Across
- 5. The detailed process where a transcriptionist listens to a healthcare provider’s recorded voice notes and turns them into accurate, written medical documents. These documents are then reviewed and approved by the provider to become part of the patient’s official medical records
- 8. A code hospitals use to show what services (like room charges or lab tests) they gave to a patient. It helps in billing the insurance company.
- 11. A professional responsible for converting audio recordings of patient encounters, procedures, and treatment plans into written documents, ensuring accuracy and adherence to medical terminology.
- 12. A legally required and standard document where a patient’s medical history, treatments, and health information are systematically recorded and stored, often used in coding and billing processes.
- 13. The process of converting healthcare information into standardized codes.
- 14. This set of codes is used for things not covered by the regular procedure codes, like wheelchairs or other medical supplies.
- 15. The federal law that mandates the protection of patient health information and ensures confidentiality in all healthcare-related communications, including those involving medical transcription.
- 16. This is a system that uses codes to label different diseases or health problems. It helps doctors and hospitals communicate clearly about what a patient is suffering from.
Down
- 1. These are codes that describe the medical treatments and services a doctor performs, like surgeries, tests, or check-ups. Every procedure has its own code for easy identification.
- 2. This code tells about important events in a patient's treatment, like when they were admitted to the hospital or got sick. It helps track key moments in the care process.
- 3. HCPCS (Healthcare Common Procedure Coding System) and Occurrence codes are issued by whom?
- 4. ICD (International Classification of Diseases) is issued by whom?
- 6. The comprehensive electronic system used in healthcare to store, retrieve, and manage patient health information, making it accessible for providers, transcriptionists, and other medical staff.
- 7. CPT (Current Procedural Terminology) and Modifiers are issued by whom?
- 9. Revenue codes are issued by whom?
- 10. These are special codes added to the main procedure codes. They explain if something unusual happened during a procedure, like if the doctor had to do extra work or if it was done in a different way than usual.