- Description
- Objectives
- Outline
- Materials
- Certification
- Approvals
- System Requirements
- Watch a Demo
Our Electronic Health Records Specialist with Medical Billing program will help you gain a better understanding of the EHR systems and the practical use of such systems in a health care provider office setting, while learning about medical office operations, including diagnostic and procedural insurance forms processing.
Electronic Health Records
After completing this course, you should be able to:
- Identify the developmental challenges associated with creating electronic health records
- Define electronic health record and its advantages and disadvantages
- Recognize the importance of patient data privacy
- List the steps for basic coding techniques
- Name the steps for documenting in the EHR
Medical Billing
After completing this course, you should be able to:
- Identify the core elements of health insurance
- List features of the different coding systems and their documentation
- Define the features of processing claim forms both electronic and paper
- Recall the basics of fee and insurance collection
- Recognize the features of various health care payer types
Electronic Health Records
Electronic Health Records Module 1
Introduction to the Electronic Health Record
- What is a Health Record?
- Who Documents in the Health Record?
- Who Owns the Health Record?
- The Electronic Health Record
- Advantages of Electronic Health Records
- Disadvantages of Electronic Health Records
- Role of the Healthcare Professional Using the Electronic Health Record
- Professional Organizations
Electronic Health Records Module 2
Overview of SimChart
- The Medical Practice and Electronic Health Records
- Accessing SCMO Through Evolve
- Getting Comfortable with Electronic Health Records
- SCMO Assignment View
- Features in SCMO
- Establishing and Maintaining a Patient Registry
- Internet Use in the Medical Practice
Electronic Health Records Module 3
Privacy, Confidentiality and Security
- HIPAA Law
- Confidentiality vs. Privacy
- Security Safeguards for the Medical Practice
- Patients’ Rights Under HIPAA
- Access to Protected Health Information
- Patients Protecting Health Information
Electronic Health Records Module 4
Administrative Use of the Electronic Health Record
- Role of the Front Office Assistant
- Communication in the Medical Office
- Incident Reports
- Managing Electronic Health Records
- Calendar
Electronic Health Records Module 5
Clinical Use of the Electronic Health Record
- Documentation in the Electronic Health Record
- Clinical Documentation in the Patient Record
- Tracking Health Screenings and Immunizations
- Using the Electronic Health Record for Patient Education
- The Progress Note
Electronic Health Records Module 6
Using the Electronic Health Record for Reimbursement
- Healthcare Reimbursement
- Revenue Cycle
- Coding Systems
- HCPCS
- Pay for Performance
- SuperBill
- Patient Ledger
- HIPAA 5010 Claim Processing
- Medical Necessity
- Fraud and Abuse
- Patient Statements
- Reporting Features of an EHR
Electronic Health Records Module 7
The Personal Health Record and Patient Portals
- What is a Personal Health Record?
- Innovative Features of Personal Health Records
- Benefits to Providers
- Steps in Creating the Personal Health Record
- Maintaining the Personal Health Record
- Patient Portals
**Outlines are subject to change, as courses and materials are updated.**
Medical Billing
Medical Billing Module 1
Basics of Insurance Billing and Compliance
- Insurance Billing Specialist
- Insurance Claims, Coding, & Billing Background
- Medical Etiquette
- Medical Ethics
- Health Insurance Portability and Accountability Act (HIPAA)
- Fraud and Abuse Laws
- Compliance Programs
- Health Care Reform
- Insurance Policies
Medical Billing Module 2
Basics of Health Insurance
- History of Health Insurance in the United States
- Health Care Reform
- Types of Health Insurance Coverages
- Private Health Insurance
- Managed Care Systems
- Financial Management
- Medicare
- Policies and Regulations
- Medicare Reimbursement
- Claim Submission
Medical Billing Module 3
State Programs and Veterans’ Health Care
- Medicaid Programs
- Medicaid Eligibility
- Medicaid Benefits
- Medicaid Managed Care
- TRICARE
- History of Tricare
- Health Plans
- Veterans Health Administration Program
Medical Billing Module 4
Workers’ Compensation and Disability Programs
- Workers’ Compensation Laws and Insurance
- Types of State Compensation Benefits
- Fraud and Abuse
- Legal Situations
