Iowa Central Community College Health Science Division

Iowa Central Community College Health Science Division Program Handbook Medical Assistant 2012-2013

Program Philosophy The philosophy of the Medical Assistant Program is consistent with the philosophy of Iowa Central Community College in that it embraces the principles of democracy, subscribes to the development of each student according to their abilities and interests, and believes in the aims and objectives of Iowa Central Community College. It is further believed that learning is a change in behavior, which occurs best in a congenial and democratic climate where the student is highly motivated and in which a concentrated effort is directed toward the student s welfare. To bring about the desired behavioral changes in the student, selected activities and experiences under the direction of qualified faculty are necessary. Each student is provided with the opportunity to acquire the knowledge and to develop the competencies necessary for successful performance as a medical assistant in a physician s office or clinic. Each student is viewed by the faculty as an individual with special needs. A diverse curriculum is provided to facilitate the development of a competent medical assistant. Program Mission Statement The Medical Assistant Program is committed to providing a quality education to students preparing for a career as a medical assistant. Program Accreditation The Iowa Central Community College Medical Assistant Diploma Program on the Fort Dodge campus is accredited by The Commission on Accreditation of Allied Health Education Programs (CAAHEP) upon the recommendation of the Medical Assisting Education Review Board (MAERB). Commission on Accreditation of Allied Health Education Programs (CAAHEP) 1361 Park Street Clearwater, Florida 33756 (727) 210-2350 www.caahep.org Medical Assisting Education Review Board (MAERB) 20 North Wacker Drive, Suite 1575 Chicago, Illinois 60606 (800) 228-2262 www.maerb.org

Medical Assistant Job Description Medical assistants are multi-skilled health professionals specifically educated to work in ambulatory settings performing administrative and clinical duties. The practice of medical assisting directly influences the public s health and well-being, and necessitates mastery of a complex body of knowledge and specialized skills. This requires both formal education and practical experience that serve as standards for entry into the profession. Medical Assistant Program Description The Medical Assistant Program at Iowa Central Community College prepares the student with theory and entry-level competence in the performance of administrative and clinical duties. The diploma program is conducted over a period of eleven months and includes two semesters of theory and lab followed by a summer practicum. The program begins in the fall and concludes in the summer. Students must earn a passing grade (as outlined in individual course syllabi) in all Medical Assistant Curriculum courses and meet the prerequisites to progress in the program. After completion of the diploma program, students may opt to continue their education to obtain an AAS degree in Medical Assisting, completing an additional 13 credit hours of required coursework and 6 credit hours of elective coursework Upon successful completion of all program requirements, the graduate is eligible to make application to take the CMA (AAMA) Certification Examination.

Program Goals and Learning Outcomes Program goals and learning outcomes for the cognitive, psychomotor, and affective domains are consistent with and responsive to the demonstrated needs and expectations of the communities of interest served by the Iowa Central Community College Medical Assisting Program. They provide the basis for program planning, implementation, and evaluation. The program goals and learning outcomes are intended to be compatible with the mission of Iowa Central Community College, expectations of the communities of interest, and nationally accepted standards of roles and functions. The program goals and learning outcomes have been developed based on substantiated needs and expectations of area health care providers and employers, and the educational needs of students served by the program. To ensure that the program remains responsive to changes in the needs and/or expectations of its communities of interest, the program goals and learning outcomes are created and/or revised annually by advisory board members during the spring meeting. The program personnel identify and respond to changes in the needs and/or expectations of the communities of interest. Program Goals: 1. Prepare competent entry-level medical assistants in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains. 2. Provide academic assessment of critical thinking, effective communication, and personal responsibility. 3. Serve the needs of the communities of interest through continuous program assessment and improvement. 4. Meet or exceed all Medical Assisting Education Review Board (MAERB) established thresholds for outcome assessment in medical assisting programs accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP). Assessment of Program Goals: The program annually assesses its effectiveness in achieving stated program goals and expected learning outcomes for the cognitive, psychomotor, and affective domains using various evaluation tools developed by the Medical Assisting Education Review Board (MAERB). Program goals and learning outcomes are reviewed annually by the Science, Health, and Human Services Division and the Medical Assistant Program Advisory Board, and are revised as needed based on evaluations and feedback. Reporting: Program goals and learning outcomes are made available to perspective students upon request. The program also submits outcome data for the MAERB Annual Report.

