Medical Administrative Procedures | Madison College Outline of Instruction

10160165 Medical Administrative Procedures

Course Information

Description

Learn administrative skills and techniques for efficient and effective function within the electronic medical office environment. Through the use of an electronic practice management platform, practical application workflow activities include patient demographics, appointment scheduling, healthcare documentation and template use, patient billing and reimbursement, insurance claims and payments, patient statements, and financial and clinical reports. Other topics include telephone procedures, introduction to diagnostic and procedural coding, diversity in healthcare, effective business meetings, travel arrangements and itineraries, and qualities of a successful healthcare professional.

Total Credits

Course Competencies (Course Outcomes)

Use electronic health record/practice management software

Assessment Strategies

Skill Demonstration

Simulation

Criteria

you accurately and efficiently utilize electronic health record/practice management software

you create accurate practice management reports

you achieve a minimum of 76% on final practice management simulation
Explore health information and related Federal laws in healthcare

Assessment Strategies

Open-resource worksheet

Quiz

Criteria

you review healthcare law articles and resources

you apply healthcare law rules and regulations

you achieve a minimum of 76% on the open-resource worksheet

you achieve a minimum of 76% on the quiz
Examine healthcare insurance basics

Assessment Strategies

Worksheet

Quiz

Criteria

you review websites and resources

you accurately complete assigned worksheet

you achieve a minimum of 76% on the quiz
Assign proper medical codes

Assessment Strategies

Skill Demonstration

Quiz

Criteria

you use practice management software

you assign accurate ICD codes to diagnoses

you assign accurate CPT codes to services/procedures

you identify code linkage

you accurately assign codes in practice management software

you achieve a minimum of 76% on the quiz
Follow proper telephone procedures

Assessment Strategies

Research project

Written product

Quiz

Role play

Criteria

you describe appropriate telephone skills and etiquette

you participate in discussion response using accurate grammar and punctuation

you participate in role play activity providing appropriate telephone greetings and procedures

you achieve a minimum of 76% on the quiz
Schedule appointments in the medical office

Assessment Strategies

Skill Demonstration

Simulation

Quiz

Criteria

you explore appointment scheduling methods

you use practice management software to maintain provider schedules

you navigate to the appropriate provider, date, and time for appointments

you include required information for patient appointments

you accurately reschedule patient appointments

you enter non-patient meetings for providers

you print provider schedules

you achieve a minimum of 76% on the simulation

you achieve a minimum of 76% on the quiz
Manage patient information

Assessment Strategies

Skill Demonstration

Simulation

Criteria

you use practice management software

you accurately enter patient demographic information

you accurately enter patient insurance and payer information

you create patient case/problem list

you enter appropriate diagnosis code(s)

you enter the patient's provider

you achieve a minimum of 76% on the simulation
Explore diverse patient populations in healthcare today

Assessment Strategies

Research project

Reflection

Criteria

you reflect on your own culture and beliefs

you view presentation materials on healthcare disparities and cultural differences

you research the cultural healthcare beliefs and practices for an assigned culture

you create a brochure on healthcare beliefs for a culture

you participate in the course discussion
Complete patient billing, reimbursements, and collections

Assessment Strategies

Skill Demonstration

Simulation

Quiz

Criteria

you use practice management software

you post patient charges into practice management software program

you post patient payments into practice management software program

you post insurance payments into practice management software program

you update patient statements in practice management software program

you create a collection letter using practice management software program

billing, reimbursements, and collection transactions are complete and accurate

you achieve a minimum of 76% on the quiz
Create insurance claims

Assessment Strategies

Skill Demonstration

Simulation

Quiz

Criteria

you use practice management software

claims are complete and accurate

claim is submitted correctly

you achieve a minimum of 76% on the simulation

you achieve a minimum of 76% on the quiz
Create financial and clinical reports

Assessment Strategies

Skill Demonstration

Simulation

Quiz

Criteria

you use practice management software

you use basic accounting terms

you demonstrate basic accounting principles

you produce financial reports for the medical office

you explain importance of aging reports

reports are written using standard English and correct punctuation, spelling and abbreviations

reports show correct use of professional/technical terminology

you achieve a minimum of 76% on the simulation

you achieve a minimum of 76% on the quiz
Explore effective business meeting management

Assessment Strategies

Blog posting

Written Product

Quiz

Criteria

you view meeting presentations and materials

you reflect on meeting experiences

you research components of effective meetings

you create an agenda

you view meeting minutes presentations and materials

you achieve a minimum of 76% on the quiz
Plan travel arrangements

Assessment Strategies

Simulation

Quiz

Criteria

you plan travel to a mock conference using the Internet

travel arrangements include dates, times, method of transportation, lodging, and meal costs

you create a professional travel itinerary

you achieve a minimum of 76% on the quiz
Explore qualities of healthcare professionals

Assessment Strategies

Written Product

Self Assessment

Reflection

Criteria

you view presentations

you participate in course blogs

you evaluate time management

you create professional and personal goals