The HIPAA Journal

MARCH 20, 2025

Lake Washington Vascular was unable to determine exactly what information was viewed or extracted from its systems and said the information likely compromised included names, dates of birth, addresses, diagnostic test results, medical histories, diagnosis and treatment information, payer identification numbers, and government-issued identifiers.

Hospice 67

Hospice HIPAA Medical History Diagnostics 67

Valant

JULY 24, 2024

The information recorded may include symptoms, medical history, test results, diagnoses, treatment plans, prescription medications, and progress made at appointments. Mental health progress notes, also known as clinical notes or treatment notes, are a key part of every behavioral health practice.

Medical History 98

Medical History Physical Exams Vital Signs Documentation 98

Phlebotomy Careers

JUNE 23, 2025

A phlebotomist is a ‌healthcare professional trained to draw blood from‌ patients for laboratory testing, donations, ⁤or research purposes. What Is⁣ a Phlebotomist? Their role ‌is crucial in diagnosing illnesses, monitoring health conditions, and⁤ ensuring the safety of blood supplies.

Certification 40

Certification Medical Terminology Sterilization Medical History 40

Mobius MD

NOVEMBER 18, 2024

AI-driven clinical decision support (CDS) tools draw on vast datasets–including a patient’s medical history, current health data, and recent medical research–to provide treatment suggestions tailored to each patient. This technology doesn’t replace radiologists.

Triage 52

Triage Documentation Appointments Diagnostics 52

Northwest Career College

MARCH 28, 2025

What is an Electronic Medical Record? Electronic medical records are, for the most part, an electronic version of the patient chart. They contain a core set of information, including: Medical histories. Results of the diagnostic tests. Medications; treatment plans: The records of the Doctor and the nurse.

Medical Administrative Assistant 40

Medical Administrative Assistant Medication Medical Terminology HIPAA 40

Prism Career Institute

FEBRUARY 4, 2025

When a doctor comes in and evaluates the patient, they may decide a test or treatment is necessary. Medical assistants will be asked to help prep the patient and the required tools and equipment for these procedures. They may even be asked to perform diagnostic testing themselves.

Medical Assistant 52

Medical Assistant Medication Vital Signs Tests 52

Arkenea

JUNE 9, 2025

Electronic Health Records, or EHR, are digital libraries that house invaluable patient medical history data. From clinical observations to diagnoses, medications, and immunization schedules, it’s all there, at a healthcare provider’s fingertips. That’s where EHR interoperability comes in.

Unit Organization and Environment 52

Unit Organization and Environment Documentation Patient Satisfaction Certification 52

Valant

MARCH 30, 2024

Evidence-based assessment tools can help clinicians gather objective data to inform their diagnostic impressions and treatment planning. These types of assessments can include standardized psychological tests, clinical interviews, and symptom inventories. This helps clinicians tailor their treatment approach accordingly.

Best Practices 52

Best Practices Medical History Communication Documentation 52

Prism Career Institute

FEBRUARY 23, 2024

The responsibilities of an emergency medical assistant will depend on the specific needs of the patient, but they generally involve the following duties: Measuring patients’ vital signs such as blood pressure, pulse rate, and respiration rate, as well as monitoring them at regular intervals to confirm patients’ health Documenting important patient (..)

Medical Assistant 52

Medical Assistant Medication Vital Signs Medical History 52

Myndshft Blog

OCTOBER 26, 2023

What distinguishes medical prior auth from pharma prior auth? Medical prior authorizations pertain to the pre-approval necessary for various healthcare services like surgeries, diagnostic tests, or medical equipment. Clinical Justifications: Both types require clinical evidence, but the specifics differ.

Medication 40

Medication Diagnostics Medical History Tests 40

CollaborateMD

MAY 25, 2023

Oncology medical billing is the process of submitting claims to insurance companies or other payers for oncology-related billing services associated with cancer management. The process involves verifying the patient’s coverage, accurately documenting medical history, submitting claims promptly, and ensuring compliance with regulations.

Billing 52

Billing Medication Medical Coding Insurance 52

Sensible Medicine

JANUARY 31, 2025

Third, race seemed to be often used as a lazy and imprecise stand in for the social history, a stand in that was as likely to be wrong as it was to invite stereotyping. In the years that followed, I learned of efforts to remove racial identifiers from medical textbooks and test questions. We do this with BRCA testing.

