Electronic Health Records Management Training Online

Discussion of the major allied health professions and their principle occupational settings; government involvement in health care; the difference between accreditation and licensure; distinguishing between data and information; listing and explaining key data categories; identifying quality issues in data collection; defining data sets used in health care and identifying their applications and purposes.

Advantages of electronic health records (EHRs); government and private sector intervention in EHR development; the history and future of EHRs; career opportunities in EHR management; the flow of clinical data in acute care facilities; the Uniform Hospital Discharge Data Set (UHDDS); post-discharge processing; paper-based versus electronic records processing.

The purposes of coded data; transaction code sets required under HIPAA; ICD-10-CM and ICD-10-PCS and other coding and classification systems; unethical coding practices; health insurance and major reimbursement methodologies; major components of the UB-04 (CMS-1450) and CMS-1500; the revenue cycle process.

HIM issues in ambulatory care, long-term care, behavioral health, rehabilitation, home health, and hospice settings; the master patient index; numbering and filing systems for patient records; storage and retrieval of both paper and electronic records; retention schedules; patient databases; length-of-stay calculations; description, uses, and computation of statistical data; data registries.

Uses of health information by health care facilities and outside organizations; health care regulations, standards, and monitoring; performance improvement and data-gathering tools; privacy, confidentiality, security issues, and regulation; HITECH and HIPAA legislation; HIM department workflow, operations, services, policies, procedures, training, and development.

History and benefits of EMRs; EMR workflows; entering and retrieving patient information; performing clinical and administrative tasks; integrated devices; clinical vocabularies.

History of practice management systems; streamlining patient flow; using EMR templates; training and support for EMRs; using, editing, and updating databases for insurance, codes, and demographics.

Entering coding, billing, diagnosis, and procedure information into an EMR; translating diagnoses and procedures into numeric and alphanumeric codes; generating reports; posting payments; using superbills.

Ensuring EMR completeness and accuracy; entering live data into an EMR; assisting with charting functions; identifying information errors; the importance of audits; the effect of charting on reimbursement.

Professional standards for EMRs; HIPAA privacy and security; forms of protected health information; detecting threats to EMRs; guidelines for releasing information; abbreviations used in EMRs; catastrophe plans; reviewing financial reports.