Program Application Procedure 1. Complete an ICCC application. 2. Request an official high school transcript or GED scores (send to the ICCC Admissions Office on the Fort Dodge Campus). 3. Request an official college transcript if applicable for any colleges previously attended (send to the ICCC Admissions Office on the Fort Dodge Campus). 4. Arrange to take the Compass or ASSET test if ACT was not previously taken. 5. Arrange to meet with the Medical Assistant Program Coordinator. Program Admission Criteria Minimum of a high school diploma (GPA 2.5), GED (score 550), or eight hours of college credit (GPA 2.0). ACT scores (writing 18, reading 18, math 18); COMPASS scores (writing 65, reading 80, and pre-algebra 39 or algebra 46); or ASSET scores of 40 in each category (writing, reading, and numeric). Previous college credit, if applicable (GPA 2.0). Documentation of the ability to type 35 words per minute with three errors or less during a threeminute timing or completion of Introduction to Keyboarding (ADM 105) obtaining at least a B in the course. Interview with the Medical Assistant Program Coordinator. Early application to the program is encouraged. Twenty-five students are accepted each fall. The Program Coordinator grants acceptance to the first 25 students that meet the above admission criteria. Applicants are not accepted into the program until ALL of the admission criteria have been completed. Additional Program Requirements (completed by accepted students before Practicum) Pre-Entrance Medical Record form. Criminal Background and Adult/Dependent Abuse Checks. Criminal convictions or documented history of abuse may prevent students from being accepted to a practicum site, thus preventing completion of the program. Students who have been found guilty of a felony, or pleaded guilty to a felony, are not eligible for the AAMA (CMA) Certification Examination. The certifying board may grant a waiver based on mitigating circumstances. Any student with a felony conviction is advised to contact the AAMA prior to beginning the program. It is highly recommended that any student with knowledge of his or her own criminal or abuse history meet with the program coordinator prior to beginning the program to discuss his or her options in health care. Current Provider Level CPR and First Aid Certification obtained through The American Red Cross, The American Heart Association, The American Safety and Health Institute, or The National Safety Institute. Certification must remain current throughout the duration of the program including practicum. Current Mandatory Child and Dependent Adult Reporter Certification.

Estimated Program Costs Additional program cost for full-time students Item 1st Semester 2nd Semester Summer Session Total Books 650.00 150.00 200.00 1000.00 Lab Supplies: 200.00 0 0 200.00 White lab coat, watch, Medical Assistant Supply Kit (purchased from ICCC Bookstore) Mandatory Child and Dependent Adult 10.00 10.00 Reporter Training and Certification Practicum Supplies: 0 0 150.00 150.00 uniform shirts (2), uniform pants (2), shoes CPR & First Aid Certification 75.00 0 0 75.00 Graduation Fee 0 25.00 0 25.00 Certification Exam Application Fee 0 125.00 0 125.00 Class Pictures 0 0 15.00 15.00 TOTALS $935.00 $300.00 $ 365.00 $1600.00 Tuition and student fees are not included in the estimate of program costs. They are available for students to review at www.iowacentral.edu The cost for the required physical examination and any required immunizations vary and are not included in the estimate of program costs. The cost of the criminal background and adult/dependent abuse check varies, and is not included in the estimate of program costs. The cost of travel to the practicum site is the student's responsibility and is not included in the estimate of program costs. Students will be assigned to a practicum site that may require up to 60 miles of travel one way.

