EHR, Billing and Coding

EHR, Billing and Coding introduces students to the concept and fundamentals of Electronic Health Records (EHR) and Electronic Medical Records (EMR) in Canada (hereafter referred to as EHR). Students learn how to choose an EHR, implement it in a medical office, and how to troubleshoot. Students are introduced to various software and their functions, including billing and coding, scheduling, patient registry, and privacy and security legislation for a medical environment. The course combines theoretical and practical hands-on use of an EHR from both administrative and clinical perspectives.

COURSE PREREQUISITE(S)

Basic knowledge of computers, internet, and software installation is required; Understanding of medical terminology and the medical industry is strongly preferred

METHOD OF DELIVERY

This course consists of 9 days (39 hours) of daily online learning sessions in the Healthcare Hybrid format.

COURSE NOTES

Students are supplied with a textbook and EHR software for ongoing reference and homework. The courseware contains daily practice quizzes to prepare students for a final exam. Students must achieve a mark of 75% to successfully complete the course.

INTRODUCTION TO ELECTRONIC HEALTH RECORDS:

Identifying what a medical record is, advantages and disadvantages of EHRs, and the role of the healthcare professional using EHRs

TRANSITIONING FROM PAPER CHARTS TO ELECTRONIC HEALTH RECORDS:

Comparing and selecting an EHR vendor and network platform, collecting and entering data, measuring results, and conducting ongoing evaluations

OVERVIEW OF ELECTRONIC HEALTH RECORDS SOFTWARE:

Establishing and maintaining a patient registry, and introduction to a live student-version of EHR medical software for hands-on practice and homework:

ADMINISTRATIVE USE OF THE ELECTRONIC HEALTH RECORDS:

Identifying the role of the Medical Office Assistant, managing electronic records, and patient scheduling and flow

USING THE ELECTRONIC HEALTH RECORD FOR REIMBURSEMENT, BILLING AND CODING:

Identifying and understanding various provincial coding systems, understanding provincial health insurance plans and codes, familiarity with World Health Organization ICD-9 and ICD-10 codes, billing, and fraud and claims abuse

CLINICAL USE OF THE ELECTRONIC HEALTH RECORD:

Identifying and understanding documentation in the EHR, and documenting patient history

PRIVACY, CONFIDENTIALITY, AND SECURITY:

Understanding privacy and security issues, patients’ rights under Canadian legislation, and how patients can protect their health information

HEALTH PROMOTION, PATIENT EDUCATION, AND CLINICAL DECISION SUPPORT:

Using the EHR for health promotion by plotting data over time to reveal a patient’s health trend, improving patient safety by providing evidence-based protocols for specific conditions to be used as physician decision support, and aiding a patient to have an increased chance of living a healthy, satisfying life by providing education to teach how to be proactive about health

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Course Duration