Electronic Health Records Specialist with Medical Billing

Hours: 430 / Access Length: 12 Months / Delivery: Open, Mentor Supported
Retail Price: $4,295.00

Course Overview:

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 covers the basics, including implementation in the physician's office, troubleshooting, HIPPA compliance, and hands-on practical use. This course provides you with the 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.

After completing this course, you should be able to:

• Define the core elements of medical terminology
• Define electronic health record and its advantages and disadvantages
• Comprehend the importance of patient data privacy and security
• Identify the steps in patient flow and basic coding techniques
• Identify the steps for documenting in the HER

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.

After completing this course, you should be able to:

• Comprehend the core elements of health insurance
• Identify features of the different coding systems and their documentation
• Define the features of processing claim forms both electronic and paper
• Comprehend fee and insurance collection
• Comprehend the features of various health care payer types

Course Outline:

Electronic Health Record Specialist Module 1
Medical Terminology

• Pronunciation
• Spelling
• Word Roots
• Combining Vowels/Form
• Prefixes
• Suffixes
• General Rules
• Word Building
• Abbreviations
• Procedural and Diagnostic Billing Codes
• Body Structure
• Organization of the Body
• Anatomical Position
• Body Planes
• Directional and Positional Terms
• Body Cavities

Electronic Health Record Specialist Module 2
Electronic Health Record Overview

• What is a Medical Record?
• Who Documents in the Medical Record?
• Who Owns the Medical Record?
• Understanding the Electronic Health Record
• Advantages of Electronic Health Records
• Disadvantages of Electronic Health Records
• Early versus Late Adopters
• Role of the Healthcare Professional
• Professional Organizations
• The Medical Practice Goes Digital
• Installing Practice Partner ~ CD-ROM
• Getting Comfortable with EHR Software
• Recurring Functions in Practice Partner
• Navigating Through Practice Partner 
• Establishing and Maintaining a Patient Registry
• Computer Hardware
• Internet Use in the Medical Practice

Electronic Health Record Specialist Module 3
Privacy & Transitioning to Electronic Health Records 

• What is Privacy?
• Health Insurance Portability and Accountability Act (HIPPA)
• Security Safeguards in the Medical Practice
• Patients' Rights Under HIPPA
• Other Security Initiatives
• Access to Protected Health Information
• How Patients Can Protect Their Health Information
• Successful Transition from Paper to Electronic Records
• Developing a Conversion Plan
• Selecting the Type of Conversion
• Selecting an EHR Vendor
• Redesigning Workflow
• Collecting Data
• Entering Data
• Notifying Patients
• Implementing the Transition
• Measuring Results 

Electronic Health Record Specialist Module 4
Administrative Use of Electronic Health Records 

• Role of the Front Office Assistant
• Communication in the Medical Office
• Secure E-mail
• Messaging in Practice Partner
• Patient Scheduling 
• Patient Flow
• Coding Systems
• Role of the EHR in Medical Coding
• ICD-9-CM Coding
• CPT Coding
• Maintenance of Codes in the EHR
• Electronic Encounter Forms
• Medical Necessity
• Billing
• Fraud and Abuse

Electronic Health Record Specialist Module 5
Clinical Use of Electronic Health Records

• Documentation in the EHR
• Documenting Patient History
• Chief Complaint
• Secondary Chief Complaint
• Allergies
• Medications
• Immunization History
• Vital Signs
• The Progress Note
• Using the EHR for Health Promotion
• Identifying Clinical Trends
• Using Clinical Decision Support Tools
• Using the EHR for Patient Education
• Health Maintenance Tools

Electronic Health Record Specialist Module 6
The Personal Health Record

• What is a Personal Health Record?
• Personal Health Records versus Medical Records
• Types of Personal Health Records
• Online Personal Health Records
• Innovative Features of Personal Health Records
• ICE Notification
• Drug Alerts
• Limited Interoperability
• Direct-to-Consumer Laboratory Services
• Why Create a Personal Health Record?
• Steps in Creating a Personal Health Record
• Maintaining the Personal Health Record

Medical Billing Module 1
Career Role & Responsibilities

• Insurance Billing Specialist
• Insurance Claims, Coding, & Billing Background
• Medical Etiquette
• Medical Ethics
• Health Insurance Portability and Accountability Act (HIPAA)
• Using Electronic Technologies
• SNOMED
• The Privacy Rule
• Basics of Health Insurance
• Legal Principles of Insurance
• The Insurance Policy
• Choice of Health Insurance

Medical Billing Module 2
The Claims Process

• The Documentation Process
• Documentation Guidelines
• Contents of a Medical Report
• Review & Audit of Health Records
• The Diagnostic Coding System
• International Classification of Diseases
• Rules for Coding
• ICD-9-CM Versus ICD-10-CM
• Procedural Coding Skills
• Methods of Payment
• The CPT Code Book
• Code Modifiers

Medical Billing Module 3
Paper Claims and Electronic Data

• Types of Submitted Claims
• Health Insurance Claim Forms
• CMS-1500
• Why Claims are Delayed or Rejected
• Optical Scanning Format Guidelines
• Electronic Data Interchange
• Electronic Claims
• Transaction & Code Set Regulations
• Claims Attachment Standards
• Building the Claim
• HIPPA & Electronic Claims
• Records Management

Medical Billing Module 4
Fee & Insurance Collection

• Follow-Up After Claim Submission
• Claim Policy Provisions
• Explanation of Benefits
• Claim Management Techniques
• Review and Appeal Process
• State Insurance Commissioner
• Cash Flow Cycle
• Accounts Receivable
• Fee Schedule
• Credit Arrangements
• Credit & Collection Laws
• The Collection Process

Medical Billing Module 5
Health Care Payers, Part 1

• Private Insurance
• Managed Care Systems
• Medical Review
• Plan Administration
• Understanding Medicare
• Medicare Policies & Regulations
• Medicare Managed Care Plans
• Medicare Reimbursement
• Medicaid Programs
• Medicaid Eligibility
• Medicaid Benefits
• Medicaid Claim Procedures

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 Service 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

All necessary materials are included.

Certifications:

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).

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).

System Requirements:

• Cable and DSL internet connections are recommended for the best experience.

• CPU: 1 GHz or higher
• RAM: 2 GB or higher
• Resolution: 1280 x 720 or higher
• Speakers / Headphones
• Microphone (Webinar / Live Online sessions)

• Microsoft Windows 7 or 10 (Home, Pro)
• Mac OSX 10 or higher.
• Latest Chrome OS
• Latest Linux Distributions

NOTE: While we understand that our courses can be viewed on Android and iPhone devices, we do not recommend the use of these devices for our courses. The size of these devices do not provide a good learning environment for students taking online or live online based courses.

• Latest Google Chrome is recommended for the best experience.
• Latest Mozilla FireFox
• Latest Microsoft Edge
• Latest Apple Safari

• Office suite software (Microsoft Office, OpenOffice, or LibreOffice)
• PDF reader program (Adobe Reader, FoxIt)
• Courses may require other software that is denoted in the above course outline.