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The Electronic Health Record for the Physician’s Office
For Simchart for the Medical Office
- 4th Edition - July 19, 2023
- Author: Julie Pepper
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 8 7 8 4 4 - 9
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 9 3 0 2 3 - 9
Get realistic, hands-on practice with performing EHR tasks! Combining a print textbook with online SimChart for the Medical Office software, The Electronic Health Record for t… Read more
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Request a sales quoteGet realistic, hands-on practice with performing EHR tasks! Combining a print textbook with online SimChart for the Medical Office software, The Electronic Health Record for the Physician’s Office, 4th Edition uses real-world examples and screenshots to walk you through each EHR task. Clear, step-by-step guidelines simplify the exercises in each simulation, so you master all the EHR skills required of a medical office professional. You’ll learn how to use EHR in patient care and reimbursement as you perform tasks in administrative use, clinical care, and coding and billing. Written by Medical Assisting educator Julie Pepper, this manual also helps you prepare for success on the Certified Electronic Health Records Specialist (CEHRS) examination
- UNIQUE! Integration with SimChart for the Medical Office (SCMO), Elsevier’s educational EHR (sold separately), makes it easier to learn and apply EHR fundamentals.
- EHR Exercises with step-by-step instructions reinforce key concepts and allow practice with actual software, increasing in difficulty based on the knowledge gained.
- Critical Thinking Exercises provide thought-provoking questions to enhance learning and problem-solving skills.
- Chapter Review Activities allow you to assess your knowledge of the material, with activities such as a review of key terms, matching and true/false questions, and additional opportunities for software practice.
- Review of Paper-Based Office Procedures describes how tasks are completed when the healthcare facility is using paper-based procedures instead of electronic.
- Trends and Applications provide real-life examples of how EHR systems are being used to improve health care.
- Application exercises in the appendix include front office, clinical care, and coding and billing, allowing you to practice skills before tackling graded SCMO exercises.
- Student resources on the Evolve website include a custom test generator to allow CEHRS exam practice or simulation.
- Cover image
- Title page
- Table of Contents
- Copyright
- Preface
- Acknowledgments
- List of Illustrations
- List of Tables
- 1. Introduction to electronic health records
- What is a health record?
- Who documents in the health record?
- Who owns the health record?
- The electronic health record
- Advantages of electronic health records
- Disadvantages of electronic health records
- Role of the health care professional using the electronic health record
- Health care systems, settings, and personnel
- Professional organizations
- Chapter summary
- Chapter review activities
- 2. Overview of SimChart for the Medical Office
- The medical practice and electronic health records
- Accessing SCMO through evolve
- Getting comfortable with electronic health record software
- SCMO assignment view
- Modules
- Recurring features in SCMO
- Establishing and maintaining a patient registry
- Internet use in the medical office
- Chapter summary
- Chapter review activities
- 3. Privacy, confidentiality, and security
- Health insurance portability and accountability act
- Confidentiality versus privacy
- Security safeguards in the medical practice
- Patient’s rights under HIPAA
- Access to protected health information
- How patients can protect their health information
- Chapter summary
- Chapter review activities
- 4. Administrative use of the electronic health record
- Role of the front office assistant
- Communication in the medical office
- Forms completion
- Managing electronic health records
- Calendar
- Chapter summary
- Chapter review activities
- 5. Clinical use of the electronic health record
- Documentation in the electronic health record
- Clinical documentation in the patient record
- Tracking health screenings and immunizations
- Using the electronic health record for patient education
- The progress note
- Chapter summary
- Chapter review activities
- 6. Using the electronic health record for reimbursement
- Health care 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 electronic health record
- Chapter summary
- Chapter review activities
- 7. The personal health record and patient portals
- What is a personal health record?
- Innovative features of personal health records
- Benefits to individuals, patients, and caregivers
- Benefits to providers
- Steps in creating the personal health record
- Maintaining the personal health record
- Patient portals
- Population health concepts
- Chapter summary
- Chapter review activities
- Appendix A: Review of paper based office procedures
- Appendix B: CMS documentation guidelines
- Appendix C: Front office, clinical care, and coding and billing application exercises
- Appendix D: SimChart supplement
- Glossary
- Index
- No. of pages: 240
- Language: English
- Edition: 4
- Published: July 19, 2023
- Imprint: Elsevier
- Paperback ISBN: 9780323878449
- eBook ISBN: 9780323930239
JP
Julie Pepper
Julie Pepper has spent her entire career in health care, first as a medical assistant in a variety of offices and clinics, developing expertise in the electronic health record. She combines her education in dietetics with her clinical and administrative experience as an instructor in the Medical Assisting program at Chippewa Valley Technical College in Wisconsin, where she has taught for the past 18 years. Julie is also the program director for the college’s new Health Navigator program. She has served as reviewer and contributor to numerous Medical Assisting educational products over the last decade, including SimChart for the Medical Office; she currently serves as sole author of The Electronic Health Record for the Physician’s Office and The Simulated Administrative Medical Office and co-author of Health Insurance Today, 7e. She is taking over sole authorship of what will be titled Beik’s Health Insurance Today, 8e
Affiliations and expertise
Professor Emeritus, Medical Assistant Program, Chippewa Valley Technical College, Eau Claire, Wisconsin