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Registration for the Fall 2019 semester begins June 25.  Watch your email for more details.

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Electronic Medical Records and Medical Billing Procedures

Course Code: OADM 1265
Faculty: Commerce & Business Administration
Department: Office Administration
Credits: 3.0
Semester: 15 Weeks X 4 Hours per Week = 60 Hours
Learning Format: Lecture, Seminar
Typically Offered: Fall, Winter
course overview

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

course prerequisites

OADM 1114 and OADM 1246

curriculum 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 schedule and availability
course transferability

Below shows how this course and its credits transfer within the BC transfer system. 

A course is considered university-transferable (UT) if it transfers to at least one of the five research universities in British Columbia: University of British Columbia; University of British Columbia-Okanagan; Simon Fraser University; University of Victoria; and the University of Northern British Columbia.

For more information on transfer visit the BC Transfer Guide and BCCAT websites.

assessments

If your course prerequisites indicate that you need an assessment, please see our Assessment page for more information.