Electronic Medical Records and Medical Billing Procedures

Faculty
Commerce & Business Administration
Department
Office Administration
Course Code
OADM 1265
Credits
3.00
Semester Length
15 Weeks X 4 Hours per Week = 60 Hours
Max Class Size
30
Method Of Instruction
Lecture
Seminar
Typically Offered
Fall
Winter
Campus
Online

Overview

Course Description
This course is designed to introduce the student to hands-on electronic medical records and electronic medical billing procedures. The student will be given an overview of electronic medical records with an emphasis on privacy, confidentiality and security. The student will learn how to manage a variety of administrative components of electronic medical records. The student will be introduced to all facets of medical billing using at least one medical billing software program.
Course Content

Overview of Electronic Medical Records (EMR)

  • role of the health care professional using EMR
  • advantages and disadvantages of EMR
  • differences between paper files and EMR
  • selecting an EMR vendor

Privacy, Confidentiality and Security

  • role of the health care worker in regard to EMR security
  • review of medical law and ethics and patient rights
  • importance of passwords
  • breach of confidentiality consequences

Transitioning from Paper Charts to EMR

  • planning for a successful transition
  • office procedures requiring workflow re-design
  • conversion of the paper chart to digital
  • what happens to the paper chart

Establishing and Maintaining a Patient Registry

  • patient registration
  • entering demographic information
  • past medical history, allergies, immunizations and clinical data such as height and weight

Entering Prescription Details into EMR

  • understanding prescription parts in relation to EMR
  • how to find brand and generic names
  • enter a complete prescription record on behalf of the physician
  • print a prescription record

Administrative Uses of EMR

  • messaging
  • referral letters
  • diagnostic tests
  • patient education in regards to diagnostic tests
  • laboratory reports
  • overview of chronic disease management and complex care

Appointment Scheduling

  • differences between paper and electronic appointment scheduling
  • introduction to different parts of the appointment scheduling screen
  • making an appointment
  • changing an appointment
  • cancelling an appointment
  • dealing with no-shows
  • printing an appointment card
  • printing a daysheet/schedule for each physician

Alternate billing and required form completion

  • WorkSafe BC
  • Insurance Corporation of B.C.
  • private insurance
  • medical-legal
  • cash, self-responsible patients
  • out-of-province claims
  • non-medically required services
  • hospital visits

Medical Services Plan

  • CareCard information
  • preamble
  • fee schedule - MSP and Doctors of BC
  • location codes
  • diagnostic codes
  • specialty codes
  • practitioner and payment numbers
  • claims processing system
  • remittance statements and explanatory codes
  • claims coverage enquiry

Claims processing information

  • required claims processing information with regard to manual day sheets
  • required claims processing information with regard to electronic medical billing
  • billing from the appointment schedule
  • electronic medical billing to a variety of insurers – MSP, Work Safe, ICBC, Private and Out of Province
  • computer-generated reports and electronic claims processing
  • understanding the importance of dealing with rejected claims in a timely manner
  • understanding why a claim was rejected – use of explanatory codes
Methods Of Instruction

A combination of lecture, demonstration, guided practice, and self-paced laboratory assignments and projects will be used.  Guest speakers may be invited.  Active learning is an integral part of this course and major emphasis will be placed on a “hands-on” environment to allow students to work both independently and collaboratively to learn and apply EMR and medical billing concepts and procedures.  

Means of Assessment
Quizzes (2-5) 10% - 25%
Mid-term - EMR and billing theory 25%
Course assignments 10% - 30%
Simulation(s) 0% - 25%
Final Exam 30%
Employability Skills 0% - 10%
 Total 100%

 THERE ARE NO ORAL PRESENTATIONS IN THIS COURSE.

Learning Outcomes

The learner has reliably demonstrated the ability to:

  1. understand the advantages and disadvantages of electronic medical records (EMR)
  2. explain the importance of confidentiality in relation to EMR
  3. use an EMR system effectively in regards to patient scheduling, diagnostic tests, laboratory reports, messaging and referral letters
  4. identify types of alternate billing and collection procedures
  5. identify and complete basic medical forms
  6. apply knowledge of the Preamble and Fee Schedule to Medical Services Plan billing procedures
  7. complete manual day sheets and identify information necessary to accurately process claims to the Medical Services Plan of B.C.
  8. use at least one medical billing computer program to produce and print computer generated reports and to process claims to the Medical Services Plan of B.C.
  9. understand the importance of accuracy and attention to detail with regard to billing claims
  10. explain how to deal with rejected claims in relation to maximizing business potential of the health care provider
Textbook Materials

Textbooks and Materials to be Purchased by Students:

 

Instructor prepared materials

Other materials as approved by department

Requisites

Prerequisites

Corequisites

No corequisite courses.

Equivalencies

No equivalent courses.

Requisite for

This course is not required for any other course.

Course Guidelines

Course Guidelines for previous years are viewable by selecting the version desired. If you took this course and do not see a listing for the starting semester / year of the course, consider the previous version as the applicable version.

Course Transfers

Institution Transfer Details Effective Dates
There are no applicable transfer credits for this course.

Course Offerings

Winter 2021

CRN
Days
Dates
Start Date
End Date
Instructor
Status
Location
12836
Wed Fri
04-Jan-2021
- 12-Apr-2021
04-Jan-2021
12-Apr-2021
Jamieson
Claudia
Open
Online
This course will include some synchronous on-line activities. Students should plan to be available on-line at scheduled course times. Synchronous on-line activities may include lecture, or they may not. In some courses, synchronous class time may be used instead for active learning components (e.g. discussions, labs).
Max
Enrolled
Remaining
Waitlist
30
0
30
0
Days
Building
Room
Time
Wed Fri
8:30 - 10:20