MA 215 - Electronic Medical Records Lab

Credit Hours: 1

Using a Microsoft Windows environment and MEDENT, students will learn the capabilities of a medical practice management program. Databases of patients, procedures, diagnoses, referring physicians, claim centers, and service facilities will be created and maintained. Students will learn the basic tenants of appointment scheduling; use the EMR to create, route and prioritize triage messages, reference emails, to-do lists, documents, results, reports and correspondence to other healthcare personnel; enter and utilize health insurance and pharmacy information; create progress notes to document chief complaint, vital signs, medications, allergies, vaccinations, immunizations and personal, family and social medical histories; prepare prescriptions and x-ray/lab orders; and e-bill using proper ICD-10-CM and CPT codes, adding appropriate diagnostic codes to a problem list. The concept of utilizing the Medical Assistant as a Patient Navigator will also be explored.

Course Outcomes
Upon completion of this course, the student will be able to:

create and maintain patient charts within an electronic medical record using the MEDENT system;
identify different types of appointment scheduling methods within the EMR and discuss their advantages and disadvantages;
identify methods of organizing an EMR based on problem-oriented medical record (POMR) and source-oriented medical records (SOMR);
differentiate between electronic medical records (EMR) and a practice management system (PMS);
identify the concept of Meaningful Use of the EMR as indicated by the HITECH Act and applies to EMR;
create, route and prioritize triage messages, reference emails, to-do lists, documents, results, reports and correspondence to other healthcare personnel;
enter and utilize health insurance and pharmacy information;
create progress notes to document chief complaint, vital signs, medications, allergies, vaccinations, immunizations and personal, family and social medical histories;
prepare prescriptions and x-ray/lab orders;
identify proper e-billing procedures using proper ICD-10-CM and CPT codes, adding appropriate diagnostic codes to a problem list and generate reports;
identify the proper procedure for release of medical records;
define Patient Navigator and describe the utilization of the Medical Assistant in this role;
develop a current list of community resources to facilitate referrals related to the healthcare needs of patients; and
identify the proper procedure for release of medical records.

Prerequisites: MR 105/ MR 106
F/S (N)

This course is required for the Medical Assisting AAS Degree and 100% of the Psychomotor and Affective competencies need to be passed.

Reminder: Student must obtain a minimum grade of C to pass the course