Healthcare IT Decoded - Domain Basics

Understand how registration differs from admission and what clinical details accompany admitted patients. See how financial counselling estimates costs and guides patients to aid within front office revenue cycle management.

Explore the outpatient care journey in the OPD space, covering appointment, registration, nursing intake, diagnosis, tests, lab reports, radiology outputs, and prescriptions.

Explore the back office of revenue cycle management, turning patient data into charges, applying hold days, validating claims, sending 837 files, and interpreting 835 remittance advice and EOB.

Trace the history of health insurance from ancient payments and sliding scales to modern insurance contracts, blue cross and blue shield, workers' compensation, and UB-04 forms.

Explore the UB04 overview and its role in healthcare IT, covering institutional claims, 837 formats, ICD codes, and data elements that drive coverage decisions.

Explore UB04 data elements, including fields for hospital name and address, patient and medical record numbers, type of bill, admission details, discharge status, and patient condition, with practical examples.

Explains medical transcription, editor's role, and medical coding with ICD-9/10, modifiers, and audits, plus chargemaster, revenue codes, and benefits concepts like assignment, coordination, coinsurance, deductibles, denials, and explanations of benefits.

Explore the history of electronic medical records, tracing the shift from source-oriented notes to problem-oriented medical records (POMR) as Dr. Lawrence Weed advocates structured, problem-based data and integrated planning.

Design an electronic medical record allergy screen by translating paper allergy data into a digital form, using demographics navigation and an allergy section with dropdowns, checkboxes, and auto-populated patient names.

Explore how EMR system validation and certification work, focusing on allergy information capture, decision support criteria, and how certification bodies shape testing standards.

Explore regulatory milestones shaping healthcare IT, from EMR digitization and billing code changes to ICD-10 adoption and ARRA incentives, and information blocking under the 21st century cures act.

Explore the American Recovery and Reinvestment Act (ARRA) and its role in digitizing health care, investing billions to drive electronic capture of patient information and EMR adoption.

Explore how ICD-10 migration affects people, processes, and technology across care teams, coding workloads, insurance, and revenue workflows, with real-world cost and reporting implications.

Understand healthcare data transmission standards as the language of medical information exchange, including HL7 and FHIR messaging across hospital to insurer, internal and external labs, and 270/271 and 837.

Decode HL7 messages by examining segments, fields, and subfields delimited by pipes, interpreting patient demographics, vaccination data, and message types.

explores privacy, confidentiality, and security of protected health information under HIPAA, including when to share data, role-based access, encryption, and EDI standards for secure electronic transmission.

Describe how electronic data interchange (EDI) standardizes healthcare business messages between buyers, suppliers, and insurers via value-added networks, enabling efficient 850 purchase orders and 270/271 benefits inquiries.

Explore the FHIR-based patient viewer to add patients, search records, and view comprehensive data including conditions, observations, medications, heart rate, temperature, and encounter timelines.

RxNorm provides a standardized drug naming system with deeper data than NBC, detailing function, mechanism, interactions, packaging, and manufacturer information; demonstrated via the NLM Orix tool using aspirin and amoxicillin.

Explore how NDF-RT and MED-RT medication codes organize data, including mechanism of action, oral capsule forms, sedative effects on the central nervous system, and post-2018 changes to code structure.

Map laboratory observations to standardized loinc codes to unify diverse terms like glucose tests and systolic blood pressure across hospitals, enabling consistent lab terminology and reporting.

Explore how hospitals use quality measures and coding to report performance. Learn how numerator and denominator logic, exclusions, and antithrombotic therapy and diabetes control drive these reports.

This lecture explains Singapore's healthcare facilities structure, including private vs government beds, polyclinics as primary care hubs, and acute, long-term, and dialysis services.

Examine Singapore's electronic medical records landscape, focusing on Synapse, Epic, and Allscripts deployments across 46 health institutes and the role of adverse event reporting in the critical medical information store.