CCMA: A-Foundational Knowledge and Basic Science

Administrative Medical Assistant

Responsibilities: scheduling patient appointments, patient registration ( demographics, insurance info, compliance forms), updating and working in patient records, sending claims to insurances, collecting patient payments (copay, coinsurance, deductible)

Clinical Medical Assisant

Responsibilities: collecting and processing lab specimens, preforming diagnostic testing (EKG, Spirometry), Preparing and cleaning exam rooms, preparing patient for evaluation and procedures, Taking Vitals, Preparing meds and administering immunizations

Scope of Practice

A specific set of standards that a medical professional may preform within the limits of the medical license, registration, and/or certification. MAs practice under a licensed physician

Medical Doctors (MD) (Physician)

Licensed which means 8 years of schooling then 4 years in medical school. Allopathic providers. Diagnose illnesses, provide treatments, perform procedures such as surgical interventions, and write prescriptions.

Doctors of Osteopathy (DO) (Physician)

Licensed and have same training as MD but go to osteopathic school instead of medical. Holistic approach to medicine. In addition to modern medicine and surgical procedures. They use osteopathic manipulative therapy to treat patients

Physician Assistant (PA)

Works under the supervision of physicians; 4 years college then 2 years PA school; usually focus on a speciality

Nurse Practitioner (NP)

basic patient care services, including diagnosing and prescribing meds for common illnesses; advanced training above RN; most work under supervision but some states allow in dependency

Nurses (LPN) (RN)

LPN is a licensed practical nurse one year education and pass st board exam; role designed to be assistive; Measure vitals, administer some meds, preform simple clinical care; often report status changes on pt.

RN is a registered nurse more schooling but still take st board exam to be licensed; broader scope of practice and can work in different settings.

Medical Lab Techs

preform diagnostic testing on blood and bodily fluids; under supervision

Medical Receptionists

check pt. in and out, phone calls, scheduling, administrative tasks

Occupational Therapists

Assist patients who have developed conditions that disable them developmentally, emotionally, mentally, or physically. Rebuild loss of function.

Physical Therapists

regain mobility, improve strength and range of motion often by injury/disease

Pharmacy Technicians

preform routine medication dispensing that don't require licensed pharmacists; work under supervision

Radiology Techs

various imaging equipment to help diagnosis

license

accomplished by examination, reciprocity, or endorsement; mandatory for physicians; granted to practice medicine

certification & maintaining a certification

generally optional, official education for MA to preform certain tasks; establish guidelines and standards of care
each one different therefore follows organizations guidelines. Ensures MAs have the most up-to-date info

Patient Centered Medical Home (PCMH)

A partnership between a patient and their care team in which total health is the focus. A team consists of a provider, CCMA, CMAA, nurses, and pharmacists

In Patient v. Outpatient

Inpatient refers to hospital or facility while Outpatient refers to ambulatory care

Primary Care Clinics

outpatient setting; routine like care including wellness checks, prevention counseling, med management, and more.

Specialty Care Clinics

outpatient setting; patient with complex or severe diseases and conditions seen for routine visits

Home Health

care provided in a person's home when they cannot leave so easily; prescribed and overseen by provider

Mobile Health Units

bringing health care to communities who need it; equipped with specialized medical equipment.

Hospice

end-of-life care; terminal illness at the end stage; normally begin as outpatient into inpatient

Teleheath/ Virtual Visits

Video calls/ Live videos. Allow providers and other allied health personnel to deliver care remotely

Patient Portals

a secure website that provides patients access to their EHR data; providers and teams upload info into it; gives access to prescriptions, allows to schedule appts., billing and more.

fee-for-service

a system under which doctors and hospitals receive a payment for each service they provide; Patients only pay for services they used; code correlates with everything and that is billed out.

Value Based Plan

Insurance coverage that changes the amount of reimbursement based on health outcomes of patients and the quality of the service they received.

Managed Care

Umbrella term for plans that provide care in return for a preset payment; coordinate care through networks; HMO, PPO, POS

Capitation

Per member and per month payment; based on patient lifestyle, sex, med hx,+) Payment tied to usage regardless of how often they; based on number of enrolled pt

Health Maintenance Organization (HMO)

A medical Insurance group that provides coverage of services for a period of time; fixed annual fee; preventive and acute care

Preferred Provider Organization (PPO)

See specialist w/o referrals; network of provider and hospitals

Point-of-Service (POS) plan

managed care insurance plan based on low medical costs in exchange for limited source; self-refer to specialist; costs depends on whos in network

Accountable Care Organization (ACO)

a network of doctors and hospitals that shares responsibility for managing the quality and cost of care provided to a group of patients

General v. Specialty health care and services

General : MD GP who treat chronic illnesses, preventive care, health education; Holistic approach considers certain factors into consideration.
Specialties: condition that escalates beyond PCP expertise, Specific Body systems, (-ologists)

Urgent Care

Alternative to the emergency department; walk in; non-life-threatening acute injuries and illnesses; Shorter wait times and costs less

Laboratory Services

Diagnostic testing on blood and bodily fluids for diagnosis

Diagnostic Imaging

machines like x-ray, MRI, CT to take images of body parts to diagnosis

Acupuncture

pricking the skin with a needle to relieve pain and treat physical, mental, and emotional conditions

chiropratic medicine

Diagnosis and treat pain; boost overall function through spinal alignment

Energy Therapy

The calm method of clearing cellular memory through the human energy field promoting health, balance and relaxation.

Dietary Supplements

Contain dietary ingredients including vitamins, minerals, herbs and other botanical. Flavor, scent, or potential therapeutic properties