Electronic Health Records Syllabus

Based on 2022 MAERB Standards and Guidelines for the Medical Assisting Educational Programs. Students should be able to complete the following competencies: 

Cognitive (Knowledge) 

• understand the core functions of an electronic health record and their importance in documenting patient visits at the point of care.
• compare different formats of electronic health records data.
• describe the importance and benefits from a codified electronic health record.
• catalog and retrieve documents and images from a digital image system.
• understand the importance of electronic orders and results and using quick-pick list to order medications.
• understand and use patient management and problem lists.
• create graphs of lab results and vital signs in the chart.
• work with a flow sheet.
• understand how electronic health records preventive care systems work.
• understand HIPAA privacy and security concepts.

Psychomotor (Skills) 

II.P.2 Record laboratory test results into the patient's record. 

V.P.5 Document telephone messages accurately. 

V.P.6 Using technology, compose clear and correct correspondence. 

V.P.8 Participate in a telehealth interaction with a patient. 

VI.P.1 Manage appointment schedule, using established priorities. 

VI.P.2 Schedule a patient procedure. 

VI.P3 Input patient data using an electronic system. 

VI.P.4 Perform an inventory of supplies. 

VII.P.1 Perform accounts receivable procedures to patient accounts including posting: 

 a. charges 

 b. payments 

  c. adjustments 

VII.P.2 Input accurate billing information in an electronic system. 

VII.P.3 Inform a patient of financial obligations for services rendered. 

VIII.P.1 Interpret information on an insurance card. 

VIII.P.1 Verify eligibility for services. 

VIII.P.3 Obtain precertification or preauthorization with documentation. 

VIII.P.4 Complete an insurance claim form. 

IX.P.1 Perform procedural coding. 

IX.P.2 Perform diagnostic coding. 

IX.P.3 Utilize medical necessity guidelines. 

X.P.2 Apply HIPAA rules in regard to: 

  a.  privacy 

  b. release of information 

X.P.3 Document patient care accurately in the medical record. 

X.P.4 Complete compliance reporting based on public health statutes. 

X.P.5 Report an illegal activity following the protocol established by the healthcare setting. 

X.P.6 Complete an incident report related to an error in patient care. 

Affective 

I.A.1 Demonstrate critical thinking skills. 

III.A.1 Recognize the implications for failure to comply with Center for Disease Control (CDC) regulations in healthcare settings.