CEHRS study plan
CEHRS · Give each week a clear focus.
8 weeks · About 6 hours per week
Records Management, Documentation, and Auditing
Map the record lifecycle (creation, capture, maintenance, retention, destruction) onto a one-page diagram placing at least 12 distinct EHR record types on it.
Differentiate source documents, progress notes, and derived reports by building a 10-item classification table with a one-sentence rationale per entry.
Sequence the six steps of a documentation audit (planning, sampling, scoring, feedback, corrective action, re-audit) and name the metric used at each step.
Identify five common documentation deficiencies (late entries, missing authentication, cloned text, unaddressed amendments, incomplete history) and write the corrective action for each.
Your checkpoint
One-page record-lifecycle diagram plus a 10-item classification table, self-scored against your reference notes at 90% or better.
Records Management, Documentation, and Auditing & Compliance, Confidentiality, and Release of Information
Construct a retention and destruction table for eight record types listing the retention trigger, minimum period, and destruction method for each.
Distinguish the legal health record, the designated record set, and the system audit trail in writing, giving one disclosure request that includes and one that excludes each.
List the required elements of a valid authorization to release information and flag which elements, if missing, invalidate the request.
Complete a closed-book 20-item self-quiz on documentation and audit rules and log every missed item with the reason for the miss.
Your checkpoint
Retention/destruction table for eight record types plus a closed-book quiz score with a written error log.
Compliance, Confidentiality, and Release of Information
Apply the minimum necessary standard to 10 written disclosure scenarios, deciding release versus deny and stating the deciding factor for each.
Sort permitted disclosures that need no authorization against those that require one into a two-column chart with at least eight entries per side.
Outline the patient rights of access, amendment, accounting of disclosures, restriction requests, and copy of records, attaching the expected response timeline to each.
Trace a breach-notification decision path in 150 words or fewer, naming the four factors that determine whether notification is required.
Your checkpoint
Decision log for 10 disclosure scenarios with a rule category cited for each, scoring at least 9 of 10 correct.
Compliance, Confidentiality, and Release of Information & Records Management, Documentation, and Auditing
Resolve eight competing release requests (subpoena, guardianship, minor consent, research, law enforcement, workers' compensation, emergency, insurer) into a decision matrix naming the controlling factor.
Draft a one-page release-of-information workflow from intake to release with seven verification checkpoints marked.
Contrast federal privacy requirements with stricter state rules using three concrete examples of where the stricter rule governs.
Complete a timed 40-item mixed Domain 1 and 2 practice set and tag every error by domain and sub-topic.
Your checkpoint
Release-of-information workflow one-pager with seven checkpoints plus a timed 40-item set scored at 75% or higher with a tagged error log.
Reimbursement and Basic Coding
Break the revenue cycle into eight stages and label the EHR data element each stage depends on for accuracy.
Differentiate the four code sets in use (diagnosis, inpatient procedure, outpatient procedure, supply/HCPCS Level II) in a comparison table showing who assigns each and what it describes.
Assign an evaluation and management level to 10 documented encounters using one stated method, recording the rationale for each level.
Trace five claim denials back to the documentation or registration cause and write the prevention step for each.
Your checkpoint
10-encounter coding worksheet with written rationale plus a denial root-cause table, scored against an answer key at 80% or better.
Reimbursement and Basic Coding & Patient Demographic and Insurance Data; EHR Technology and Reporting
Compute six reimbursement problems (copay, deductible, coinsurance, allowed amount, contractual adjustment, patient responsibility) showing every arithmetic step.
Match 15 reimbursement and coding terms to both a definition and a worked example, without notes.
Identify eight data-quality characteristics of demographic and insurance data and give a realistic failure example for each.
Audit a mock registration record across 10 fields, including eligibility verification, subscriber-versus-patient identity, and primary/secondary coordination of benefits order.
Your checkpoint
Reimbursement worksheet with six fully worked problems plus a completed registration audit checklist listing each finding.
Patient Demographic and Insurance Data; EHR Technology and Reporting
Diagram data flow from registration through documentation, coding, billing, and reporting, flagging the three points where an error propagates downstream.
Compare six health IT functions (clinical documentation, order entry, medication administration record, results review, decision support, population registry) by core purpose and one reporting use.
Write specifications for three reports (a registry extract, a quality measure, an operational report) naming the source field, the numerator and denominator where applicable, and the output format.
Explain in plain language what a data-exchange standard accomplishes when two systems share clinical data, without naming vendors.
Your checkpoint
One-page data-flow diagram with three error-propagation flags plus three written report specifications.
Records Management, Documentation, and Auditing & Compliance, Confidentiality, and Release of Information & Reimbursement and Basic Coding & Patient Demographic and Insurance Data; EHR Technology and Reporting
Complete two timed 60-item mixed practice exams spanning all four domains and record both scores.
Rank your five weakest objectives by error count and write a one-page summary for each.
Rebuild from memory a four-domain map that places 12 key terms in the correct domain with a one-line justification.
Compose a 10-rule pre-answer checklist covering the traps you missed most often (minimum necessary, authorization exceptions, level selection, data-quality checks).
Your checkpoint
Two scored practice exams, a consolidated error log, and a remediation plan naming five objectives with a specific action for each.
Milestones
Week 2: Score at least 80% on the closed-book 20-item Domain 1 self-quiz and show a complete error log with a reason recorded for every miss.
Week 4: Score at least 75% on the timed 40-item Domains 1-2 mixed set, and verify the release-of-information workflow contains all seven checkpoints.
Week 6: Correctly solve at least 5 of 6 reimbursement problems with work shown, and reproduce the four-code-set comparison table from memory.
Week 8: Score at least 80% on both timed 60-item practice exams and produce a remediation plan naming five weak objectives with a concrete action for each.