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Canyon College

COURSE SYLLABUS: Medical Billing and Coding Certificate Program
MODULE VI
Instructor:

Paula Tripp, CMAA, CBCS, CET, CPT, CHI, RHE - | E-mail

This is a 5 week course!
Course Description:

This course introduces medical office administrative procedures. Topics include appointment processing, written and oral communications, medical records management, filing systems, maintaining the office environment, patient orientation, and safety. Upon completion, students should be able to perform basic administrative skills within the medical office.

Objectives:

By the end of this course students will:

• Give examples of effective communication strategies with patients.
• Discuss ways to establish positive communication with coworkers and supervisors.
• Describe how the office policy and procedures manual is used as a communication tool in the medical office.
• Describe the types of office equipment used in a medical practice.
• Describe a warranty, a maintenance contract, and a service contract, and discuss the importance of each.
• Maintain an equipment inventory.
• List and describe common types of computers.
• Describe computer hardware and software components and types of software commonly used in a medical office.
• Discuss the selection, care, and security of computer equipment for the medical office.
• Identify the types of correspondence used in medical office communications.
• Compose a business letter.
• Describe the process of handling incoming and outgoing mail.
• Describe supplies used in a typical medical office and their proper storage.
• Discuss systems for tracking and maintaining inventory.
• Follow procedures for ordering supplies, checking the supply order, and paying for the supplies.
• Explain the purpose of compiling patient records.
• Describe the procedures for creating and maintaining patient records.
• Explain how to correct, update, and release a medical record.
• Discuss the equipment and supplies needed for the various types of and the benefits of each filing system.
• Describe the filing process and the steps taken in locating a misplaced file.
• Describe the various file storage options and the criteria for determining whether files should be retained, stored, or discarded.
• Effectively manage incoming telephone calls.
• Explain the basics of the Health Insurance Portability and Accountability Act.
• Describe the procedures for placing outgoing calls.
• Maintain an office appointment book including setting up a system and scheduling appointments that are outside the medical office.
• Describe how to schedule appointments that are outside the medical office.
• Discuss ways to keep an accurate and efficient physician schedule.
• Maintain a patient reception area.
• Summarize the OSHA regulations that pertain to a patient reception area.
• Describe how modifications to a reception area can accommodate patients with special needs.
• Discuss the necessary techniques for educating various patients.
• List educational resources that are available for use in the medical office.

Professional Objectives:

• Demonstrate self-discipline and positive attitude by being in class, being on time, being prepared for class, and by handing in assignments on time in a neat and professional manner.
• Demonstrate good listening skills by participating in class discussion, problem solving, and by following verbal instructions.
• Demonstrate accuracy by following directions explicitly when completing assignments.

TEXTBOOKS:   Online Bookstore

Administrative Procedures for Medical Assistants, 2nd Edition
by Ramutkowski, B. et al. McGraw-Hill (2004/2005).
ISBN13: 9780072974508
ISBN: 0072974508

You will need the student workbook to accompany the textbook.
Student Workbook to Accompany Administrative Procedures for Medical Assisting, 2nd Edition
McGraw-Hill Companies (2004/2005)
ISBN13: 9780072971491

Student Website:

http://highered.mcgraw-hill.com/sites/007294577x/student_view0/
Please bookmark this page.

Examinationa and Assignments

Homework will be turned in at the end of each unit. It should be typed, double-spaced, and in 12-point font (Arial or Tahoma or Verdena). Your homework will consist of the Review at the end of each chapter. Please put your name, chapter, and date at the top of each page.

The workbook that accompanies your textbook do the exercises for each chapter. This is a study tool also.

It is necessary to complete all lessons, assignments and tests in this course. There is a Midterm and Final. You may choose to Email your completed assignments to me at mspaula@canyoncollege.edu or you may fax them to me at 256-931-0457.

Grading:

Students must successfully complete all assignments and tests. (Refer to Program Syllabus for Percentage Point/Grade Ranges.)

