Electronic Health Records Management - Certification Program

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
• The Medical Practice and Electronic Health Records
• Getting Comfortable with Electronic Health Records
• Establishing and Maintaining a Patient Registry
• Internet Use in the Medical Practice

Electronic Health Records Module 2
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 3
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 4
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 5

Using the Electronic Health Record for Reimbursement

• Healthcare Reimbursement
• Revenue Cycle
• Coding Systems
• HCPCS
• Patient Ledger
• HIPAA 5010 Claim Processing
• Medical Necessity
• Fraud and Abuse
• Patient Statements
• Reporting Features of an EHR

Electronic Health Records Module 6

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