ME 279: Medical Office Practice
WP 254
Based on 2022 MAERB Standards and Guidelines for the Medical Assisting Educational Programs. Students should be able to complete the following competencies:
- Communicate effectively
- Demonstrate telephone techniques
- Identify community resources
- Manage a medical office
- Manage medical records
- Document appropriately
- Identify coding standards
- Complete insurance claim forms
- Apply managed-care policies and procedures
- Apply third party guidelines for insurance
Cognitive (Knowledge)
V.C.1. Identify types of verbal and nonverbal communication
V.C.2. Identify communication barriers.
V.C.3. Identify techniques for overcoming communication barriers.
V.C.4. Identify the steps in the sender-receiver process.
V.C.5. Identify challenges in communication with different age groups.
V.C.6. Identify techniques for coaching a patient related to specific
Needs.
V.C.7. Identify different types of electronic technology used in
professional communication.
V.C.9. Identify the principles of self-boundaries.
V.C.10. Identify the role of the medical assistant as a patient navigator.
V.C.11. Identify coping mechanisms.
V.C.14. Identify issues associated with diversity as it relates to patient
care.
V.C.15. Identify the medical assistant’s role in telehealth.
VI.C1. Identify different types of appointment scheduling methods.
VI.C.2. Identify critical information required for scheduling patient
procedures.
VI.C.3. Recognize the purpose for routine maintenance of equipment
VI.C.4. Identify steps involved in completing an inventory.
VI.C5. Identify the importance of data back-up.
VI.C.6. Identify the components of an Electronic Medical Record, Electronic Health Record, and Practice Management System. VII.C.1. Define the following bookkeeping terms:
a. charges
b. payments
c. accounts receivable
d. accounts payable
e. adjustments
f. end of day reconciliation
VII.C.2. Identify precautions for accepting the following types of payments:
a. cash
b. check
c. credit card
d. debit card
VII.C.3. Identify types of adjustments made to patient accounts including:
a. non-sufficient funds (NSF) check
b. collection agency transaction
c. credit balance
d. third party
VII.C.4. Identify patient financial obligations for services rendered.
VIII.C.1. Identify:
a. types of third-party plans
b. steps for filing a third-party claim
VIII.C.2. Identify managed care requirements for patient referral.
VIII.C.3. Identify processes for:
a. verification of eligibility for services
b. precertification/preauthorization
c. tracking unpaid claims
d. claim denials and appeals
VIII.C.4. Identify fraud and abuse as they relate to third party
reimbursement.
VIII.C.5. Define the following:
a. bundling and unbundling of codes
b. advanced beneficiary notice (ABN)
c. allowed amount
d. deductible
e. co-insurance
f. co-pay
VIII.C.6. Identify the purpose and components of the Explanation of Benefits (EOB) and Remittance Advice (RA) Statements.
IX.C.1. Identify the current procedural and diagnostic coding systems including Healthcare Common Procedure Coding Systems II (HCPCS Level II).
IX.C.2. Identify the effects of:
a. upcoding
b. downcoding
IX.C.3. Define medical necessity.
XII.C.1. Identify workplace safeguards.
Psychomotor (Skills)
V.P.1 Respond to nonverbal communication.
V.P.3 Coach patients regarding:
a. office policies
b. medical encounters
V.P.4 Demonstrate professional telephone techniques.
V.P.5 Document telephone messages accurately.
V.P.6 Using technology, compose clear and correct correspondence.
V.P.7 Use a list of community resources to facilitate referrals.
V.P.8 Participate in a telehealth interaction with a patient.
VI.P.1 Manage appointment schedule, using established priorities.
VI.P.2 Schedule a patient procedure.
VI.P.3 Input patient data using an electronic system.
VI.P.4 Perform an inventory of supplies.
VII.P.1 Perform accounts receivable procedures to patient accounts including posting:
a. charges
b. payments
c. adjustments
VIII.P.1 Interpret information on an insurance card. Interpret information on an insurance card.
VIII.P.2 Verify eligibility for services.
VIII.P.3 Obtain precertification or preauthorization with documentation.
VIII.P.4 Complete an insurance claim form.
VIII.P.5 Assist a patient in understanding an Explanation of Benefits (EOB).
X.P.2 Apply HIPAA rules in regard to:
a. privacy
b. release of information
X.P.6 Complete an incident report related to an error in patient care.
XII.P.4 Evaluate an environment to identify unsafe conditions.
Affective
A.1 Demonstrate critical thinking skills.
A.2 Reassure patients.