Advising Students are assigned an advisor according to the area of study they have chosen. The advisor for all medical assistant students is the Medical Assistant Program Coordinator. A file for each student enrolled in the Medical Assistant Program is maintained in a locked file in the Program Coordinator s office. The file contains documents pertaining to the students program compliance and advisement. Transfer of Credits, Advanced Standing, and Experiential Learning Transfer of Credits: Students wishing to transfer into the Iowa Central Community College Medical Assisting Program from another college must have their transcript evaluated by the Program Coordinator and the Iowa Central Community College Registrar. To have a transcript evaluated, the student must request that an official transcript from each college attended be sent to the Iowa Central Community College Registrar. The student s overall GPA and courses that have been completed elsewhere are evaluated. Courses completed previously must be of comparable content, semester hours, and clock hours. The length of time since the coursework was completed is also considered. Medical Assistant Program Curriculum Courses taken elsewhere will not be accepted due to the variation of organization within each individual medical assisting program and documentation of competencies required. Advanced Standing: Testing for advanced standing is available for HSC 113 Medical Terminology. If a student wishes to obtain advanced standing, he or she needs to indicate this to the Dean of Science, Health, and Human Services who will provide the student with an application form. The student should then take the form to the Student Success Center and pay a $50 application fee. The course syllabus can be made available to the student upon request to assist in preparation for the examination. The student is given the comprehensive examination on the scheduled date. After the examination is scored, the Dean of Science, Health, and Human Services receives the result and forwards the application to the Program Coordinator and Vice President of Instruction. The Dean of Science, Health, and Human Services establishes the minimum passing score. The Iowa Central Community College Registrar then accepts the form. If the student passes the examination a grade of T will be placed on the student s permanent record, and credits obtained will meet Iowa Central graduation requirements Advanced Standing credit is place on the transcript after the student has completed 12 hours of credit at Iowa Central. Experiential Learning: Credit for experiential learning is not granted in the Medical Assistant Program. College Level Examination Program (CLEP) Composition I (ENG 105) is a requirement for a student seeking a diploma. Both Composition I (ENG 105) and Composition II (ENG 106) are requirements for a student seeking an AAS degree. Iowa Central Community College offers students that have not enrolled in either course the opportunity to test out of these courses by taking a Composition CLEP test to prove competency. There is a non-refundable fee for this exam. More information on CLEP is available at the Student Success Center.

Curriculum The Medical Assistant Program Curriculum ensures the achievement of program goals and learning outcomes. Instruction during classroom, laboratory, and clinical activities is appropriately sequenced to provide a logical progression of learning. The curriculum is designed so that the cognitive content is taught prior to psychomotor and affective domains and that no psychomotor or affective domain objectives are performed in practicum prior to demonstration of competency in the classroom or lab. Instruction is based on clearly written course syllabi that include a course description, course objectives, methods of evaluation, a topic outline, and competencies required for graduation. (See Core Curriculum). Extended Program: Students may extend the diploma program with an individual curriculum plan as determined by the student and Program Coordinator. The following medical assistant courses may be taken in advance of acceptance into the program: MAP 542 The Human Body in Health and Disease I, HSC 113 Medical Terminology, ENG 105 Composition I, and MAP 555 The Human Body in Health and Disease II. This extended plan meets the needs of students who may be unable to attend full time or selected students who, due to scholastic challenges, receive a recommendation to extend the program. Enrollment in extended courses does NOT guarantee acceptance into the Medical Assistant Program..

Curriculum: Program of Study (Diploma) First Semester MAP 542 The Human Body in Health & Disease 3.0 MAP 322 Examination Room Techniques I 3.5 MAP 221 Medical Laboratory Procedures I 1.5 MAP 115 Medical Office Management I 6.0 HSC 113 Medical Terminology * 2.0 MAP 401 Medical Law and Ethics 1.0 MAP 127 Medical Office Computer Applications 1.0 Total Semester Hours 18.0 Second Semester MAP 555 The Human Body in Health & Disease II 5.0 MAP 324 Examination Room Techniques II 4.5 MAP 226 Medical Laboratory Procedures II 1.5 MAP 118 Medical Office Management II 4.0 MAP 130 Medical Transcription 1.0 MAP 435 Interpersonal Relations in Healthcare 2.0 Total Semester Hours 18.0 Summer Semester MAP 614 Practicum 4.5 ENG 105 Composition I 3.0 Total Semester Hours 7.5 *Advanced Standing test out option is available. See Dean of Science, Health, and Human Services or Program Coordinator for more information. Curriculum: Program of Study (AAS Degree) After completion of the diploma program, students may opt to continue their education by obtaining an AAS degree in Medical Assisting, completing an additional 13 credit hours of required coursework and 6 credit hours of elective coursework. Required coursework: PSY 111 Introduction to Psychology 3.0 PSY 121 Developmental Psychology 3.0 ENG 106 Composition II 3.0 BIO 168 Human Anatomy and Physiology I w/lab 4.0 Elective coursework: Elective courses that are accepted include courses with EMS, PNN, ADN, DHY, MLT, RAD, or MTR prefixes, any course listed on the ICCC AA sheet, or any other course that receives prior approval from the Program Coordinator.

