Medical

Table of Contents:

Medical Office Procedures

This course is designed to acquaint students with the specific knowledge and skills needed to pursue a career as a medical office assistant. Students will learn about the tasks involved in being an administrative medical assistant, how to manage patient records, how to maintain the appointment schedule, and draft medical correspondence. Students will also learn procedures for preparing and filing patient charts, and the legal and ethical issues surrounding confidentiality of information.

Objectives:

  • Describe the tasks, skills, and attributes essential for an administrative medical assistant
  • Identify areas for growth as you move into your new medical career by conducting a self-assessment of your transferable skills
  • Describe and develop elements of good interpersonal relationships with patients and others within a medical office
  • Define medical ethics, bioethics, and etiquette
  • Discuss the legal responsibilities of physicians
  • State the purpose of a medical compliance plan and three ways the office administrator can help the practice be compliant
  • List the safeguards against litigation
  • Describe the telephone skills necessary for an administrative medical assistant
  • Discuss the major methods for scheduling appointments and the guidelines for determining in what order patients should be seen by the physician
  • Discuss the importance of maintaining accurate medical records
  • Compare alphabetic, numeric, and subject filing systems
  • Discuss the purpose of a records retention plan
  • State the importance of good written communications skills
  • Compose written communications, applying correct letter formatting and letter styles
  • Prepare a professional report
  • Proofread and edit documents

Health Insurance Processing

This course will provide students with the basic knowledge and skills needed to become a medical insurance specialist. Students will learn the procedures used to file electronic insurance claims, as well as CMS-1500 paper claim forms and its use to file claims. Students will learn about claim adjudication, reimbursement, follow-up, and record retention. Students will gain a fundamental understanding of claim requirements of health care payers such as Medicare, Medicaid, TRICARE and CHAMPVA, Blue Cross & Blue Shield, workers’ compensation, and disability. Students will also be given an overview of the electronic HIPAA 837I and UB-92 paper claim forms, used by hospitals to submit claims. This course will prepare students to effectively and efficiently submit claims in accordance with payer requirements.

Objectives:

  • Describe types of medical insurance
  • Complete insurance claims for government programs, workers' compensation, Blue Cross & Blue Shield, private third-party plans, and managed care plans
  • Discuss legal and ethical considerations with emphasis on confidentiality and fraud related to insurance
  • Discuss fundamentals of hospital billing

Medical Anatomy & Terminology - Basic

This course introduces the medical terminology, spelling, and definitions that are needed to be successful in a health-related career. Exercises focus on learning prefixes, suffixes, root words, and combining forms. Students will learn medical abbreviations, acronyms, and medical symbols in order to achieve fluency with terminology used in a medical office environment.

Objectives:

  • Explain how medical terms are developed
  • Pluralize terms
  • Interpret pronunciation marks
  • Compile medical documentation
  • Understand and use medical terms
  • Define the elements of human body structure
  • List organs contained within each body cavity
  • Name the parts of the integumentary system and describe the function of each
  • Name the parts of the musculoskeletal system and describe the function of each
  • Name the parts of the cardiovascular system and describe the function of each
  • Name the parts of the respiratory system and describe the function of each
  • Name the parts of the nervous system and describe the function of each

Medical Anatomy & Terminology - Advanced

This course continues to teach medical terminology, spelling, and definitions that relate to various body systems. Exercises focus on combining forms, finding root words and their meanings, and defining terms. Students will learn medical abbreviations, acronyms, and medical symbols in order to achieve fluency with terminology used in a medical office environment.

Objectives:

  • Name the parts of the urinary system and discuss the function of each part
  • Name the parts of the female reproductive system and discuss the function of each
  • Name the parts of the male reproductive system and discuss the function of each
  • Name the parts of the blood system and discuss the function of each part
  • Name the parts of the lymphatic and immune systems and discuss the function of each part
  • Name the parts of the digestive system and discuss the function of each part
  • Name the parts of the endocrine system and discuss the function of each part
  • Name the parts of the sensory system and discuss the function of each part

Medical Coding

This course provides theory and practice with ICD-9 and CPT coding manuals in relationship to medical billing and claims processing. Students will be introduced to HCPCS codes. Students will also learn about code linkage to ensure that CPT codes match the ICD codes, providing students with the knowledge and skills needed to form the basis to become a medical insurance specialist. Students will learn about medical coding guidelines and principles in order to verify the diagnosis and procedure codes used to report patients' conditions on insurance claims and encounter forms. Students will gain a fundamental understanding of current diagnostic and procedural coding. This will prepare students to effectively and efficiently submit claims in accordance with payer requirements.

Objectives:

  • Identify and properly use the special terms, marks, abbreviations, and symbols from the various coding systems
  • Explain how diagnostic coding affects the payment process
  • Label the primary diagnosis and coexisting conditions
  • Explain the ICD format, and identify sections used by medical insurance specialists in physician practices
  • Identify the purpose and correct use of V codes and E codes
  • Use a five-step process to analyze diagnoses and locate the correct ICD code
  • Identify the purpose and format of the Current Procedural Terminology (CPT)
  • Name three key factors that influence the selection of Evaluation and Management codes
  • Compare and contrast referral and consultation services
  • Recognize surgical packages and laboratory panels that are coded as single procedures
  • Describe the two levels of codes in the Health Care Common Procedure Coding System (HCPCS) and discuss when they should be used
  • Find correct procedure codes using CPT
  • Match the CPT procedure codes to the ICD diagnosis codes and ensure correct linkage of codes

NOTE: This information is for your planning purposes only. Due to all the legal disclosures mandated by the State of Washington Workforce Training and Education Board, it is necessary for Allied Training Systems to write all proposals to ensure student receives all the information necessary.