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Foundations of Order Entry in the Health Care Environment (2025 Update)
Course Overview
Accurate and thorough patient records are the responsibility of every health care professional. Study facts on e-prescribing and pay-for-performance systems to gain a glimpse of ways that order entry is constantly changing.

Those who are students in a CAAHEP- or ABHES-accredited medical assisting program at any point in time are not eligible to participate in the ABR-OE program.

Those who at any point in time have held the CMA (AAMA) credential (or its predecessor credential, CMA) are not eligible for the ABR-OE.

Visit the AAMA website for more information on eligibility and application policies.
Course Information
Course Description
Accurate order entry and documentation support safe patient care, regulatory compliance, and timely reimbursement. In this course, you will explore the medical assistant’s role in maintaining complete and reliable health records. You will examine how ICD-10-CM and CPT codes connect diagnoses with services, how pay-for-performance programs use quality measures, and how electronic prescribing can improve medication safety and affordability.

You will also review practical steps for processing laboratory, radiology, prescription, and other clinical orders. Throughout the course, you will learn to recognize potential errors, clarify incomplete information, and follow up appropriately to help ensure that orders and results reach the correct provider.

Learning Objectives
As a result of completing this course, learners will be able to:
  • Explain how accurate medical records support patient care, compliance, and reimbursement.
  • Compare the roles of ICD-10-CM and CPT codes in documenting diagnoses and services.
  • Describe how pay-for-performance programs measure and reward quality care.
  • Identify ways electronic prescribing can improve medication safety, access, and affordability.
  • Apply appropriate verification, clarification, and follow-up practices when processing clinical orders.
Course Contributors
Mark Harris
Authored source material on electronic prescribing and completed an earlier content update.

Marguerite Darlington
Authored source material addressing pay-for-performance and health care payment reform.

Nick Mickowski
Updated the course content in January 2024 and February 2026.
Intended Audience
This course is intended for medical assistants, CMA (AAMA) professionals, and other ambulatory care staff who enter, review, or follow up on information in the medical record. The content supports professionals seeking to strengthen documentation accuracy, identify potential order-entry concerns, and contribute to safe, coordinated patient care.
Retake Information
Please note that retakes for this online course require repurchase.
Summary
Availability:
On-Demand
Access expires 14 days after start
Cost:
Member: $10.00
Nonmember: $15.00
CEU Offered:
1 Gen/Adm CEU
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