Tests 242

Tests Diagnostics Follow-Up Medical History 242

Northwest Career College

MARCH 2, 2024

Patient education offered by medical assistants primarily focuses on explaining anatomy, physiology, and pathology concepts related to a medical diagnosis; the preparation for and recovery from various medical procedures recommended by the provider; and how tests, medications, and procedures fit together as the steps of a multi-stage treatment plan.

Patient Education 40

Patient Education Medical Assistant Medication Patient Satisfaction 40

Prism Career Institute

MARCH 11, 2025

Their job duties can vary by work environment, location, and experience, but they often include responsibilities like: Interviewing patients and recording their medical history Taking patients’ vital signs Drawing blood or giving injections Collecting and preparing laboratory specimens Assisting with diagnostic tests Updating and filing medical (..)

Medical Assistant 52

Medical Assistant Certified Nursing Assistant Medication Unit Organization and Environment 52

Southern Careers Institute

OCTOBER 18, 2023

Physician’s Offices Physician’s offices are often the first place that comes to mind when thinking about where medical assistants work. In these settings, medical assistants serve as the right hand of healthcare providers. They also assist with minor surgical procedures, administer medications, and manage medical records.

Medical Assistant 52

Medical Assistant Medication Outpatient Care Vital Signs 52

Arkenea

DECEMBER 8, 2024

Drawback of APIs in healthcare is the lack of design, proper testing, and monitoring tools. They transfer patient information, including treatment records, medical history, billing, and more. Streamline Information Sharing With the help of APIs, patients can share diagnostic and treatment information with doctors or clinics.

Transfers 52

Transfers Tests Insurance Follow-Up 52

MedAssistantEDU.org

SEPTEMBER 8, 2021

Theoretical part- A medical assistant training program curriculum may vary depending upon the institution and duration of the program. This is because the healthcare industry is a significant contributor to the economic development of a country.

Medical Assistant 40

Medical Assistant Medication Certification Follow-Up 40

The HIPAA Journal

JUNE 12, 2025

The patient had a medical history that included dementia with behavioral disturbances, major depression, and manic episodes. She reported 10/10 pain, left lower quadrant pain, extreme cramping, and bleeding, and had a positive pregnancy test with her OB/GYN earlier that day.

Transfers 47

Transfers Discharges Medical History Hospital 47

Minority Nurse

SEPTEMBER 4, 2023

History and Assessment Mr. Salzo’s medical history is significant for childhood asthma and hypertension. Further diagnostic tests reveal that the mass is a malignant neoplasm. Mr. Salzo’s diagnostic presentation appeared typical for asthma. The patient states, “I have not been sleeping that well.

Triage 105

Triage Collaboration Diagnostics Vital Signs 105

Ciox

AUGUST 3, 2023

This lack of interoperability in healthcare results in: Inefficient Care: Without access to comprehensive patient records, healthcare providers may need to duplicate tests and procedures, leading to inefficiencies and increased healthcare costs. This ensures that the specialists are well-informed about the pregnancy and any potential risks.

Unit Organization and Environment 40

Unit Organization and Environment Medical History Transfers Collaboration 40

Arkenea

FEBRUARY 14, 2025

Physicians can streamline the documentation procedures, and generate medical charts, also discharge instructions. For example, a physician at Brigham and Women’s Hospital in Boston tested ChatGPT by asking for a chart for a fictional patient suffering from a cough. This helps in streamlining the medical record-keeping process.

Discharges 52

Discharges Follow-Up Problem Solving Skills Appointments 52

Milwaukee Career College

NOVEMBER 12, 2019

Clinical coursework covers anatomy, medical terminology, exam techniques, procedures, pharmacology, CPR, and nursing skills. Instructors emphasize patient interviews, diagnostic testing, and lab work to ensure students are prepared for real-world challenges. Medical assistants work in nearly every healthcare setting!

Medical Assistant 52

Medical Assistant Medication Bookkeeping Medical Terminology 52

Northwest Career College

MAY 20, 2024

In clinical terms, medical assistants are highly trained individuals who carry out a broad scope of responsibilities regarding care to the patient, as guided by a physician or another health practitioner. Expanded Scope of Practice Lately, there has been the possibility of expanded scopes of practice for medical assistants.

Medical Assistant 40

Medical Assistant Medication Vital Signs Medical Administrative Assistant 40

Prism Career Institute

MAY 20, 2025

The mnemonic includes the following steps: History: Knowing the patients medical history can help you avoid using treatment methods that may cause complications. Whether it is the cause of the injury or any medications they are currently taking, these details can make a difference.

Best Practices 80

Best Practices Communication Medical History Medication 80