Curriculum: Fall Semester Course ID Course Weekly Contact Semester Clock Credit Hours Hours Hours MAP 542 The Human 4 72 3.0 Body in Health and Diseases I MAP 322 Examination 4 72 3.5 Room Techniques I MAP 221 Medical 2 36 1.5 Laboratory Procedures I MAP 115 Medical Office 7 126 6.0 Management I HSC 113 Medical 2 36 2.0 Terminology MAP 401 Medical Law and 1 18 1.0 Ethics MAP 127 Medical Office Computer Applications 2 36 1.0 Curriculum: Spring Semester Course ID Course Weekly Contact Semester Clock Credit Hours Hours Hours MAP 555 The Human 6 108 5.0 Body in Health and Disease II MAP 324 Examination 5 90 4.5 Room Techniques II MAP 226 Medical 2 36 1.5 Laboratory Procedures II MAP 118 Medical Office 5 90 4.0 Management II MAP 130 Medical 2 36 1.0 Transcription MAP 435 Interpersonal Relations in Healthcare 2 36 2.0 Curriculum: Summer Session MAP 614 Practicum 36 288 4.5 ENG 105 Composition I 3 54 3.0

Curriculum: Course Descriptions MAP 542: This course includes a study of the anatomy and physiology of each body system and common pathology related to each system. The course begins with a study of the structural organization of the human body and then proceeds with a comprehensive study of the cardiovascular system and lymphatic system. Common pathology related to these systems is studied that includes common signs and symptoms, etiology, methods of diagnosis, and treatment options. The interaction that occurs between systems and changes to the structure and function that occur across the life span within each system are identified. The course encourages the student to demonstrate critical thinking based on knowledge of academic subject matter required for competence in the medical assisting profession. Students will learn to incorporate the cognitive knowledge in performance of the psychomotor and affective domains in their practice as medical assistants in providing patient care. This course is the first course of a two-semester sequence. Other body systems are studied in MAP-555 The Human Body in Health and Disease II. Co-requisite: HSC-113 Medical Terminology. MAP 555: This course includes a study of the anatomy and physiology of each body system and common pathology related to each system. A comprehensive study of the integumentary system, skeletal system, muscular system, nervous system, sensory system, endocrine system, respiratory system, digestive system, urinary system, and reproductive system is included. Common pathology related to these systems is studied that includes common signs and symptoms, etiology, methods of diagnosis, and treatment options. The interaction that occurs between systems and changes to the structure and function that occur across the life span within each system are identified. The course encourages the student to demonstrate critical thinking based on knowledge of academic subject matter required for competence in the medical assisting profession. Students will learn to incorporate the cognitive knowledge in performance of the psychomotor and affective domains in their practice as medical assistants in providing patient care. Pre-requisite: Successful completion of MAP-542 The Human Body in Health and Disease I with a "C" or better. MAP 322: This course presents an introduction to basic clinical procedures performed in ambulatory health care settings. The course encourages the student to demonstrate critical thinking based on knowledge of academic subject matter required for competence in the medical assisting profession. Students will learn to incorporate the cognitive knowledge in performance of the psychomotor and affective domains in their practice as medical assistants in providing patient care. This course is the first course of a two-semester sequence. Pre-requisite: Acceptance into the Medical Assistant Program.

