1. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Pearson's Comprehensive Medical Assisting Administrative and Clinical Competencies Second Edition CHAPTERCHAPTER CHAPTER 1 1 Medical Assisting: The Profession

2. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Chapter Objectives Upon completion of this chapter, students should be able to … Define and spell the terms to learn for this chapter. Discuss the history of medical assisting as a profession. Discuss educational opportunities available for medical assistants. Identify accrediting agencies for medical assisting programs.

3. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Lesson Objectives List ten administrative duties of the medical assistant. List ten clinical skills medical assistants need to know. List qualities usually found in a good medical assistant.

4. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Chapter Objectives Discuss the professional organizations that certify medical assistants. Identify career opportunities available to medical assistants and give examples of areas in which you may choose to work.

5. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Steps in the History of Trained Medical Assistants 1. MAs were originally trained on the job. 2. Responsibility and liability issues increased, leading to more formal training. 3. Nurses were in higher demand due to physicians familiarity with this profession. 4. Demand for well trained MAs increased as nursing shortages grew, as the MA profession expanded, and as physicians began to see the value in hiring MAs.

6. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan The AAMA Acronym for the American Association of Medical Assistants Founded by Maxine Williams Organized in 1956 Williams was the first president of the AAMA To learn more about the AAMA click here or visitclick here http://www.aama-ntl.org/

7. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan AAMA Definition of a Medical Assistant “A multi-skilled allied health profession whose practitioners work primarily in ambulatory settings such as medical offices and clinics. Medical assistants function as members of the health care delivery team and perform administrative and clinical procedures.”

8. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Formal Training for the Medical Assistant Certificate –Training varies from six weeks to a year –Focus typically is on clinical skills Diploma –Similar to certificate programs –Focus is on clinical and limited administrative skills –Training can last from nine months to a year

9. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Formal Training for the Medical Assistant Degree –Approximately two years in length –Courses include clinical and administrative, along with professional development and general education courses

10. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Accreditation Is the process in which an institution voluntarily completes an extensive self- study after which then an accrediting association visits the school to verify the self-study statements

11. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Accreditation Institutional –Voluntary process to determine if a school meets or exceeds standards set by an accrediting body –Ensures that a school meets an established criteria

12. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Accreditation Programmatic –Ensures that a program in a school meets or exceeds standards –Learning outcomes for programs are competency-based

13. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Accrediting Agencies for MA Programs Commission on Accreditation of Allied Health Education Programs (CAAHEP) Accrediting Bureau of Health Education Schools (ABHES) For more information on these accrediting bodies click on each website below or go to CAAHEP - http://www.caahep.orghttp://www.caahep.org ABHES - http://www.abhes.orghttp://www.abhes.org

14. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Curriculum Typically Found in MA Programs Anatomy and physiology Medical terminology Medical law and ethics Psychology Communication (oral and written) Medical assistant administrative procedures Medical assistant clinical procedures Professional components Externship

15. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan The Medical Assistant Externship Required component of an MA program Volunteer position Settings include physician’s office, clinic, or hospital setting Total hours of externship vary

16. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Role of the Medical Assistant To assist the physician in providing patient care

17. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Places of Employment for MAs Physician offices Ambulatory care clinics Government agencies Urgent care facilities Free-standing facilities

18. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Duties of the Medical Assistant Vary from office to office Vary according to size and type of setting Vary due to federal and state regulations and guidelines

19. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Administrative Duties Scheduling patients Greeting and receiving patients Screening non-patients and visitors Making arrangements for patient admissions to hospitals, patient tests, and procedures Providing patient instruction Updating and filing patient medical records Coding diagnoses and procedures for insurance purposes

20. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Administrative Duties Handling financial arrangements with patients Transcribing medical dictation Handling the telephone

21. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Administrative Duties Writing reports Handling mail Performing tasks related to accounts payable and accounts receivable Operating office equipment

22. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Administrative Duties Preparing and maintaining employee records Handling petty cash Reconciling bank statements Maintaining records for license renewals, membership fees, and insurance premiums Handling the office in the physician’s absence Assisting the physician with articles, lectures, and manuscripts

23. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Administrative Duties Preparing and maintaining employee records Handling petty cash Reconciling bank statements Maintaining records for license renewals, membership fees, and insurance premiums Handling the office in the physician’s absence Assisting the physician with articles, lectures, and manuscripts

24. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Utilization review Coordinating managed-care coverage for patients and physicians Ensure compliance with HIPAA guidelines For an overview on HIPAA click here or go to http://www.cms.hhs.gov/hipaaGenInfo.click here Administrative Duties

25. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Clinical Responsibilities Assisting patients in preparation for physical exams and procedures Perform routine clinical and lab procedures Obtain a medical history

26. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Clinical Responsibilities Collecting, preparing, and transporting laboratory specimens Venipuncture Assisting the physician with procedures Instructing and educating patients Cleaning and sterilizing equipment Obtaining patient’s height, weight, and vital signs

27. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Clinical Responsibilities Preparing and maintaining exam and treatment rooms Inventory control – ordering and storing of supplies Disposing of hazardous waste and other materials Administering medications Changing bandages and dressings Suture removal

28. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Clinical Responsibilities Handling drug refills Performing ECGs Ensuring compliance with OSHA

29. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Clinical Responsibilities Performing skills relevant to various specialties Disposing of contaminated supplies Sterilizing medical instruments Preparing patients for x-rays

30. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan The Occupational Analysis of the CMA (AAMA) 2007-2008 Study performed from 1979 to 1996 Used a document called DACUM (Developing a Curriculum) Defined specific areas of instruction and competencies for medical assisting Study revised in 2003 and again in 2007- 2008 with current competencies essential for MAs

31. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan General, Clinical, and Administrative Skills of the CMA (AAMA) Identifies three major categories of competencies for entry-level MAs –Administrative –Clinical –General or interdisciplinary Areas are further expanded to include competencies that should be taught in MA programs For further information see Appendix I in your textbook!

32. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan General Characteristics of a Good MA General medical knowledge Ability to perform administrative and clinical skills Genuinely care about others Ability to communicate and get along with others

33. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Qualities Found in a Good MA Integrity Discretion Empathy Ability to safeguard patient’s right to confidentiality Thoroughness Punctuality Congeniality Proactive Competence

34. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan How to Present a Professional Image Using a calm, pleasant speaking voice Not eating, drinking, or chewing gum while working in public areas Developing a basic understanding of human behavior Using good communication skills Exhibiting good daily personal hygiene and grooming habits Providing quality care

35. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan MA Certifying Organizations AAMA –American Association of Medical Assistants AMT –American Medical Technologists NCCT –National Center for Competency Testing NHA –National Healthcareer Association

36. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan AAMA Certification Exam Offered to graduates of programs accredited by CAAHEP or ABHES Computerized exams are available throughout the year Certification indicates that the candidate has met the standards of the AAMA for being an MA To learn more about the AAMA Certification exam, click here or visit http://www.aama-ntl.orgclick here

37. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan American Medical Technologists Nonprofit certifying body Provides a Registered Medical Assistant (RMA) certification exam for MAs RMA is awarded to candidates who pass the AMT certification exam RMA certification exam focuses on three areas: –General medical assisting knowledge –Administrative medical assisting –Clinical medical assisting

38. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan AMT Certification Requirements for Applicants First – be of good moral character! Graduate of: –MA program accredited by ABHES or CAAHEP OR; –postsecondary school or college accredited by the Regional Accrediting Commission OR; –a national accrediting organization approved by the U.S. Department of Education

39. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan AMT Certification Requirements for Applicants Graduate must have completed a minimum of 720 clock-hours or equivalent of training in MA skills or formal medical training in the U.S. Armed Forces Applicant must also have recent MA experience

40. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan General Medical Assisting Knowledge Anatomy and physiology Medical terminology Medical law Medical ethics Human rights Patient education

41. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Administrative Medical Assisting Insurance Financial bookkeeping Medical secretarial – receptionist

42. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Clinical Medical Assisting Asepsis Sterilization Instruments Vital signs Physical examinations Clinical pharmacology Minor surgery Therapeutic modalities Laboratory procedures Electrocardiography First Aid

43. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Registered Medical Assistants With additional experience, RMAs can apply for the Certified Medical Administrative Specialist credential (CMAS) For more information on the AMT RMA certification exam and the CMAS AMT credential click here or visit the following website: http://www.amt1.comclick here

44. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan National Center for Competency Testing Issue the National Certified Medical Assistant (NCMA) credential Candidate must be a high school graduate and have completed an MA program or provide documentation of two years of MA experience under the training and direction of a physician Continuation of certification requires 14 hours per year of continuing education

45. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan National Certified Medical Office Assistant NCMOA Offered by the National Center for Competency Testing Applicants for exam must have at least one year experience as an MA or be a graduate of an approved MA program For more information on the NCCT click here or visit the following website: http://www.ncctinc.com

46. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Founded in 1989 Grants the following two credentials: –Certified Clinical Medical Assistant (CCMA) –Certified Medical Administrative Assistant (CMAA) To learn more about this organization click here or visit http://www.nhanow.com National Healthcareer Association

47. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Qualified applicant must: –Be over 18 years of age –Be a high school graduate –Have 2 years of work in the field in which they certify –Pass a professional examination To learn more about this organization click here or visit http://www.nhanow.com National Healthcareer Association

48. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan According to the U.S. Department of Labor –MAs held about 417,000 jobs in 2006 –62% were employed by physician offices –12% held positions in public and private hospitals –About 11% worked in the offices of other health care practitioners –15% were employed in other health care industries Projections are that the field of medical assisting from 2002-2012 will be a fast-growing occupation For more information on these statistics click here or visit http://www.bls.gov/ococlick here Statistics on Jobs in Medical Assisting

49. Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative and Clinical Competencies, 2/e Beaman Fleming-McPhillips Routh Gohsman Reagan Job Title Opportunities for MAs Clinic aid Data processing clerk Billing or collection assistant Insurance claims coder Medical records clerk Multifunctional technician With additional training other jobs include: –Medical laboratory assistant –ECG technician –Phlebotomist