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Medical Assisting
Chapter 7

Second Edition

Ramutkowski Booth Pugh Thompson Whicker

Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display.

Managing Correspondences and Mail

Objectives
7-1 List the supplies necessary for creating
and mailing professional-looking
correspondence.
7-2 Identify the types of correspondence used
in medical office communications.
7-3 Describe the parts of a letter and the
different letter and punctuation styles.
7-4 Compose a business letter.

Managing Correspondences and Mail


(cont.)

Objectives
7-5 Explain the tasks involved in editing and
proofreading.
7-6 Describe the process of handling incoming
and outgoing mail.
7-7 Compare and contrast the services provided
by the U.S. Postal Service and other delivery
services.
3

Correspondence and
Professionalism
Send

Create

Medical Practice,Inc.
111 One Dr.
Any, St. 11111

Mr. Some One


10 Any Lane
Any, State 11111

Receive

It is essential that medical assistants learn to:

Create
Send
Receive

well-written, neat correspondences to


ensure that a positive and
professional image is communicated
for the medical office.

Choosing Correspondence Supplies


Letterhead Paper

Envelopes

Supplies
Supplies
Labels

Statements

Invoices
5

Choosing Correspondence Supplies


(cont.)
Letterhead Paper
Description
Refers to formal business
stationary
Doctors or office name,
address, and phone number
usually printed at the top
Used for correspondence with
patients, colleagues, and
vendors

Types
Cotton Bond (Rag Bond)
Contains cotton & chemically
treated wood pulp
Contains a watermark & is a
expensive more paper
Sulfite Bond
Made from chemically
treated wood pulp
Has 5 grades of quality
6

Choosing Correspondence Supplies


(cont.)

No. 10

Tan kraft
Most common
Used for
correspondence
Measures 4 by 9

Clasp envelopes
Used to send
large or bulky
documents

Invoice

Padded

Used for invoices or statements


Range from No. 6 (3 5/8 by
6 inches) to No. 10
Has a transparent window

Used to send slides or other


materials that might become
damaged
7

Choosing Correspondence Supplies


(cont.)
Labels Printed computerized address labels can save
a large amount of time.

Invoices & Statements


Types used today include:
Preprinted invoices (to send an original bill)
Preprinted statements (used to send reminders of
bills past due)
Computer-generated invoices & statements
Superbills
Data mailers

Apply Your Knowledge -Answer


The medical assistant has been requested to mail the
insurance contractual agreement back to the insurance
company. This is a 22-page document. Which of the
following envelopes should be used?

A.No. 6
B. Tan kraft
C. No. 10
This would be a rather bulky document so a
standard envelope will not work.

Written Correspondence

The purpose of most letters is to explain,


clarify, or provide information for:

Referrals
Scheduling
Patient Reports
Patient Education
Insurance/Billing Information
Cover or Form Letters
10

Written Correspondence (cont.)


Parts of a Business Letter
Dateline
Has month, day, and year
Begins 3 lines below
letterhead text on line 15.
Inside Address
Includes information
needed for correct delivery
(i.e. title, address, city and
state, etc.).

Attention Line
Used when letter is sent to
specific person in a
company.
Salutation
Written greeting such as
Dear.
11

Written Correspondence (cont.)


Parts of a Business Letter
Subject Line
Typed two lines below
salutation & two lines
above body
Used to bring attention to
subject
Signature Block

Body
Begins two lines below
salutation
Text is single-spaced and
double-spaced between
paragraphs
Complimentary Closing

Places writers name on 1st


Placed two lines below body
line & business title on 2nd line Sincerely is commonly used 12

Written Correspondence (cont.)


Parts of a Business Letter
Identification Line
Consists of the letter writers
initials followed by a colon
or slash mark along with the
typists initial
Is typed two lines below the
signature block and flush to
the left

Notations
May be abbreviated as Encl,
Enc, or Encs
Copy notation (cc) appears
after the enclosure notation
Includes information such as
number of enclosures and
letter recipients
13

Written Correspondence (cont.)


Punctuation Styles

Open

Mixed

14

Written Correspondence (cont.)

Open Punctuation uses no punctuation


after these items in a letter:

The word Attention in the attention line


The salutation
The complimentary closing
The signature block
The enclosure and copy notations
15

Written Correspondence (cont.)

Mixed Punctuation includes the


following:

A colon after Attention in the attention


line
A colon after the salutation
A comma after the complimentary closing
A colon or period after the enclosure
notation
A colon after the copy notation
16

Written Correspondence (cont.)


One-inch margins on the left & right with 8 inch paper
Letter should be centered according to length
Single-space body of letter and double-space between paragraphs
Short sentences no greater than 20 words on an average
Have at least two sentences per paragraph
Divide paragraphs longer than 10 lines into two paragraphs.
For multi-page letters use letterhead first page only.
17

Written Correspondence (cont.)


Letter Style

Description

Full-Block

Lines are typed flush left, no indented paragraphs

Modified-Block

Dateline, complimentary closing, signature block and


notations are aligned at the center of page or to the
right.

Modified-Block
with Indented
Paragraphs

Paragraphs are indented

Simplified

Most modern letter style


No salutation, courtesy title, or closing
Has a subject line in all capital letters

18

Apply Your Knowledge -Answer


What should the medical assistant do if a mailing is to be
sent to an organization to request x-ray films, but no
specific name or title is given to address it to? Which of
the following would you use?
A. To Whom It May Concern
B. Attention: To Whom It May Concern
C. Dear Sir/Madam
D. Dear Radiology Department
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Effective Writing

Identify your reading audience to determine


tone of letter (formal or relaxed)
Be clear and concise
Use active voice when possible (passive voice
is best when relaying negative news)
Be polite and courteous
Check spelling and content accuracy like with
dates and monetary figures
20

Editing and Proofreading


Dictionary

Medical Dictionary

Tools for Editing


And Proofreading
Physicians Desk
Reference (PDR)

English Grammar &


Usage Manual

Word Processing Spell Checkers


21

Editing and Proofreading (cont.)