MAP 324: This course expands on basic clinical procedures presented in Examination Room Techniques I with emphasis on minor surgery, pharmacology, and more complex clinical procedures that may be performed in an ambulatory health care setting or specialty practice. The course encourages the student to demonstrate critical thinking based on knowledge of academic subject matter required for competence in the medical assisting profession. Students will learn to incorporate the cognitive knowledge in performance of the psychomotor and affective domains in their practice as medical assistants in providing patient care. Pre-requisite: Acceptance into the Medical Assistant Program and successful completion of MAP-322 Examination Room Techniques I with a "C" or better. MAP 221: This course presents basic medical laboratory procedures performed in ambulatory health care settings including the use of basic laboratory equipment, blood collection by capillary and venipuncture, and basic laboratory tests performed. The course encourages the student to demonstrate critical thinking based on knowledge of academic subject matter required for competence in the medical assisting profession. Students will learn to incorporate the cognitive knowledge in performance of the psychomotor and affective domains in their practice as medical assistants in providing patient care. This course is the first course of a two-semester sequence. Pre-requisite: Acceptance into the Medical Assistant Program. MAP 226: This course expands on basic medical laboratory procedures presented in Medical Laboratory Procedures I with emphasis on chemistry, urinalysis, and microbiology. The course encourages the student to demonstrate critical thinking based on knowledge of academic subject matter required for competence in the medical assisting profession. Students will learn to incorporate the cognitive knowledge in performance of the psychomotor and affective domains in their practice as medical assistants in providing patient care. Pre-requisites: Acceptance into the Medical Assistant Program and successful completion of MAP-221 Medical Laboratory Procedures I with a "C" or better. MAP 115: This course presents the basic administrative procedures performed in ambulatory health care settings. The course encourages the student to demonstrate critical thinking based on knowledge of academic subject matter required for competence in the medical assisting profession. Students will learn to incorporate the cognitive knowledge in performance of the psychomotor and affective domains in their practice as medical assistants in providing patient care. This course is the first course of a two-semester sequence. Pre-requisite: Acceptance into the Medical Assistant Program.

MAP 118: This course expands on the basic administrative procedures presented in Medical Office Management I with emphasis on basic practice finances, managed care and insurance, and procedural and diagnostic coding. The course encourages the student to demonstrate critical thinking based on knowledge of academic subject matter required for competence in the medical assisting profession. Students will learn to incorporate the cognitive knowledge in performance of the psychomotor and affective domains in their practice as medical assistants in providing patient care. Pre-requisite: Acceptance into the Medical Assistant Program and successful completion of MAP-115 Medical Office Management I with a "C" or better. HSC 113: The student will study terminology of the human body systems in more depth than HSC-112 Medical Terminology. The emphasis will be on recognition and functional vocabulary related to medical science. Definitions, standard abbreviations, pronunciations, correct spelling, will be included. Students with prior experience in a health field may elect to "test out" of medical terminology. See Health Science Department Chair for additional information. MAP 401: This course presents legal and ethical considerations pertaining to practice in an ambulatory health care setting. The course encourages the student to demonstrate critical thinking based on knowledge of academic subject matter required for competence in the medical assisting profession. Students will learn to incorporate the cognitive knowledge in performance of the psychomotor and affective domains in their practice as medical assistants in providing patient care. Pre-requisite: Acceptance into the Medical Assistant Program. MAP 127: This course presents computerized management of an ambulatory health care setting. The course encourages the student to demonstrate critical thinking based on knowledge of academic subject matter required for competence in the medical assisting profession. Students will learn to incorporate the cognitive knowledge in performance of the psychomotor and affective domains in their practice as medical assistants in providing patient care. Pre-requisite: Acceptance into the Medical Assistant Program. MAP 130: This course provides the student with working knowledge of the transcription of medical reports on the computer. Medical reports will be transcribed from individual case studies that include history and physical examinations, radiology reports, operative reports, pathology reports, discharge summaries and request for consultation. The course encourages the student to demonstrate critical thinking based on knowledge of academic subject matter required for competence in the medical assisting profession. Students will learn to incorporate the cognitive knowledge gained in this course in the performance of the psychomotor and affective domains in their future practice as medical assistants providing patient care. Pre-requisites: Acceptance into the Medical Assistant Program and successful completion of MAP-115 Medical Office Management I with a "C" or better.

