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Course Outline
Medical Terminology
Introduction to Medical Terminology
The Musculoskeletal System
The Cardiovascular System
The Lymphatic and Immune Systems
The Respiratory System
The Digestive System
The Urinary System
The Nervous System
The Special Senses The Eyes and Ears
The Integumentary System
The Endocrine System
The Reproductive System
Diagnostic Procedures, Nuclear Medicine, Pharmacology
Certified Clinical Medical Assistant
Becoming a Medical Assistant
Qualities of a Medical Assistant
Job Duties
Certification
Scope of Practice
Ambulatory Healthcare Settings
The Healthcare Team
Managing Stress and Improving Communication
Stress and Burnout
Types of Communication
Barriers to Effective Communication
Patient Interview Techniques
The Stages of Grief
Law, Ethics and Healthcare
Health Insurance Portability and Accountability Act (HIPAA)
Americans with Disabilities Act (ADA)
Occupational Safety and Health Administration (OSHA)
Informed Consent
Advance Directives
Ethical Guidelines for Healthcare Providers
Medical Identify Theft
Improving Your Medical Office
The Reception Area
The Medical Receptionist
Safety Issues
Opening and Closing the Facility
Computers in the Ambulatory Care Setting
Use of Computers in the Medical Office
Electronic Medical Record (EMR) and Electronic Health Record (EHR)
Safeguarding Protected Health Information (PHI)
Cloud Computing
Mobile Health (mHealth)
Telecommunications and Patient Scheduling
Telephone Techniques
Faxing
Emails
Patient Portal
Patient Scheduling Methods
Cancellations and No Shows
Dealing with Irate Patients
Enhancing the Patient Experience
Patient-Centered Medical Home
First Impressions
Patient Kiosk
Practice Website
Concierge Medicine
Telemedicine
Managing Medical Records
Purposes of Medical Records
Electronic, Paper and Hybrid Medical Records
Categories of Medical Records
Flow Sheets
SOAP Notes
Filing Paper Records
Release of Information (ROI)
Personal Health Record (PHR)
Written Communication
Components of a Business Letter
Proofreading
Meeting Agendas
Business Emails
Working with Medical Documents
Purposes of Medical Records
Types of Medical Records:
Chart Notes
History & Physicals (H&Ps)
Operative Reports
Consultations
Discharge Summaries
Radiology and Imaging Reports
Pathology Reports
Procedure Reports
Laboratory Reports
Medical Transcriptionist/Medical Scribe
Electronic Signatures
Medical Billing and Overview Coding: An Overview
Health Insurance Terms
Private and Government-Sponsored Insurers
Code Sets: ICD-10-CM/PCS, CPT, HCPCS Level II
CMS-1500 and UB-04
Electronic Claims
Pre-authorizations
Medical Necessity
Explanation of Benefits (EOBs)
Fair Debt Collection Practices Act
Advance Beneficiary Notice (ABN)
Daily Financial Practices
Accounts Receivable and Accounts Payable
Provider Fees
Improving Patient Payments
Claims Denial Strategies
Practice Management Software
Managing Patient Accounts
Petty Cash
The Administrative Medical Assistant as Office Manager
Qualities of an Office Manager
Job Duties
Policy & Procedure Manual
Staff Meetings
Physician Credentialing
Clinical Documentation Improvement (CDI)
Practice Websites
Major Body Systems
Integumentary System
Musculoskeletal System
Circulatory System
Lymphatic System
Immune System
Respiratory System
Digestive System
Urinary System
Nervous System
Endocrine System
Special Senses
Reproductive System
Pathophysiology
Skin Disorders
Endocrine Disorders
Nervous System Disorders
Digestive System Disorders
Respiratory System Disorders
Circulatory System Disorders
Urinary System Disorders
Musculoskeletal System Disorders
Eye and Ear Disorders
Lymphatic and Immune System Disorders
Reproductive System Disorders
Pharmacology
Medical Uses of Drugs
Drug Regulations
Controlled Substances
Drug Classifications
Drug Actions
Common Abbreviations
Routes of Administration
Drug Names
Drug Formularies
Dose Calculations
Nutrition and Special Diets
Importance of Nutrition
Types of Nutrients
Healthy Diets
Therapeutic Diets
The Chief Complaint and Patient History
Preparing for the Patient
Chief Complaint
Medical History
Approaching Sensitive Topics
Charting
Recording Vital Signs
Temperature
Blood Pressure
Pulse
Respiration
Height and Weight
Body Mass Index
The Physical Examination
Methods of Examination
Examination Positions
Equipment and Supplies
Preparing the Patient
Order of the Examination
After the Examination
Specialty Exams and Procedures
Prenatal Examination
Gynecology Examination
Pediatric Examination
Geriatric Examination
Visual Acuity Testing
Pulse Oximetry
Ear Irrigation
Medical Asepsis and Infection Control
Medical Asepsis
Microorganisms
Infection Cycle
Transmission-Based Precautions
Bloodborne Pathogens
