EHR Go Lab: Outpatient Coding Workflow & Payment Posting

Practice entering outpatient diagnosis and procedure codes in EHR Go, then post a payment and apply an adjustment.

By the end of this lesson you can

Code an outpatient encounter from documentation in EHR Go
Link diagnosis and procedure codes with correct pointers
Post a payment and a contractual adjustment correctly
Read an explanation of benefits

📘 Reading Lesson

Lesson Notes

Read through the key concepts before you try the challenge.

From documentation to posted payment

On the job

You are working the coding and posting lab in EHR Go.

This lab runs the back half of the revenue cycle end to end: read the note, select the codes, link them, submit, and then post what comes back. Doing it once in sequence is what makes the individual steps make sense.

Your task: Follow one encounter from documentation to a zero balance.

Worked example

Posting a remittance correctly

A line shows billed $340, allowed $186, plan paid $148.80, patient responsibility $37.20. Post it.

1
Post the payment of $148.80 against the claim.
The money actually received. This is the part everyone gets right.
2
Post the $154 difference as a contractual adjustment.
Billed minus allowed. Under the payer contract this is written off and may never be billed to the patient. Posting it anywhere else overstates the practice's receivables and risks an improper patient bill.
3
Move the $37.20 to patient responsibility.
The coinsurance or deductible portion enters the patient billing cycle. Left against insurance, it is never billed to anyone and quietly becomes a write-off.
4
Read the reason codes even when the line paid as expected.
Reason codes explain reductions and often reveal a pattern — a modifier consistently missing, a code repeatedly bundled. Posting mechanically fixes individual claims and never the cause.

Result: The account balances to zero against insurance, with $37.20 correctly owed by the patient.

Payment, contractual adjustment, patient responsibility — three separate postings. The reason codes are where recurring problems announce themselves.

Lab Overview

In this lab, Mr. Davis will guide you through the coding and payment posting workflow in EHR Go using a simulated patient encounter.

Assign ICD-10-CM diagnosis codes to a patient encounter
Select appropriate CPT procedure codes
Submit a simulated claim in EHR Go
Post an insurance payment and apply a contractual adjustment

Finished this lesson?

Progress is saved in this browser only. It is not a grade — official progress lives in Brightspace.

← Current Procedural Coding (CPT) Part 2 Module 4: HCPCS & Midterm Preparation →