MAP 435: This course presents concepts of effective communication necessary for caring for patients in an ambulatory health care setting. The course encourages the student to demonstrate critical thinking based on knowledge of academic subject matter required for competence in the medical assisting profession. Students will learn to incorporate the cognitive knowledge in performance of the psychomotor and affective domains in their practice as medical assistants in providing patient care. Pre-requisite: Acceptance into the Medical Assistant Program. MAP 614: The course provides the student with a supervised practicum in an ambulatory health care setting, performing psychomotor and affective competencies. The course encourages the student to demonstrate critical thinking based on knowledge of academic subject matter required for competence in the medical assisting profession. Students will learn to incorporate the cognitive knowledge in performance of the psychomotor and affective domains in their practice as medical assistants in providing patient care. Pre-requisite: Successful completion all Medical Assistant curriculum courses (with the exception of ENG-105 Composition I) with a "C" or better. Corequisite: ENG-105 Composition I. ENG 105: This course focuses on the process of writing expressive and informative prose, incorporating oral, visual and electronic modes. It introduces research skills and critical thinking skills.

Core Curriculum for Medical Assistants Medical Assisting Education Review Board (MAERB) I. Anatomy & Physiology (Cognitive) 1. Describe structural organization of the human body 2. Identify body systems 3. Describe body planes, directional terms, quadrants, and cavities 4. List major organs in each body system 5. Describe the normal function of each body system 6. Identify common pathology related to each body system 7. Analyze pathology as it relates to the interaction of body systems 8. Discuss implications for disease and disability when homeostasis is not maintained 9. Describe implications for treatment related to pathology 10. Compare body structure and function of the human body across the life span 11. Identify the classifications of medications, including desired effects, side effects, and adverse reactions 12. Describe the relationship between anatomy and physiology of all body systems and medications used for treatment in each I. Anatomy & Physiology (Psychomotor) 1. Obtain vital signs 2. Perform venipuncture 3. Perform capillary puncture 4. Perform pulmonary function testing 5. Perform electrocardiography 6. Perform patient screening using established protocols 7. Select proper sites for administering parenteral medication 8. Administer oral medications 9. Administer parenteral (excluding IV) medications 10. Assist physician with patient care 11. Perform quality control measures 12. Perform hematology testing 13. Perform chemistry testing 14. Perform urinalysis 15. Perform immunology testing 16. Screen test results I. Anatomy & Physiology (Affective) 1. Apply critical thinking skills in performing patient assessment and care 2. Use language/verbal skills that enable patients understanding 3. Demonstrate respect for diversity in approaching patients and families II. Applied Mathematics (Cognitive) 1. Demonstrate knowledge of basic math computations 2. Apply mathematical computations to solve equations 3. Identify measurement systems 4. Define basic units of measurement in metric, apothecary, and household systems 5. Convert among measurement systems 6. Identify both abbreviations and symbols used in calculating medication dosages

II. II. III. III. III. 7. Analyze charts, graphs, and/or tables in the interpretation of healthcare results Applied Mathematics (Psychomotor) 1. Prepare proper dosages of medication for administration 2. Maintain laboratory test results using flow sheets 3. Maintain growth charts Applied Mathematics (Affective) 1. Verify ordered doses/dosages prior to administration 2. Distinguish between normal and abnormal test results Applied Microbiology/Infection Control (Cognitive) 1. Describe the infection cycle, including the infectious agent, reservoir, susceptible host, means of transmission, portals of entry, and portals of exit 2. Define asepsis 3. Discuss infection control procedures 4. Identify personal safety precautions as established by the Occupational Safety and Health Administration (OSHA) 5. List major types of infectious agents 6. Compare different methods of controlling the growth of microorganisms 7. Match types and uses of personal protective equipment (PPE) 8. Differentiate between medical and surgical asepsis used in ambulatory care settings, identifying when each is appropriate 9. Discuss quality control issues related to handling microbiological specimens 10. Identify disease processes that are indications for CLIA waived tests 11. Describe Standard Precautions, including: a. Transmission based precautions b. Purpose c. Activities regulated 12. Discuss the application of Standard Precautions with regard to: a. All body fluids, secretions and excretions b. Blood c. Non-intact skin d. Mucous membranes 13. Identify the role of the Center for Disease Control (CDC) regulations in healthcare settings. Applied Microbiology/Infection Control (Psychomotor) 1. Participate in training on Standard Precautions 2. Practice Standard Precautions 3. Select appropriate barrier/personal protective equipment (PPE) for potentially infectious situations 4. Perform handwashing 5. Prepare items for autoclaving 6. Perform sterilization procedures 7. Obtain specimens for microbiological testing 8. Perform CLIA waived microbiology testing Applied Microbiology/Infection Control (Affective) 1. Display sensitivity to patient rights and feelings in collecting specimens 2. Explain the rationale for performance of a procedure to the patient