Other Potentially-Infectious Materials
Personal Protective Equipment
Needlestick Injuries
Standard Precautions
Infection Control
Surgical Asepsis and Sterilization Techniques
Surgical Asepsis
Methods of Sterilization
Sterile Field
Preoperative Procedures
. Surgical Instruments
Cutting and Dissecting Instruments
Grasping and Clamping Instruments
Dilators, Scopes, and Probes
Retracting and Exposing Instruments
Care of Surgical Instruments
Chemical Cautery
Electrosurgery
Cryosurgery
Laser Surgery
Assisting with Minor Office Surgeries
Informed Consent
Patient Preparation
Preoperative Skin Cleansing
Postoperative Instructions
Wound Care
Suture and Staple Removal
Applying a Sterile Dressing
Introduction to the Medical Laboratory
Purposes of Laboratory Testing
Types of Clinical Laboratories
Laboratory Departments
CLIA
Laboratory Requisitions
Laboratory Reports
Urinalysis
Basic Microbiology
Bacteriology
Mycology
Parasitology
Virology
Immunology
Introduction to Phlebotomy
Composition of Blood
Supplies
Order of Draw
Venipuncture Methods
Venipuncture Sites
Specimen Identification
Capillary Puncture
Quality Assurance
Basic Hematology
Red Blood Cells
White Blood Cells
Platelets
Coagulation Studies
Blood Count Tests
Electrocardiogram
Electrical Conduction System of the Heart
Cardiac Cycle
Normal Sinus Rhythm
Arrhythmias
12-Lead ECG
Multichannel ECG
Waveform Components
Common Artifacts
Electrophysiology
Holter monitor
Automated External Defibrillator
Administering Noninjectable Medications
Medication Order
Six Rights of Medication Safety
Medication Label
Administration of Oral Medications
Administration of Inhaled Medications
Medication Errors
Basic Guidelines for Administration of Injections
Intradermal Injections
Subcutaneous Injections
Intramuscular Injections
Syringes
Needles
Withdrawing Medication from a Vial or Ampule
Tuberculin Skin Test
Diagnostic Imaging
X-Rays
Ultrasonography
CT Scans
MRI Scans
Nuclear Medicine Scans
Rehabilitation and Treatment Modalities
Physical Therapy
Occupational Therapy
Speech Therapy
Sports Medicine
Proper Body Mechanics
Care for a Falling Patient
Wheelchair Safety
Transfer Techniques
First Aid Techniques
Types of Wounds
Burns
Musculoskeletal Injuries
Choking
Syncope
Poisoning
Emergencies in the Medical Office
Anaphylaxis
Cardiac Arrest
Asthma
Shock
Seizures
Diabetic Emergencies
Crash Cart
Certified Electronic Health Records Specialist
An Overview of EHR and CEHRS
What is an EHR
The Importance of EHRs
Efforts to Encourage EHR Adoption
EHRs in the Future
The Role of a CEHRS in a Medical Practice
Steps to EHR Implementation
Step 1: Assess
Step 2: Plan
Step 3: Select
Step 4: Implement
The EHR Framework
EHR Architecture, Hardware, Software, Networks and Interfaces
Human-Computer Interface (User) Devices
Functional, Data Content, and Vocabulary Standards
Feature and Data Formats
Security Controls
Hybrid Health Records
Disaster Recovery
HIPAA Requirements and EHR Systems
What is HIPAA?
HIPAA and CEHRS
HIPAA Privacy Rule
HIPAA Security Rule
The EHR and Record Content
Record Purposes
Record Formats and Types of Data
Record Standards
Medical Record Content
Documentation Practices
Patient Visit Management
The EHR in an Office Workflow
Master Patient Index
Service Payment Information
Scheduling
Consents, Acknowledgements, Advance Directives, and Authorizations
Problem, Medication, and Allergy Lists
The Lists
Summary Lists in the Office Workflow
Standards – Functional, Content, and Vocabulary
Examination/Assessment Notes, Graphics, and Charts
Examination and Assessment Notes in the Office Workflow
Functional and Content Standards
Documentation
Treatment Plans, Orders, and Results
Treatment Plan
Treatment Plans in the Office Workflow
Functional and Content Standards of Treatment Plans
Documentation of Treatment Plans, Orders, and Results
Medication Orders and Administration
Medication Orders Workflow
Functional, Content, and Vocabulary Standards for Medication Orders
Medication Reference Information
Medication Alerts and Reminders
Patient Communications
Patient-Focused Communication
Patient Portals
Personal Health Records
Coding, Billing, and Practice Reports
Coding and Billing Workflow
Code Sets and Clinical Vocabularies
Coding, Billing, and the EHR
Encoders and Computer-Assisted Coding
Electronic Bill Submission
Research, Registries, and Reportable Events
Medical Product Development
Practice Requirements
Standards that Support Research
Registries and Reportable Events
Personal Health Records and Continuing Care Records
Personal Health Record
Communication Among Providers for Continuing Care
Continuity of Care Record
Ongoing Training and Technical Support of EHR Software
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