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Course Information
Business and Information Technology Education
BT00120
Medical Transcription
180.00
This course will provide students with a strong foundation for placement in the Medical Office using machine transcribers. Emphasis is on developing transcription skills from voice media into usable medical communication. Correct formatting of medical documents, medical definitions, and correct spelling of medical terminology are also emphasized.
Jaclyn Arnold
(405) 743-5419
jaclyn.arnold@careertech.ok.gov
Medical Insurance
AAMA Grammar
-Determine the correct usage of the following: numbers, measurements, test results, visual acuity, catheter sizes, cranial nerves, drugs, and injections
-Determine the correct punctuation
-Utilize correct sentence structure

Letter Transcription
-Identify the correct placement of the physician, typist, and dictators initials
-Determine the correct heading format for the continuation page headers
-Identify the correct placement for typists initials, enclosures, and copy notations
-Utilize the modified block format for letters
-Identify the two standard business letter styles
-Identify accepted practices when typing multiple page letters
-Utilize mixed punctuation in business letters

Medical Terminology
-Define the following terms: aphasia, choledoch/o, cysto, inter, stomat/o, -malacia, olig/o, ectasis, a-, an-, ana-, and -rrhaphy
-Define the following abbreviations: gtt, BBB, UA, a.c., AP, NSAID, Bx, and KUB
-Identify the word elements and organs in the digestive system
-List the five body cavities
-Identify the four major parts of the colon
-Determine the correct spelling and usage for the following words: mucous, pustules, dysphasia, and salpingo-oophorectomy
-Identify spelling errors in paragraphs
-Identify the bones in the extremities
-Determine the correct format for listing vertebrae
-Identify the three major components of medical terminology

Law and Ethics
-Define non-privileged information
-Determine the reasons for keeping accurate, thorough patient medical records
-Determine properties of patient record
-Define PHI
-Define standards of care
-Define HIPAA and Confidentiality Practices
-Define TPO
-Determine what format to use for filing information in patient records
-Determine what information is to be released to patients without doctor's review
-Determine the procedures for filing transcribed documents in medical charts

Medical Report Transcription
-List the synonyms for diagnosis
-Identify the different types of medical reports
-Determine the different formats for each report
-Identify the Chart Notes and Progress Notes formats
-Define POMR and which section of the report it would be located in
-Identify how to list the pre-operative and post-operative diagnoses if they are exactly the same
-Define physical examination and its acronym
-Define interval history

Brainbench: http://www.brainbench.com/
Required Brainbench Certifications (or equivalent industry certification):
-Medical Transcription

Recommended Additional Brainbench Competency Testing:
-Anatomy & Physiology
-English Vocabulary
-Spelling (US)

Brainbench: http://www.okcareertech.org/educators/assessments-and-testing/brainbench-testing.
American Association for Medical Transcription
-Certified Medical Transcriptionist
Textbooks:
Hillcrest Medical Center: Beginning Medical Transcription Course, Delmar.
Medical Language: Focus on Terminology, Cengage Learning.
Medical Terminology for Health Professions, Cengage Learning.
Medical Transcription, Paradigm
MindTap Medical Terminology, Cengage Learning.
SUM Beginning Medical Transcription Unit - Software, Health Professionals Institute, http://www.hpisum.com/medical-transcription-store/mt-training/.
The Medical Transcription Workbook, Health Professions Institute, http://www.hpisum.com/medical-transcription-store/textbooks/.

Equipment:
Foot Pedal, Health Professionals Institute, http://www.hpisum.com/medical-transcription-store/equipment/.

Related Textbooks:
Benchmark Series: Microsoft Access 2010, Level 1, Paradigm.
College Accounting Student Edition, McGraw-Hill.
Coding Basics: Understanding Medical Collections, Cengage Learning.
Getting Started in the Computerized Medical Office: Fundamentals and Practice, Textbook and Workbook, Cengage Learning.
Exploring Electronic Health Records, Paradigm.
From Patient to Payment: Insurance Procedures for the Medical Office, McGraw-Hill.
Insurance Handbook for the Medical Office, Elsevier.
Law and Ethics for Medical Careers, McGraw-Hill.
Medical Billing 101, Cengage Learning.
Medical Insurance, An Integrated Claims Process Approach, McGraw-Hill.
Patient Billing, McGraw-Hill.
Understanding Health Insurance, A Guide to Billing and Reimbursement, Cengage Learning.
Virtual Medical Office: Insurance Handbook for the Medical Office, Elsevier.

Business Management and Administration Career Cluster:
http://careertech.org/business.

ctYou.org Resources by Subject:
http://moodle.okcareertech.org/mod/book/view.php?id=1268.

Free Resources:
GCF LearnFree: www.gcflearnfree.org.
Microsoft Office Reference Guide: http://freecomputerbooks.comMicrosoft_Office_Reference_Guide.html.
Microsoft: http://office.microsoft.com/en-us/training/.
What's New in Office 2013 - Your Unofficial Overview: http://freecomputerbooks.tradepub.com/free/w_make101/?p=w_make101.

Interactive Tools:
MindTap, Cengage Learning.
SAM, Cengage Learning.
SNAP, Paradigm.

Online:
http://www.lynda.com/.
Keyboardingonline.com, Ten Key Mastery.
YouTube, Medical Office Assistant Training Videos, https://www.youtube.com/results?search_query=medical+office+assistant+training+videos.
Youtube, ICD-10 Coding, https://www.youtube.com/results?search_query=icd-10+coding.

Reference:
Coder's Desk Reference for Procedure, Cengage Learning.
Coder's Dictionary, Cengage Learning.
Current Procedural Terminology (CPT), American Medical Association, http://www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/coding-billing-insurance/cpt.page.
Gregg College Keyboarding & Document Processing, with Microsoft Word 2013, Ober, Johnson, Zimmerly, McGraw-Hill.
Gregg Reference Manual, McGraw-Hill.
Gregg Reference Manual - Basic Worksheets, McGraw-Hill.
International Classification of Diseases, Clinical Modifications (ICD-9-CM), Centers for Disease Control and Prevention, http://www.cdc.gov/nchs/icd/icd9cm.htm.
Mosby's Dictionary of Medicine, Nursing, & Health Professionals, Mosby's Inc., McGraw-Hill.
Stedman's Medical Dictionary for Health Professions and Nursing, ISBN: 0-781762-12-X.
2013 HCPCS Level II Standard Edition, Saunders Elsevier.
2014 ICD-10-CM Draft Edition, Carol Buck, Saunders Elsevier.


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Career Majors That Sequence This Course
Career Cluster Pathway Career Major
Business Management & Administration Administrative Support Medical Transcriptionist