IV. IV. IV. 3. Show awareness of patients concerns regarding their perceptions related to the procedure being performed Concepts of Effective Communication (Cognitive) 1. Identify styles and types of verbal communication 2. Identify nonverbal communication 3. Recognize communication barriers 4. Identify techniques for overcoming communication barriers 5. Recognize the elements of oral communication using a sender-receiver process 6. Differentiate between subjective and objective information 7. Identify resources and adaptations that are required based on individual needs, i.e., culture and environment, developmental life stage, language, and physical threats to communication 8. Recognize elements of fundamental writing skills 9. Discuss applications of electronic technology in effective communication 10. Diagram medical terms, labeling the word parts 11. Define both medical terms and abbreviations related to all body systems 12. Organize technical information and summaries 13. Identify the role of self-boundaries in the health care environment 14. Recognize the role of patient advocacy in the practice of medical assisting 15. Discuss the role of assertiveness in effective professional communication 16. Differentiate between adaptive and nonadaptive coping mechanisms Concepts of Effective Communication (Psychomotor) 1. Use reflection, restatement and clarification techniques to obtain a patient history 2. Report relevant information to others succinctly and accurately 3. Use medical terminology, pronouncing medical terms correctly, to communicate information, patient history, data and observations 4. Explain general office policies 5. Instruct patients according to their needs to promote health maintenance and disease prevention 6. Prepare a patient for procedures and/or treatments 7. Demonstrate telephone techniques 8. Document patient care 9. Document patient education 10. Compose professional/business letters 11. Respond to nonverbal communication 12. Develop and maintain a current list of community resources related to patients healthcare needs 13. Advocate on behalf of patients Concepts of Effective Communication (Affective) 1. Demonstrate empathy in communicating with patients, family, and staff 2. Apply active listening skills 3. Use appropriate body language and other nonverbal skills in communicating with patients, family, and staff 4. Demonstrate awareness of the territorial boundaries of the person with whom communicating

5. Demonstrate sensitivity appropriate to the message being delivered 6. Demonstrate awareness of how an individual s personal appearance affects anticipated responses 7. Demonstrate recognition of the patient s level of understanding in communications 8. Analyze communications in providing appropriate responses/ feedback 9. Recognize and protect personal boundaries in communicating with others 10. Demonstrate respect for individual diversity, incorporating awareness of one s own biases in areas including gender, race, religion, age, and economic status V. Administrative Functions (Cognitive) 1. Discuss pros and cons of various types of appointment management systems 2. Describe scheduling guidelines 3. Recognize office policies and protocols for handling appointments 4. Identify critical information required for scheduling patient admissions and/or procedures 5. Identify systems for organizing medical records 6. Describe various types of content maintained in a patient s medical record 7. Discuss pros and cons of various filing methods 8. Identify both equipment and supplies needed for filing medical records 9. Describe indexing rules 10. Discuss filing procedures 11. Discuss principles of using Electronic Medical Record (EMR) 12. Identify types of records common to the healthcare setting 13. Identify time management principles 14. Discuss the importance of routine maintenance of office equipment V. Administrative Functions (Psychomotor) 1. Manage appointment schedule, using established priorities 2. Schedule patient admissions and/or procedures 3. Organize a patient s medical record 4. File medical records 5. Execute data management using electronic healthcare records such as the EMR 6. Use office hardware and software to maintain office systems 7. Use internet to access information related to the medical office 8. Maintain organization by filing 9. Perform routine maintenance of office equipment with documentation 10. Perform an office inventory V. Administrative Functions (Affective) 1. Consider staff needs and limitations in establishment of a filing system 2. Implement time management principles to maintain effective office function VI. Basic Practice Finances (Cognitive) 1. Explain basic bookkeeping computations 2. Differentiate between bookkeeping and accounting 3. Describe banking procedures 4. Discuss precautions for accepting checks 5. Compare types of endorsement 6. Differentiate between accounts payable and accounts receivable