Medical Administrative Procedures
Assignments 1, 2, 3, 4, 5	50 Points ea.
Workbook	50 Points
Quizzes	50 Points ea.
Final	100 Points
Total	700 Points

Course Outline

Week 1	Chapter 1 – The Profession of Medical Assisting Describe the job responsibilities of a medical assistant Learn the professional training of a medical assistant Identify the personal characteristics a medical assistant needs Define multiskilled health professional Explain the importance of continuing education for a medical assistant Describe the process and benefits of certification and registration List the benefits of becoming a member of a professional association Chapter 2 – Types of Medical Practices Describe medical specialties and specialists Explain the purpose of the American Board of Medical Specialties Describe the duties of several types of allied health professionals with whom medical assistants may work Name professional associations that may help advance a medical assistant’s career Chapter 3 – Legal and Ethical Issues in Medical Practice, including HIPAA Define ethics, bioethics, and law Discuss the measures a medical practice must take to avoid malpractice claims Describe the OSHA requirements for a medical office Describe procedures for handling an incident of exposure to hazardous materials Compare and contrast quality control and quality assurance procedures Explain how to protect patient confidentiality Discuss the impact that HIPAA regulations have in the medical office Chapter 4 – Communication with Patients, Families, and Coworkers Identify elements of the communication circle Give examples of positive and negative communication List ways to improve listening and interpersonal skills Explain the difference between assertiveness and aggressiveness Give examples of effective communication strategies with patients in special circumstances. Discuss ways to establish positive communication with coworkers and superiors Explain how stress relates to communication and identify strategies to reduce stress Describe how the office policy and procedures manual is used as a communication tool in the medical office Handouts: PowerPoint Presentations Practice Exercises: Make sure workbook and the student website with the appropriate chapter. Assignments: Do the Review at the end of each chapter and email to your instructor. Take the quiz
Week 2	Chapter 5 – Using and Maintaining Office Equipment Describe the types of office equipment used in a medical practice Explain how each piece of office equipment is used List the steps in making purchasing decisions for office equipment Compare and contrast leasing and buying Describe a warranty, a maintenance contract, and a service contract, and discuss the importance of each Identify when troubleshooting is appropriate and what actions may be taken List the information included in an equipment inventory Chapter 6 – Using Computers in the Office List and describe common types of computers Identify computer hardware and software components and explain the functions of each Describe the types of computer software commonly used in the medical office Discuss how to select computer equipment for the medical office Explain the importance of security measures for computerized medical records Describe the basic care and maintenance of computer equipment Identify new advances in computer technology and explain their importance to the medical office Chapter 7 – Managing Correspondence and Mail List the supplies necessary for creating and mailing professional-looking correspondence Identify the types of correspondence used in medical office communications Describe the parts of a letter and the different letter and punctuation styles Compose a business letter Explain the tasks involved in editing and proofreading Describe the process of handling incoming and outgoing mail Compare and contrast the services provided by the US Postal Service and other delivery services. Chapter 8 – Managing Office Supplies Give examples of vital, incidental, and periodic supplies used in a typical medical office Describe how to store administrative and clinical supplies Implement a system for tracking the inventory of supplies Schedule inventories and ordering times to maximize office efficiency Locate and evaluate supply sources Use strategies to obtain the best-quality supplies while controlling cost Follow procedures for ordering supplies Check a supply order and pay for the supplies Chapter 9 – Maintaining Patient Records Explain the purpose of compiling patient medical records Describe the contents of patient record forms Describe how to create and maintain a patient record Identify and describe common approaches to documenting information in medical records Discuss the need for neatness, timeliness, accuracy, and professional tone in patient records Discuss tips for performing accurate transcription Explain how to correct and update a medical Identify when and how a medical record may be released Chapter 10 – Managing the Office Medical Records Describe the equipment and supplies needed for the filing of medical records List and describe the various types of filing systems Discuss the benefits of each type of system Discuss the advantages of color coding the files Explain how to set up and use a tickler file Describe each of the five steps in the filing process Explain the steps to take in trying to locate a misplaced file List and describe the basic file storage options and the advantages of each Identify criteria for determining whether files should be retained, stores, or discarded. Handouts: PowerPoint Presentations Practice Exercises: Make sure workbook and the student website with the appropriate chapter. Assignments: Do the Review at the end of each chapter and email to your instructor. Take the quiz
