Below is a summary of Ryan’s EHR activity while he is in the ED. As a medical and health services manager, you are ultimately responsible for ensuring that Ryan receives the best overall care possible. You will also compile Ryan’s bills, consisting of his tests, procedures, room charges, supplies and medications. Using his EHRs, Virtual Physical Exam (VPE) and Internet research, complete Ryan’s bills and be prepared to verify the responses with the rest of his health care team.

To determine the cost of Ryan’s ED visit and hospital inpatient stay, you will need the following:

• 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 and track his costs. In his EHRs, look for costs in the areas of labs, pathology, medications (be sure to pay attention to how many times during his stay each was administered) and diagnostics. You may need to do additional Internet research. Some helpful sites are www.healthcarebluebook.com, www.fairhealthconsumer.org and www.pharmacychecker.com.