Ambulatory Techniques

Words: 795
Pages: 4

1. Define ambulatory visits:
This is when the patient goes to the hospital as an outpatient surgery, such as endoscopy procedure and after a short recovery the patient goes back home the same day.
2. Describe outpatient diagnostic encounters:
This is when the patient goes to the hospital for testing, such as x-ray or blood test.
3. Identify the difference between a medical record number and an account number:
Medical record number is the number assigned to this patient for every and any time this patient receives any kind of service in this network, and it always remains the same for the patient. In addition to the record number, for each encounter, the patient receives an account number, which will be always different for each time the patient
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Describe the 3 steps required to scan a document into the EHR:
Step 1- Prepping: making sure that the document has the correct patient’s information in each page and that the document is not tore or has no staples to be able to pass through the scanner with not problems. This step makes sure that the document reflexes the correct patient and the appropriate encounter for that patient.
Step2- Scanning: Putting the prep documents on the feeder of the scanner, and if it was prep correctly it will go through with no problems.
Step three-Indexing and Quality Assurance: Here you have to look each and every document and validate that each document is matching with the correct patient encounter.

6. Identify the two acceptable ways of paper record destruction discussed in the video:
- Incineration
- Giant shedders
7. Describe the three mandatory Conditions of Participation components for physician order completion. (HIM analysis technicians must ensure these three components are present on every physician order).
1) Date
2) Time
3) Signature
8. During record analysis, an HIM professional must check for these three common (generally physician-created) medical record reports. Name these three common