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. This course consists of 9 days (39 hours) of daily online learning sessions in the Healthcare Hybrid format.
Basic knowledge of computers, internet, and software installation is required. Understanding of medical terminology and the medical industry is strongly preferred
Students will gain knowledge in the fundamental aspects and functions of EHR including population health reporting and data management, laboratory results and prescription ordering, physician decision support, E-communication through EHR network, patient education, and administrative processes including appointment scheduling, SOAP notes, CPP, and billing and coding. Students are supplied with the textbook, The Electronic Health Record for the Physician’s Office for ongoing reference. The courseware contains daily practice quizzes to prepare students for the 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.
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.
Privacy, Confidentiality, and Security: Understanding privacy and security issues, patients’ rights under Canadian legislation, and how patients can protect their health information.
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.
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, and familiarity with World Health Organization ICD-9 and ICD-10 codes.
Clinical Use of the Electronic Health Record: Identifying and understanding documentation in the EHR, and documenting patient history.
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.