Week 3	Chapter 11 – Telephone Techniques Explain how to manage incoming telephone calls Explain the importance of communication skills Compare the types of calls the medical assistant handles with those the physician or other staff members handle Describe how to handle various types of incoming calls from patients and others Discuss the importance of proper telephone etiquette Explain the basics of the Health Insurance Portability and Accountability Act (HIPAA) Explain how to retrieve calls from an answering service Describe the procedures for placing outgoing calls Explain the function of telephone triage in the medical office Explain the uses of a fax machine in a medical office Chapter 12 – Scheduling Appointments and Maintaining the Physician’s Schedule Explain the importance of the appointment book in maintaining the schedule lin the medical office Identify common scheduling abbreviations Identify and describe different types of appointment scheduling systems Discuss ways to arrange appointments for patients Explain how to handle special scheduling situations explain how to properly document no-shows and late patients Describe how to schedule appointments that are outside the medical office Discuss ways to keep an accurate and efficient physician schedule Chapter 13 – Patient Reception Area Identify the elements that are important in a patient reception area Discuss ways to determine what furniture is necessary for a patient reception area and how it should be arranged List the housekeeping tasks and equipment needed for this area of the office Summarize the OSHA regulations that pertain to a patient reception area List the types of reading material appropriate to a patient reception area Describe how modifications to a reception area can accommodate patients with special needs Identify special situations that can affect the arrangement of a reception area Chapter 14 – Patient Education Identify the benefits of patient education Explain the role of the medical assistant in patient education Discuss factors that affect teaching and learning Describe patient education materials used in the medical office Explain how patient education can be used to promote good health habits Identify the types of information that should be included in the patient information packet Discuss techniques for educating patients with special needs Explain the benefits of patient education prior to surgery, and identify types of preoperative teaching List education resources that are available outside the medical office Handouts: PowerPoint Presentations Practice Exercises: Make sure workbook and the student website with the appropriate chapter. Assignments: Do the Review at the end of each chapter and email to your instructor. Take the quiz
	NO MID-TERM
Week 4	Chapter 15 – Processing Health Care Claims List the basic steps of health insurance claim process Describe your role in insurance claims processing Explain how payers set fees Define Medicare and Medicaid Discuss TRICARE and CHAMPVA health-care benefits programs Distinguish between HMOs and PPOs Explain how to manage a workers’ compensation case Apply rules related to coordination of benefits Describe the health-care claim preparation process Complete a Centers for Medicare and Medicaid Service (CMS-1500) claim form Identify three ways to transmit electronic claims Chapter 16 – Medical Coding Explain the purpose and format of the ICD-9-CM volumes that are used by medical office Describe how to analyze diagnoses and locate correct codes using the ICD-9-CM Identify the purpose and format of the CPT Name three key factors that determine the level of Evaluation and Management codes that tare selected Identify two types of codes in the Health Care Common Procedure Coding (HCPCS) Describe the process used to locate correct procedure codes using CPT Explain how medical coding affects the payment process Define fraud and provide examples of fraudulent billing and coding. Chapter 17 – Patient Billing and Collections Discuss the importance of accounts receivable to a medical practice Explain how to accept and account for payment from patients Prepare an invoice Manage a billing cycle efficiently Describe standard collection techniques Explain how to perform a credit check Identify credit arrangements Recognize common collection problems Chapter 18 – Accounting for the Medical Office • Describe traditional bookkeeping systems, including single-entry and double-entry • Define a pegboard system • Explain the benefits of performing bookkeeping tasks on the computer • List banking tasks in a medical office • Describe the logistics of accepting, endorsing, and depositing checks from patients and insurance companies • Reconcile the office’s bank statements • Give several examples of disbursements • Record disbursements in a disbursement journal • Set up and maintain a petty cash fund • Create employee payroll information sheets • Compute an employee’s gross earnings, total deductions, and net earnings. • Prepare an employee earnings record and payroll register • Set up the practice’s tax liability accounts • Complete federal, state, and local tax formats • Submit employment taxes to government agencies • Describe the basic parts of an employment contract Handouts: PowerPoint Presentations Practice Exercises: Make sure workbook and the student website with the appropriate chapter. Assignments: Do the Review at the end of each chapter and email to your instructor. Take the quiz
Week 5	Review for Final Exam will cover Chapters 1 – 18. It is Multiple Choice Questions.
	FINAL EXAM