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Electronic Medical Records Management


One of the most common complaints from physicians and ancillary staff is the lack of communication to effectively contend with future needs of the patient. In addition, medical personnel dedicate significant time to validating the patient’s insurance and manually completing forms for compensation. It is often very difficult to keep up with the ever-changing rules of the individual insurance carriers. Understanding the capabilities of an electronic health records system (EHRS) and how to use it effectively can be crucial to handling these issues and improving workflow. This seminar will assist medical personnel in understanding how to use an EHRS to improve revenue, control costs, gain efficiency in work flow, and meet regulatory requirements.

Providers and organizations now have an impressive incentive from the federal government that essentially pays providers to automate their practices.

Now is the time for providers and organizations to convert paper records to electronic. Tens of thousands of dollars of federal incentives are available for your organization. Don't miss the opportunity to learn how to automate your organization's medical records.

T O P I C S   I N C L U D E
Overview of the Electronic Health Record
  • Why electronic health records are important
  • Flow of medical information into the health record
  • Methods of capturing and recording data
  • Workflow of physician orders and results
  • Outpatient electronic health records vs. Inpatient
The Benefits of an Electronic System
  • Transitioning to an electronic medical records system
  • Easing patient registration and check in
  • Utilizing effective chart documentation
  • Optimizing report generation, billing, and scheduling
Coding Standards Using the Electronic Health Record
  • Type of information and data stored
  • Government's influence on coding standards
  • ICD-9CM, CPT and NDC
Creating the Medical Record
  • Process for creating the encounter
  • Documentation requirements
  • Immunizations
  • Documenting orders and tests
  • Documenting prescriptions
Electronic Coding From the Medical Record
  • Importance of billing codes in an electronic health record
  • How Evaluation & Management (E&M) are determined
  • How to determining the primary diagnosis code
  • Importance of e-prescribing
Privacy and Security of Electronic Health Records
  • Understanding HIPAA
  • HIPAA transactions and code sets
  • HIPAA Privacy Rule
  • PHI – Protected Health Information
  • Consent, authorization and patient privacy rights
Records Safety
  • Strategies to reduce liability

*Topics subject to change.

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