CEHRS study materials
CEHRS study resources

CEHRS study plan

CEHRS · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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.

Week 2

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.

Week 3

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.

Week 4

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.

Week 5

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.

Week 6

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.

Week 7

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.

Week 8

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.