ED-MHC-103 Electronic Health Records Specialist with Medical Billing

Price: 
$3,000.00
Category: 
Medical & Healthcare
Combined Hours: 
540
  Request more info on this course
Course Type: 
Mentor Supported
Bundled Courses:
Electronic Health Records
Medical Billing

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
Career Role and Responsibilities
• Background of Insurance Claims, Coding, and Billing
• Role of The Insurance Billing Specialist
• Professionalism
• Health Insurance Portability and Accountability Act
• Transactions and Code Sets
• National Identifiers
• Compliance Defined
• Fraud and Abuse Laws
• Compliance Audits and Oversight
 
Medical Billing Module 2
Basics of Health Insurance, Medicare, and Medicaid
• History of Health Insurance in the United States
• Health Care Reform
• Private Health Insurance
• Managed Care
• Medicare Policies and Regulations
• Additional Insurance Programs
• Medicaid Programs
• Medicaid Eligibility
 
Medical Billing Module 3
Tricare, Workers’ Compensation, and Disability Income Insurance
• History of Tricare
• Tricare Authorized Providers
• Tricare Health Plans
• Workers’ Compensation Defined
• Workers’ Compensation Insurance Programs
• Workers’ Compensation Eligibility
• Disability Income Insurance Defined
• History of Disability Income Insurance
• Disability Income Insurance Policies
 
Medical Billing Module 4
Medical Documentation and Coding Part I
• The Documentation Process
• Release and Retention of Records
• Abstracting from Health Records
• Review and Audit of Health Records
• Diagnosis Coding Overview
• International Classification of Diseases
• Assigning a Diagnosis Code
• Organization and Format of ICD-10-CM
 
Medical Billing Module 5
Coding Part II
• Understanding the Importance of Procedural Coding Skills
• Current Procedural Terminology Content and Format
• Surgery Guidelines
• Code Modifiers
• Healthcare Common Procedure Coding System
• HCPCS Level II Code Categories
• Modifiers
• Reimbursement for HCPCS Codes
 
Medical Billing Module 6
Claims Submission
• The Paper Claim CMS 1500
• Types of Submitted Claims
• Abstracting from Medical Records
• Basic Guidelines for Submitting a Health Insurance Claim Form (CMS 1500)
• The Electronic Claim
• Standard Unique Identifiers
• Building the Electronic Claim
• Follow-Up of Electronic Claims Processing
 
Medical Billing Module 7
Revenue Cycle Management
• Claim Policy Guidelines
• Explanation of Benefits
• Claim Management Techniques
• Claim Inquiries
• Collection Strategies
• Patient Education
• Collecting Fees
• Self-Pay Billing
 
Medical Billing Module 8
Health Care Facility Billing and Employment
• History of Health Care Facilities
• Types of Health Care Facilities
• Regulation of Health Care Facilities
• Introduction to Facility Billing
• Outpatient and Inpatient Diagnosis Coding Guidelines
• Introduction to Inpatient Facility Procedure Coding
• Employment Opportunities
• Professional Organizations
• 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).

 

 

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