- Reporting Requirements
- Disability Claims
- Disability Income Insurance
- Federal Disability Programs
- State Disability Insurance
- Voluntary Disability Insurance
Medical Billing Module 5
Documentation and Coding for Professional Services
- Documentation Process
- Electronic Health Records
- Health Record Documentation
- Review and Audit of Health Records
- Diagnostic Coding
- Official Guidelines for ICD-10-CM
- Procedural Coding
- Current Procedural Terminology Content and Format
- Code Modifiers
Medical Billing Module 6
Claims Submission in the Medical Office
- The Paper Claim CMS-1500
- Types of Submitted Claims
- Health Insurance Claim Form (CMS-1500)
- Claim Completion Guidelines
- Electronic Claims
- Clearinghouses
- Claim Attachment Standards
- Practice Management System
- Computer Claims Systems
Medical Billing Module 7
The Claim Follow-Up and Payment Process
- Revenue Cycle Management
- Claim Policy Guidelines
- Explanation of Benefits
- Claim Management Techniques
- Rebilling
- Review and Appeal Process
- Filing an Appeal
- Collection Strategies
- Accounts Receivable
Medical Billing Module 8
Healthcare Facility Billing
- Ambulatory Surgery Centers
- Payment Systems
- Payment Rates
- Revenue Cycle Management
- Medical Records for Reimbursement
- Hospital Outpatient and Inpatient Billing
- Employment Opportunities
- Self-Employment
**Outlines are subject to change, as courses and materials are updated.**
All course materials included.
Electronic Health Records
Upon successful completion of our Electronic Health Record Specialist course, students will be prepared for an entry-level position as an Electronic Health Record Specialist in a medical office and to sit for the National Healthcareer Associations' (NHA) national certification exam to become a Certified Electronic Health Record Specialist (CEHRS).
Note: This course is not affiliated with, nor has it been endorsed by National Healthcareer Associations (NHA).
Ed4Career has been approved as an Accredited Provider by the International Association for Continuing Education and Training (IACET). In obtaining this accreditation, Ed4Career has demonstrated that it complies with the ANSI/IACET Standard which is recognized internationally as a standard of good practice. As a result of the Accredited Provider status, Ed4Career is authorized to offer IACET CEUs for courses and programs that qualify under the ANSI/IACET Standard.
The Continuing Education Unit (CEU) was created by IACET as a measurement of continuing education. One (1) IACET CEU is equal to ten (10) contact hours of participation in an organized continuing education experience under responsible sponsorship, capable direction, and qualified instruction. Under IACET's care, the IACET CEU has evolved from a quantitative measure to a hallmark of quality training and instruction. For more information on IACET, visit www.iacet.org.
Internet Connection
- Broadband or High-Speed - DSL, Cable, and Wireless Connections
*Dial-Up internet connections will result in a diminished online experience. Classroom pages may load slowly and viewing large audio and video files may not be possible.
Hardware Requirements
- Processor - 2GHz Processor or Higher
- Memory - 1 GB RAM Minimum Recommended
PC Software Requirements
- Operating Systems - Windows 7 or higher
- Microsoft Office 2013 or higher. Also, you could use a general Word Processing application to save and open Microsoft Office formats (.doc, .docx, .xls, .xlsx, .ppt, .pptx)
- Internet Browsers - Google Chrome is highly recommended
- Cookies MUST be enabled
- Pop-ups MUST be allowed (Pop-up Blocker disabled)
- The Kindle Reader App or VitalSource Bookshelf App are needed for many of our courses (No special equipment needed. This can be downloaded for FREE onto your computer.)
- PowerPoint Viewer (if you do not have PowerPoint)
- Adobe PDF Reader
- QuickTime, Windows Media Player &/or Real Player
MAC Software Requirements
- Operating Systems - Mac OS x 10 or higher with Windows
- Mac office programs or a Word Processing application to save and open Microsoft Office formats (.doc, .docx, .xls, .xlsx, .ppt, .pptx)
- Internet Browsers- Google Chrome is highly recommended
- Cookies MUST be enabled
- Pop-ups MUST be allowed (Pop-up Blocker disabled)
- The Kindle Reader App or VitalSource Bookshelf App are needed for many of our courses (No special equipment needed. This can be downloaded for FREE onto your computer.)
- PowerPoint Viewer (if you do not have PowerPoint)
- Adobe PDF Reader
- Apple QuickTime Media Player