Chapter 2: Process Notes

Question 1

Process Notes are also known as?

Answer 1

Chart Notes.

Question 2

What does Progress Notes do?

Answer 2

Document the details of the patients encounters with the Medical Office.

Question 3

Progress Notes are entered chronologically in the medical record and encompass many types of encounters and communications with the patients such as?

Answer 3

Office visits, phone calls, email, cancellations and no=shows.

Question 4

What is the first way of how does the provider may enter information?

Answer 4

By keying in the text called free texting.

Question 5

What is the second way of how does the provider may enter information?

Answer 5

By using a template of present information and drop down menus of common findings.

Question 6

The provider can also add information from other sections of the record directly onto the progress note such as?

Answer 6

Lab results and medications by clicking the appropriate tabs.