Editing

Language Usage

Proofreading

Employ basic grammar


rules

Content

Content should follow a


logical progression
Use an appropriate
writing style

Proofreading

Check the document for


errors after you have put it
aside
Also ask a coworker to
proof your work if possible
Three types of errors:

Formatting Errors
Data Errors
Mechanical Errors

22

Apply Your Knowledge -Answer


A letter must be sent to current employees that have
exceeded their number of absences according to office
policy. Which of the following would be most appropriate.
A. Dear _____, The attendance policy of this office requires that.
B. Dear _____, You have violated the attendance policy of this .
C. Dear _____, Are you aware that you have missed X days.
This correspondence must communicate the facts in a soft
manner while getting ones point across. The first response
begins with identifying the fact or policy followed by the
individuals performance and is less subjective or punitive.

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Preparing Outgoing Mail

Signing Letters

Preparing the Envelope

If you sign for the doctor, place your initials after


the doctors signature
Use USPS guidelines for addressing envelopes

Folding and Inserting the Mail

Type of envelope determines the way a letter


should be folded (folded in thirds, in half, etc.)
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Mailing Equipment and Supplies


Airmail

Registered Mail

Express Mail

Priority Mail

Common
Mailing
Supplies
For:

Private Delivery
Companies

Certified Mail
25

Mailing Equipment and Supplies (cont.)

Airmail Supplies

Envelopes for Overnight Delivery Services

Letters and packages must be labeled


AIRMAIL on all sides
USPS and other companies require the use of
their own mailing materials for next day delivery

Postal Rates, Scales, and Meters

Rates and regulations change periodically so keep


current rates on-hand at the medical office
26

U.S. Postal Service Delivery

First Class
Must weigh no
more than 11 oz
Cost is based on
weight
Mail is forwarded at
no extra cost

Fourth Class
Also called parcel
post & is used for items
weighing between 1 lb
and
70 lbs
Rates are based on
weight and distance
27

U.S. Postal Service Delivery


(cont.)
Priority Mail

Useful for heavier


items requiring faster
delivery
USPS offers a flat
rate for any items
that can fit into the
priority envelope
USPS guarantees
delivery within 2-3
days

Express Mail

The quickest USPS


service
Delivery service
available everyday
Rates vary with weight
Items automatically
insured against loss or
damage
Special flat rate also
available
28

U.S. Postal Service Delivery (cont.)


Special Delivery
Deliveries made before regular mail delivery
Limited hours and distance limits availability

Certified Mail
Offers a guarantee that the item has been received
Requires signature of recipient

Return Receipt Requested


Offers proof of who received the item and when they received it

Registered Mail
Used to send valuable, important items
Evidence provided of mailing and delivery to sender
First-class and priority mail can be registered

29

U.S. Postal Service Delivery


(cont.)
International Mail

Tracing Mail

USPS offers surface


and airmail services
to most foreign
countries

Service used if a piece of


certified or registered
mail does not reach its
destination on time

International mail
classes are similar to
domestic mail

The original receipt must


be presented to locate
the item
30

Other Delivery Services


Delivery Service

Description

United Parcel Service


(UPS)

Express Delivery
Services

Messengers or
Carriers

Provides overnight letter and


express services
Packages insured
Federal Express
Airborne
Delivers items locally on the same
day
31

Apply Your Knowledge


Which type of mail would you use to send each of the
following:
Confidential Laboratory Results
Signed and dated contract materials
Patient Invoice and Billing Statements
A. First Class Mail
B. Priority Mail
C. Certified Mail
D. Registered Mail

32

Apply Your Knowledge -Answer


Which type of mail would you use to send each of the
following:
Confidential Laboratory Results

C or D

Signed and dated contract materials

C or D

Patient Invoice and Billing Statements


A. First Class Mail
B. Priority Mail
C. Certified Mail
D. Registered Mail

33

Processing Incoming Mail

Sort

Distribute

Annotate

Record

Open
34

Processing Incoming Mail (cont.)


Sorting and Opening

Recording

Mail is often sorted


according to its priority
Do not sort mail in a
cluttered area

By keeping a log of daily


mail, it can be traced as to
when received and when
correspondences were sent if
needed

Annotating
Outlining key points and
documenting reminders from
the correspondence

Distributing
Sorting and delivering items
to mail recipients
Order in terms of priority 35

Processing Incoming Mail (cont.)


Do
Place only nonprescription
products according to office
policy in patient areas
Sort and store other
prescription items in locked
cabinet
Destroy out-dated samples

Do Not
Give patients sample without the
physician instructing you to do so
Fail to document in patient record
when samples are given per the
physician request
Discard medication samples in
trash cans
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Apply Your Knowledge -Answer


The medical assistant has been instructed to give a patient
some medication samples. The patient indicates she will
not be able to purchase her blood sugar medications for
another two weeks. Since the physician is providing her
with enough samples to last two weeks, what should the
medical assistant do after giving the samples, and why?
Give the quantity of medication as instructed by the
physician then document and date this in the patients
record for future reference. Also, depending on office policy
and remaining quantity, the remaining blood sugar pills
may need to be destroyed.

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End of Chapter

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