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

Price: 
$3,000.00
Category: 
Medical & Healthcare
Combined Hours: 
540
Course Type: 
Mentor Supported
Bundled Courses:
Electronic Health Records
Medical Billing
  • 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

The nation's health care delivery system is rapidly being transformed by the introduction of computer-based health information systems - specifically, by electronic health records (EHRs). This Electronic Health Records course answers the need for health care students to understand the entire medical office workflow process, from scheduling an appointment with the doctor to collecting the final payment. Also included in our course is the clinical staff’s use of a point-of-care electronic health record.  Included in our course is the detailed use of SimChart’s fully integrated electronic health record and practice management system. SimChart’s simulations allow students to practice each of the medical office workflows steps. Our Electronic Health Records course provides you with techniques and rationales for using electronic health records in practice and shows how the electronic health record affects your responsibilities on the job.

When you begin your career in the health care workplace, it is important that you have a clear understanding of EHR. The knowledge and experience gained through this course will be a vital component of the skills and competencies needed in the 21st century medical workplace.

Prerequisite(s): None

 

Medical Billing

Medical Billing is listed as one of the fastest growing professions in allied health. The medical industry is experiencing a tremendous demand for individuals with knowledge of medical office operations, which includes diagnostic and procedural insurance forms processing. This Medical Billing course covers all the plans that are most commonly encountered in clinics and physicians' offices. An emphasis on the role of the medical insurance specialist prepares you for success in the workplace, including areas such as diagnostic coding, procedural coding, Medicare, HIPAA and bill collection strategies. Our Medical Billing course will give you the skills you need to be competitive in the healthcare market place.

Prerequisite(s): None

** Course Subject to Change.

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 Medical Record?
  • Who Documents in the Medical Record?
  • Who Owns the Medical Record?
  • The Electronic Health Record
  • Advantages of Electronic Health Records
  • Disadvantages of Electronic Health Records
  • Early Versus Late Adopters
  • Role of the Healthcare Professional Using the Electronic Health Record
  • Professional Organizations

Electronic Health Records Module 2
Overview of SimChart

  • The Medical Practice Goes Digital
  • 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
  • Security Initiatives
  • Access to Protected Health Information
  • Patients Protecting Health Information

Electronic Health Records Module 4
Implementing Electronic Health Records

  • Role of the Front Office Assistant
  • Communication in the Medical Office
  • Incident Reports
  • Managing Electronic Health Records
  • Calendar

Electronic Health Records Module 5
Administrative Use of the Electronic Health Record

  • Documentation in the Electronic Health Record
  • Clinical Documentation in the Patient Record
  • Allergies
  • Patient History
  • Medical and Surgical History
  • Chief Compliant
  • Medications
  • Tracking Health Screenings and Immunizations
  • Using the Electronic Health Record for Patient Education
  • The Progress Note

Electronic Health Records Module 6
Clinical Use of the Electronic Health Record  

  • Healthcare Reimbursement
  • Revenue Cycle
  • Coding Systems
  • 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
Using the Electronic Health Record for Reimbursement

  • What is a Personal Health Record?
  • Innovative Features of Personal Health Records
  • 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
  • Types of Coverage

Medical Billing Module 2
Medical Documentation and Coding

  • The Documentation Process
  • Documentation Guidelines
  • Electronic Health Records
  • Documentation Terminology
  • Diagnostic Coding
  • ICD-10 Diagnosis and Procedure Codes
  • Procedural Coding
  • Methods of Payment
  • Official Guidelines for ICD-10-CM
  • CPT Coding


Medical Billing Module 3
Paper and Electronic Claims

  • Paper Claim CMS-1500
  • Types of Submitted Claims
  • Health Insurance Claim Forms
  • Claim Completion Guidelines
  • Electronic Data Interchange
  • Transaction and Code Sets Regulations
  • Claim Management Techniques
  • Claim Inquiries
  • Filing an Appeal

Medical Billing Module 4
Fee & Insurance Collection

  • Claim Policy Guidelines
  • Explanation of Benefits
  • Medical Review
  • Management of Plans
  • Plan Administration
  • Financial Management
  • Cash Flow Cycle
  • Accounts Receivable
  • Credit and Collection Laws
  • The Collection Process

Medical Billing Module 5
Health Care Payers, Part 1

  • Private Insurance
  • Managed Care Systems
  • Medicare Reimbursement
  • Claim Submission
  • Medicaid Programs and Eligibility
  • Medicaid Benefits
  • Medicare Policies and Regulations
  • Medicare Managed Care Programs
  • Payment Fundamentals

Medical Billing Module 6
Health Care Payers, Part 2

  • TRICARE Programs
  • TRICARE Standards
  • CHAMPVA Programs
  • TRICARE & CHAMPVA Claims Procedures
  • Workers’ Compensation Laws
  • Workers’ Compensation Eligibility & Coverage
  • Workers’ Compensation Fraud & Abuse
  • Occupational Safety & Health Administration Act (OSHA)
  • Disability Income Insurance
  • Disability Benefit Programs
  • Disability Claims
  • Federal & State Disability Programs

Medical Billing Module 7
Inpatient & Outpatient Billing

  • Hospital Billing
  • Patient Accounts Representative
  • Admissions Procedures
  • Utilization Review
  • Coding Hospital Diagnoses & Procedures
  • Coding Inpatient Procedures
  • Coding Outpatient Procedures
  • Reimbursement Process
  • Billing Problems
  • Hospital Billing Claim Form
  • Employment Opportunities
  • Searching for a Job
  • 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 NHA national certification exam to become a Certified Electronic Health Record Specialist (CEHRS).

Medical Billing

Upon successful completion of our Medical Billing course, students will be prepared for an entry-level position doing medical billing in a medical office setting and will be prepared to sit for the Med-Certification exam to become a Certified Medical Billing Specialist (CBS) or the AAPC certification exam to become a Certified Professional Biller (CPB).

 International Association for Continuing Education and Training (IACET)

Ed4Online has been approved as an Accredited Provider by the International Association for Continuing Education and Training (IACET). In obtaining this accreditation, Ed4Online 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, Ed4Online 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

While our courses are accessible through multiple mobile learning platforms, some courses may include a CD or DVD with the Textbook, so you may need access to a computer with CD-ROM or DVD Drive.

 

PC Software Requirements

  • Operating Systems - Windows 7 or higher
  • Microsoft Office 2007 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)
  • Kindle Reader App is 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)
  • Kindle Reader App is 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
  • Courses that include a CD-ROM or DVD may require an external drive and Parallels software to view.