EHR

Care, recorded once, and billed from what was recorded.

Patients, encounters, orders, results, medications and claims. Closing and billing an encounter drafts the invoice from its charge lines, so the clinical record and the financial one cannot drift apart.

Watch for: Prescribing hard-stops on a documented allergy or a duplicate therapy unless a clinical override reason is recorded — and the evidence is stored on the record.

Lessons opened: 0/19

Care Delivery

Where the patient is seen and treated.

Lesson Clinical Charting, order entry, decision support and care planning. 9 screensOpen Lesson Existing Records Encounters, problems, allergies and clinical orders. 6 screensOpen Lesson Emergency Triage, the live board and disposition. 3 screensOpen Lesson Operating Theatre Scheduling, the safety checklist and supplies. 1 screenOpen Lesson Rehabilitation Therapy episodes, sessions and goals. 1 screenOpen Lesson Behavioral Health Standard instruments that score themselves. 1 screenOpen

Diagnostics & Pharmacy

What is ordered, what comes back, and what is dispensed.

Lesson Laboratory Orders, results that flag themselves, and quality control. 3 screensOpen Lesson Radiology & Imaging Worklist, image access and reporting. 2 screensOpen Lesson Pharmacy Formulary, interactions, prescribing and dispensing. 3 screensOpen Lesson E-Prescribing Prescriptions sent to pharmacies, what pharmacies ask back, and who may sign controlled substances. 5 screensOpen

Access & Operations

Getting in the door, and the resources behind it.

Lesson Administration Registration, scheduling, resources and compliance. 5 screensOpen Lesson Patient Access Portal, telehealth, reminders and education. 5 screensOpen

Revenue Cycle

Charge capture, insurance, claims and payment.

Lesson Revenue Cycle Charge capture, insurance, claims and payment. 6 screensOpen Lesson Claims EDI Claims to the clearinghouse, acknowledgements and remittances back, and eligibility. 6 screensOpen Lesson Patient Billing What patients owe after insurance: statements, payments and dunning. 4 screensOpen

Information & Population

Coding, release, and the health of everybody rather than anybody.

Lesson Health Information Coding, release of information and the access log. 2 screensOpen Lesson Public Health Immunization, surveillance and the population. 5 screensOpen Lesson Interoperability HL7 v2 interfaces, clients of the FHIR API, outside medication lists and network connections. 5 screensOpen

Reporting

The catalog over the whole record.

Lesson Reporting Executive, management, operational and audit reporting over this module’s records. 2 screensOpen

When you are ready

Take the EHR exam