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| Preface | |
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| Prerequisites | |
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| New to this Edition with Featured Items | |
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| Course Description | |
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| Objectives | |
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| Student Text-Workbook | |
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| Instructor's Manual | |
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| About the Authors | |
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| Supplements at a Glance | |
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| How to Use StudyWARE? | |
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| Introduction | |
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| Welcome to Hillcrest Medical Center | |
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| Confidentiality Policy | |
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| Legal Issues | |
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| Objectives | |
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| Length of Course | |
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| Certification | |
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| Transcribing Medical Reports | |
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| Evaluations | |
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| Expand Your Knowledge: Word Games and Exercises | |
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| Listing of Appendix | |
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| Association for Healthcare Documentation Integrity | |
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| Medical Transcriptionist Job Descriptions | |
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| AHDI Code of Ethics | |
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| Certification Possibilities--RMT and CMT | |
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| Health Insurance Portability & Accountability Act: MT checklist | |
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| Understanding Medical Records | |
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| History and Physical Examination (H&P) | |
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| Diagnostic Imaging or Radiology Report | |
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| Operative Report (OP) | |
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| Pathology Report (Path) | |
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| Consultation (Consult) | |
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| Discharge Summary | |
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| Death Summary | |
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| Autopsy Report | |
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| Outpatient Model Reports | |
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| Model Report Forms | |
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| References | |
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| Transcription Rules for Hillcrest Medical Center and Quali-Care Clinic | |
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| Style Variations | |
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| Capitalization | |
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| Numbers | |
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| Punctuation | |
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| Abbreviations and Symbols | |
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| List of Metric Measurements | |
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| The Grammar of Microbiology | |
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| Vital Signs | |
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| CMTips? | |
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| Difficult Singular and Plural Words and Phrases | |
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| Temperature versus Fever | |
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| A Tongue Twister | |
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| Dermatology Terms | |
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| Pulmonary Terms | |
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| Race/Age | |
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| Zero Safety | |
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| The Digits | |
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| Time | |
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| Abduction versus Adduction | |
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| Class and Stage | |
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| Connective Tissues | |
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| Subjective versus Objective | |
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| Surgical Terms | |
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| Obstetric Terms | |
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| Cardiology Terms | |
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| The ABO Blood Group | |
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| Jr, Sr, II, and III | |
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| Report Formatting Guidelines | |
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| The Future of Medical Transcription | |
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| Skill-Building Report Log | |
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| Doctors' and Other Professional Names Used | |
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| Understanding Medical Terminology | |
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| Principles | |
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| Prefixes/Pronunciation | |
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| Combining Forms | |
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| Suffixes | |
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| Case Studies | |
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| The Reproductive System | |
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| Glossary | |
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| The Gastrointestinal System | |
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| Glossary | |
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| The Cardiopulmonary System | |
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| Glossary | |
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| The Integumentary System | |
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| Glossary | |
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| The Psychology Neurology System | |
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| Glossary | |
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| The Nervous System | |
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| Glossary | |
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| The Orthopedics/Endocrinology System | |
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| Glossary | |
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| The Vascular/Renal System | |
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| Glossary | |
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| The Musculoskeletal System | |
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| Glossary | |
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| The Respiratory System | |
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| Glossary | |
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| Quali-Care Clinic | |
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| Welcome to Quali-Care Clinic | |
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| Quali-Care Clinic Outpatient Report Log | |
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| Outpatient Reports | |
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| a&b Consult & Echocardiogram (Cardiology) | |
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| Operative Procedure (Genitourinary) | |
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| Operative Report (Orthopedics) | |
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| Surgical Pathology Report (Breast) | |
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| Emergency Dept Treatment Record (Pediatrics) | |
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| Interventional Radiology (Vascular) | |
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| Spine Clinic HPIP Note (Orthopedics) | |
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| Radiology Report (Orthopedics) | |
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| Clinic SOAP Note (Vascular) | |
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| Surgical Procedure (Orthopedics) | |
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| Operative Report (Plastic Surgery) | |
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| Colonoscopy Procedure (Gastroenterology) | |
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| Clinic HPIP Note (Internal Medicine) | |
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| Operative Report (Neurosurgery) | |
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| Operative Report (Urology) | |
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| Radiology Report (Orthopedic/Neurology) | |
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| Clinic Followup Note (Pediatric Neurology) | |
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| Operative Report (Obstetrics) | |
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| Operative Report (Orthopedics) | |
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| Clinic Followup Note (Vascular) | |
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| Operative Report (Dentistry) | |
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| Operative Report (Orthopedics) | |
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| Consult (Orthopedics) | |
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| Psychological Evaluation (Psychology) | |
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| a&b Letter & Consult (Cardiology) | |
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| Expand Your Knowledge | |
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| Crossword Puzzles 1 through 17 | |
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| Proofreading Exercises 1 through 12 | |
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| Common Dictation Errors | |
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| Appendix | |
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| Proofreader's Marks | |
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| Challenging Medical Words, Phrases, Prefixes | |
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| Sample Patient History Form | |
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| The Lund Browder Chart | |
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| Laboratory Test Information | |
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| Sample Forms for Ordering Laboratory Tests, Scheduling Radiology Tests | |
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| Physical Therapy Consults, Sleep Studies | |
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| Building a Reference Library | |
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| Web Sites for Transcriptionist' Professional Association | |
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| "A Healthcare Controlled Vocabulary" | |
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| Official "Do Not Use" List from The Joint Commission | |
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| Bibliography | |
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| Index | |