VI. VI. VII. VII. 7. Compare manual and computerized bookkeeping systems used in ambulatory healthcare 8. Describe common periodic financial reports 9. Explain both billing and payment options 10. Identify procedure for preparing patient accounts 11. Discuss procedures for collecting outstanding accounts 12. Describe the impact of both the Fair Debt Collection Act and the Federal Truth in Lending Act of 1968 as they apply to collections 13. Discuss types of adjustments that may be made to a patient s account Basic Practice Finances (Psychomotor) 1. Prepare a bank deposit 2. Perform accounts receivable procedures, including: a. Post entries on a day sheet b. Perform billing procedures c. Perform collection procedures d. Post adjustments e. Process a credit balance f. Process refunds g. Post non-sufficient fund (NSF) checks. h. Post collection agency payments. 3. Utilize computerized office billing systems Basic Practice Finances (Affective) 1. Demonstrate sensitivity and professionalism in handling accounts receivable activities with clients Managed Care/Insurance (Cognitive) 1. Identify types of insurance plans 2. Identify models of managed care 3. Discuss workers compensation as it applies to patients 4. Describe procedures for implementing both managed care and insurance plans 5. Discuss utilization review principles 6. Discuss referral process for patients in a managed care program 7. Describe how guidelines are used in processing an insurance claim 8. Compare processes for filing insurance claims both manually and electronically 9. Describe guidelines for third-party claims 10. Discuss types of physician fee schedules 11. Describe the concept of RBRVS 12. Define Diagnosis-Related Groups (DRGs) Managed Care/Insurance (Psychomotor) 1. Apply both managed care policies and procedures 2. Apply third party guidelines 3. Complete insurance claim forms 4. Obtain precertification, including documentation 5. Obtain preauthorization, including documentation 6. Verify eligibility for managed care services

VII. Managed Care/Insurance (Affective) 1. Demonstrate assertive communication with managed care and/or insurance providers 2. Demonstrate sensitivity in communicating with both providers and patients 3. Communicate in language the patient can understand regarding managed care and insurance plans VIII. Procedural and Diagnostic Coding (Cognitive) 1. Describe how to use the most current procedural coding system 2. Define upcoding and why it should be avoided 3. Describe how to use the most current diagnostic coding classification system 4. Describe how to use the most current HCPCS coding VIII. Procedural and Diagnostic Coding (Psychomotor) 1. Perform procedural coding 2. Perform diagnostic coding VIII. Procedural and Diagnostic Coding (Affective) 1. Work with physician to achieve the maximum reimbursement IX. Legal Implications (Cognitive) 1. Discuss legal scope of practice for medical assistants 2. Explore issue of confidentiality as it applies to the medical assistant 3. Describe the implications of HIPAA for the medical assistant in various medical settings 4. Summarize the Patient Bill of Rights 5. Discuss licensure and certification as it applies to healthcare providers 6. Describe liability, professional, personal injury, and third party insurance 7. Compare and contrast physician and medical assistant roles in terms of standard of care 8. Compare criminal and civil law as it applies to the practicing medical assistant 9. Provide an example of tort law as it would apply to a medical assistant 10. Explain how the following impact the medical assistant s practice and give examples a. Negligence b. Malpractice c. Statute of Limitations d. Good Samaritan Act(s) e. Uniform Anatomical Gift Act f. Living will/advanced directives g. Medical durable power of attorney 11. Identify how the Americans with Disabilities Act (ADA) applies to the medical assisting profession 12. List and discuss legal and illegal interview questions 13. Discuss all levels of governmental legislation and regulation as they apply to medical assisting practice, including FDA and DEA regulations 14. Describe the process to follow if an error is made in patient care IX. Legal Implications (Psychomotor) 1. Respond to issues of confidentiality 2. Perform within scope of practice