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

The Electronic Health Record for the Physician’s Office

Purchase options

Limited Offer

Save 50% on book bundles

Immediately download your ebook while waiting for your print delivery. No promo code is needed.

Institutional subscription on ScienceDirect

Request a sales quote

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 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

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