A.3 Demonstrate empathy for patients' concerns.
A.4 Demonstrate active listening.
A.5 Respect diversity.
A.6 Recognize personal boundaries.
A.7 Demonstrate tactfulness.
A.8 Demonstrate self-awareness.
Pearson’s Comprehensive Medical Assisting Fourth Edition
Student Evaluations:
| Homework | 100 points |
| Tests | 100 points |
| Final Examination | 100 points |
| Participation/Procedures | 100 points |
| Total | 400 points |
Grading Scales
A = 90% - 100%
B = 80% - 89%
C = 70% - 79%
D = 60% - 69%
F = below 60%
For medical assistant students in order for he/she to pass the class must receive an average of 70% or above in the given course AND obtain an average score on all competency evaluations within the given course. CAAHEP accreditation requires 100% of all medical assisting graduates pass 100% of all competencies.
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Chapter |
Assignment |
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WEEK 1 |
Communication: Verbal and Nonverbal |
Key Terminology Review, Learning Activity, Multiple Choice, Critical Thinking |
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WEEK 2 |
The Office Environment |
Key Terminology Review, Critical Thinking, Incident Report |
|
WEEK 3 |
Telephone Techniques |
Key Terminology Review, Multiple Choice |
|
WEEK 4 |
Patient Reception |
Key Terminology Review, Multiple Choice, |
|
WEEK 5 |
Appointment Scheduling |
Key Terminology Review, Multiple Choice, Creating an Appointment Matrix |
|
WEEK 6 |
Office Facilities, Equipment, and Supplies |
Key Terminology Review, Multiple Choice |
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WEEK 7 |
Written Communication/Computers in the Medical Office |
Key Terminology Review, Multiple Choice, Introduction of GE Assignments |
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WEEK 8 |
Electronic Medical Records/ Medical Insurance
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Key Terminology Review. True/False
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WEEK 9 |
Patient Billing and Collections/Medical Office Management |
Key Terminology Review, Multiple Choice |
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WEEK 10 |
Final |
TBA
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Academic Honesty Policy
The college has a firm policy against academic dishonesty, including cheating or plagiarism. Students guilty of academic dishonesty will be administratively dropped from the course with a grade of ‘F’ and subject to disciplinary action, which may include suspension and dismissal.
Please refer to the Academic Honesty Policy for detailed information.
Late Assignment Policy
Meeting deadlines, being dependable, and applying appropriate time management are all foundational elements of professional behavior. These same attributes are also required while participating in college courses because the skills, knowledge, and student learning outcomes must be obtained in a specific order and within a certain amount of time.
We at HJC understand that sometimes students encounter circumstances that make it difficult to always meet the required course deadlines. This Late Work Policy is in place to accommodate that. In all circumstances, whenever possible, contact your instructor when you anticipate that you will be submitting work late.
The deadlines for most courses typically follow the pattern below, but it is your responsibility to confirm this and be aware if there are any assignments that may have different deadlines for one reason or another.
The first post in each Discussion Board is usually due on the Wednesday night of each module/week.
Most other assignments are due by 11:59 pm on Sunday evening of each module/week.
- All assignments must be submitted by the required due date.
- Missing assignments due to absence must be submitted within 1 week of return.
- Late submissions of assignments will result in a reduction of 10% of the total points possible per day (e.g., 1 day late = -10%, 2 days late = 20%, etc.) up to one week. Anything over 1 week late will result in a grade of 0.
- To receive full credit for late work, students must provide documentation for an excused absence, or it will be subject to the same treatment as any other late work. Documentation examples include court documents, hospitalization, etc.
Instructors may also choose to deduct less points at their discretion.
If for some reason a student temporarily loses the ability to connect to Canvas due to technical issues it is the student’s obligation to submit assignments by the original due dates. Temporary remedies can be connecting via a public WiFi spot, using school facilities to connect, or use of private networks through friends and family.
In extreme cases, when none of these solutions are available, the student may contact their instructors through other means and ask permission to submit their work directly, in a method that can be received by the instructor. Under no circumstances can methods of delivery outside of Canvas be used without explicit instructor permission. (If this ever happens the instructor should somehow note it).
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Online video conferences and calls are often the best way for instructors to assist students in many situations. A web camera and microphone are necessary for successful online conferences.
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Some courses may have additional technology requirements beyond those listed here. Additional requirements will be listed in your Canvas course room.
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Accessibility Information
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This information is standard for each course but specifics may vary based on the delivery method of the course you are taking. Please follow the information provided by your instructor.
This syllabus is subject to change.