Below is a summary of Ryan’s electronic health record (EHR) activity while he is in the ED. As a medical and health services manager, you are responsible for making sure he receives excellent care. You will also figure Ryan’s bills, consisting of his tests, procedures, room charges, supplies and medications. Using his EHRs, Virtual Physical Exam (VPE) and Internet research, fill out Ryan’s bills and be prepared to share this information with the rest of Ryan’s healthcare team.

• MHSM – Bill; (includes both an ED and Inpatient statement)
• MHSM — Bill Reference
• Ryan’s EHR – ED Chart (link below)
• Virtual Physical Exam (link below)
• Ryan’s EHR – Inpatient Chart

1. Use the blank copy of Ryan’s ED and Inpatient bills and the Bill Reference to calculate his costs. In his EHRs, look for the number of times a test is administered, number of days a cost is incurred or the units per day a medication is administered. You may need to do additional Internet research. Some helpful sites are www.healthcarebluebook.com, www.fairhealthconsumer.org and www.pharmacychecker.com.