Assignment:
You will develop a training manual that will be utilized for training new employees (certified medical administrative assistants [CMAAs]) who join the clinic.
Physicians are hiring more CMAAs to help manage the increasing complexities of patient care and practice management, while also helping to implement cost-effectiveness and efficiency. Your responsibilities as a CMAA can be tailored to the needs of the practice. You will manage front-office functions, manage patient flow, and handle a wide range of tasks that have been discussed in the past few weeks. As a CMAA, you may convey clinical information on behalf of the physician and follow clinical protocol when speaking with patients, but you cannot exercise independent medical judgments. You will also help to optimize patient flow, enabling the physician to see more patients with efficiency, all while following your State's scope of practice and working under the supervision of a licensed physician.
The project deliverables are as follows:
• Training Manual
o Title page
Course number and name
Project name
Your name
Date
o The training manual should include the following topics:
An introduction to the health care system
The organization's structure
The process of checking patients in and out
Scheduling patients
Various community and patient resources
Processes for how to interact with patients
Health insurance plans
Financial procedures related to the policies of the organization
Clean claims
Financial procedures related to the organization's cash flow
Billing policy and procedures
Protecting patients' privacy
Accounting and bookkeeping procedures and processes
Office procedures for various forms of documentation (release of information, electronic health record)
Health Insurance Portability and Accountability Act (HIPAA) rules and regulations
HIPAA forms
Advance directives
Medical record responsibilities
Obtaining patient demographics and insurance information
Receive, triage, and route phone calls
Review records for medical necessity
Release of information guidelines
Risk Management
You will add a final section to your training manual that will be utilized for training new employees (CMAAs) who join the clinic.
As a CMAA in a clinic, you are responsible for ensuring that job performance is in compliance with regulatory agency guidelines. There are many areas of compliance that a CMAA should be familiar with: financial risk, local and state regulations, Occupational Safety and Health
Administration (OSHA), transmission and release of information, HIPAA guidelines, patient care procedures, and prevention of medical errors.
You will add the following topics to your training manual:
• Identify and discuss 3 compliance risks.
• Indicate the consequences of not meeting these requirements.
o Add a conclusion that should include the guidelines or policies that should have been followed to prevent this infraction.