CERTIFIED MEDICAL OFFICE MANAGER

Transcription

1 CERTIFIED MEDICAL OFFICE MANAGER CANDIDATE PREPARATION HANDBOOK About the Exam Exam Tips Exam Study List Sample Exam Questions Answer Key Copyright 2015, by Assistex, Inc., San Antonio, TX, all rights reserved. Reproduction in whole or part without the express written permission of Assistex, Inc. is prohibited

2 ABOUT THE EXAM: The Certified Medical Office Manager examination is designed to test a well-defined body of knowledge representative of professional practice in the discipline of medical practice office management and administration. Successful completion of this certification examination verifies that the candidate has met competency standards set forth by the PMI Certification Board for this specific area. FORMAT: Multiple Choice NUMBER OF QUESTIONS: 100 APPROXIMATE WEIGHT: Compliance Requirements 25% Practice Administration 20% Personnel Management 20% Financial Management 25% Managed Care 10% TIME ALLOWED: AVERAGE TIME PER QUESTION: COMPETENCY: SCORE: RESULTS: 240 Minutes (4 Hours) 2 minutes, 24 seconds Candidates must compile an aggregate score of 70% in order to meet the minimal certification standards set forth by the PMI Certification Board. Scores are determined by totaling the number of incorrect answers minus 100 (maximum score). Results are usually determined within a 6-week period. Candidates are asked not to inquire about results until this period has expired. PMI exam results are provided in writing only, and will not be obtained over the phone. 2

3 BYLAWS: Exam candidates are encouraged to access the PMI Website, for questions regarding PMI Certification. This includes inquiries regarding appeals, re-testing and recertification. WHAT TO BRING ON THE DATE OF THE EXAM: 1. Picture Identification 2. Three #2 Pencils 3. Calculator (optional but recommended) NOTE: NO MATERIALS MAY BE REFERENCED DURING THIS EXAMINATION. EXAM TIPS: 1. Allot adequate time for nourishment, rest, and relaxation on the day before and day of the exam. 2. Arrive at the exam location at least 30 minutes prior to the start time. 3. Have all materials listed above available and ready for use upon arrival to exam (i.e., sharpened pencils, calculator). 4. Turn off and put away all pagers and/or cell phones. 5. Listen carefully to all exam instructions. Do not start the exam until instructed to do so. 6. Do not communicate with other candidates during the exam. 7. Be sure to complete the contact information sections in the exam booklet. PMI will be unable to notify you if the information is incomplete or illegible. 8. Read each question / answer carefully. Pay close attention to detail. Notice the relationship of the question to the answer options. A statement may be correct, but not relevant to the question asked. 9. Evaluate all answers before you respond to the question. Eliminate obvious incorrect answers. Know there is only one correct answer per question. 10. Upon completion, review the exam to ensure all questions were answered. 11. Before turning in the exam, ensure that all personal contact information has been completed correctly. 12. Good Luck! 3

4 STUDY LIST: 1. Financial Calculations a. Gross / Net Revenue b. Cost Per Patient c. Collection Ratios / Percentages d. Expense to Earnings Ratio / Percentage e. Total Expenses (e.g., Fixed, Variable, Direct, Indirect) 2. Define Budget and Budget Process / Requirements 3. Rationalize Financial Calculations (e.g., Low Overhead vs. High Overhead) 4. Define Forecasting and Tools For Financial Management (e.g., Zip Code Studies) 5. Understand and Implement Financial Control Measures (e.g., Lost Charges, Overhead) 6. Define and Contrast Managed Care Models (e.g., HMO, PPO, POS) 7. Define Carve Out. 8. Understand Processes and Considerations in Evaluation of Managed Care Organizations. 9. Define Risk Pool. 10. Define Stop Loss Insurance. 11. Define Payer Reinsurance. 12. Define Managed Care Contract Clauses (e.g., Hold Harmless ) 13. Understand Utilization / Quality Management in the Managed Care Setting. 14. Understand programs instituted under recent healthcare reforms. 15. Define Abraham Maslow s Hierarchy of Needs and Relation to Practice Administration and Personnel Management. 16. Define Progressive Discipline and Various Discipline Methods 17. Define the Fair Labor Standards Act. 17. Understand exempt vs. non-exempt classifications. 18. Define Exposure Determination. 19. Define Exposure Control Plan. 20. Define PPE. 21. Determine Requirements for the Hepatitis Vaccination. 22. Understand the Post-Exposure Process. 23 Define Hazard Communications. 24. Understand changes to Hazard Communications Standard. 25. Define the Hiring Process Including Tools and Materials Essential for Effective Hiring and Personnel Management (e.g., Job Descriptions, Evaluations). 4

5 STUDY LIST (continued): 26. Understand and Determine Employee Personalities and Appropriate Methods to Motivate and/or Discipline Each Personality Type. 27. Define Sexual Harassment and Applicable Laws. 28. Define the Americans with Disabilities Act. 29. Define the Family Medical Leave Act. 30. Define the Pregnancy Discrimination Act. 31. Understand the Major Changes in ICD-10-CM. 32. Define and Understand the Phases required for ICD-10-CM implementation. 33. Define Key Components of the OIG Compliance Plan. 34. Define Self-Disclosure. 35. Define Administrative Simplification. 36. Understand the Key Components of Privacy Rule. 37. Define Protected Health Information. 38. Define Covered Entity. 39. Define Business Associate. 40. Define Code Set Standards. 41. Understand Key Requirements of HIPAA Compliance. 42. Define Medical Identity Theft 43. Define CERT 44. Define RACs 45. Understand Medicare compliance program guidance. 46. Understand concept of value based reimbursement 47. Define current Medicare/Medicaid incentive programs 48. Define Accountable Care Organizations (ACOs) 49. Define PQRS 50. Define Patient Centered Medical Home (PCMH) 5