination Report
13. Preparation of Miscellaneous Medical Reports

Section 5: Correspondence and Business Documents

14. Writing Business Documents: Email, Memos, Agendas, Minutes, and Policies
15. Making the Transition from MT to Speech Recognition Editor
16. Establishing Your Career and Applying for Transcribing Positions

Section 6: Appendices

A: Answers to Tests
B: Reference Materials
C: Medical Documents
D. Rules and Helpful Hints for Transcribing