AMT MEDICAL ASSISTING TASK LIST FOR THE RMA *

Transcription

1 APPENDIX B Medical Assisting Task List and Competency Tables Referencing Chapters, Procedures, and Job Skills to Each Competency AMT Medical Assisting Task List for the RMA (Table B-1) CAAHEP Educational Competencies (Table B-2) ABHES Curriculum Competencies (Table B-3) CMA (AAMA) Certification Examination Content (Table B-4) RMA (AMT) Certification Examination Competencies (Table B-5) CMAS (AMT) Examination Specifications (Table B-6)

2 APPENDIX B Medical Assisting Task List and Competency Tables 709 AMT MEDICAL ASSISTING TASK LIST FOR THE RMA * The American Medical Technologists developed the Medical Assisting Task List (2015) that includes various tasks that medical assistants perform but are not necessarily limited to. It represents an inventory of the Registered Medical Assistant s (RMA) job role ** with respect to contemporary health care. TABLE B-1 Medical Assisting Task List for the Registered Medical Assistant, Developed by the American Medical Technologists, 05/2015 AMT Medical Assisting Task List I. GENERAL MEDICAL ASSISTING KNOWLEDGE A. Anatomy and Physiology 1. Body systems 2. Disorders and diseases 3. Wellness and nutrition B. Medical Terminology 1. Word parts 2. Definitions 3. Common abbreviations and symbols 4. Spelling C. Medical Law 1. Medical Law 2. Licensure, certification, and registration 3. Terminology D. Medical Ethics 1. Principles of medical ethics E. Human Relations 1. Patient relations 2. Interpersonal skills F. Patient Education 1. Patient instruction 2. Patient resource materials 3. Documentation II. ADMINISTRATIVE MEDICAL ASSISTING A. Insurance 1. Terminology 2. Plans 3. Claims 4. Coding 5. Insurance finance applications B. Financial Bookkeeping 1. Terminology 2. Patient billing 3. Collections 4. Fundamental medical office accounting procedures 5. Banking procedures 6. Employee payroll 7. Financial mathematics C. Medical Receptionist/Secretarial/Clerical 1. Terminology 2. Reception 3. Scheduling 4. Oral and written communications 5. Records and chart management 6. Transcription and dictation 7. Supplies and equipment management 8. Computer applications 9. Office safety W. Higgins Road Suite 150 Rosemont, Illinois Phone: (847) Fax: (847) * The task list is reprinted with permission from the American Medical Technologists. ** Only general and administrative skills are listed.

3 710 APPENDIX B Medical Assisting Task List and Competency Tables CAAHEP EDUCATIONAL COMPETENCIES * The Commission on Accreditation and Allied Health Education Programs (CAAHEP) has developed standards and guidelines for medical assisting educational programs. These curriculum standards have been adopted by the American Association of Medical Assistants (AAMA) and used by the Medical Assisting Education Review Board (MAERB) in the accreditation process for programs who train individuals to enter the medical assisting profession. Following are the 2015 core curriculum requirements, which identify three areas that have been determined to be entry-level competencies for medical assistants: ** (1) knowledge (cognitive), (2) skills (psychomotor), and (3) behavior (affective). Chapters, procedures, and job skills are cross-referenced to each competency to help locate them in the Administrative Medical Assisting textbook and Workbook. TABLE B-2 Commission on Accreditation of Allied Health Education Programs (CAAHEP) Standards and Guidelines for Medical Assisting Educational Programs, 2015 CAAHEP Standards and Guidelines CONTENT AREA I: Anatomy & Physiology COGNITIVE (KNOWLEDGE) PSYCHOMOTOR (SKILLS) AFFECTIVE (BEHAVIOR) I.C. Anatomy & Physiology I.P. Anatomy & Physiology I.A. Anatomy & Physiology 1. Describe structural organization of the human body JS Measure and record (clinical tasks included) 1. Incorporate critical thinking skills when performing patient assessment Pro 6-5, 6; JS 6-4; Ch 7 2. Identify body systems JS Perform (clinicallyrelated tasks not included) 2. Patient care (clinicallyrelated tasks not included) 3. Describe: (a) body planes, (b) directional terms, (c) quadrants, and (d) body cavities JS Perform patient screening using established protocols Pro 6-5; JS Show awareness of a patient s concerns related to the procedure being performed Ch 3; Pro 7-4, 5 4. List major organs in each body system JS Verify rules of medication administration (clinical tasks not included) 5. Identify the anatomical location of major organs in each body system JS Administering medication (clinical tasks not included) 6. thru 10. (clinicallyrelated tasks not included) 6. thru 10. (clinicallyrelated tasks not included) 11. Identify the classifications of medications including: (a) indications for use, (b) desired effects, (c) side effects, and (d) adverse reactions Online student resources for Chapter Obtain specimens (clinical tasks not included) 12. thru 14. (clinicallyrelated tasks not included) 12. thru 14. (clinicallyrealted tasks not included) * 2015 Standards and Guidelines for the Accreditation of Educational Programs in Medical Assisting, Appendix B, Core Curriculum for Medical Assistants, Medical Assisting Education Review Board (MAERB). Inclusion of this Core Curriculum does not constitute any form of endorsement of this textbook by MAERB or CAAHEP print date. ** Only those clinical competencies that apply to this text are listed.

4 APPENDIX B Medical Assisting Task List and Competency Tables 711 TABLE B-2 (continued) CAAHEP Standards and Guidelines CONTENT AREA I: Anatomy & Physiology COGNITIVE (KNOWLEDGE) PSYCHOMOTOR (SKILLS) AFFECTIVE (BEHAVIOR) CONTENT AREA II: Applied Mathematics II.C. Applied Mathematics II.P. Applied Mathematics II.A. Applied Mathematics 1. Demonstrate knowledge of basic math computations Pro 13-1 thru 13-3; JS 13-2, 3, 6; JS 14-1, 2, 5; JS 15-1, 3, 5, 6, 8, 9, thru 15-13; JS 18-2, 3, 4; JS 19-4 thru 19-9; JS 20-1 thru 20-6, Maintain lab test results using flow sheets Fig 9-3; Ex 9-3; JS Reassure a patient of the accuracy of the test result JS Apply mathematical computations to solve equations JS 19-4 thru Identify both abbreviations and symbols used in calculating medication dosages Table 10-4, JS 10-4, 5, 8 6. Analyze health care results as reported in graphs and tables Fig 9-2, 9-3; 9-10; Ex 9-3; Job Skill 9-6 CONTENT AREA III: Infection Control III.C. Infection Control III.P. Infection Control III.A. Infection Control 5. Define the principles of standard precautions Ch 5 1. Participate in bloodborne pathogen training Ch 5 1. Recognize the implications for failure to comply with Center for Disease Control (CDC) regulations in health care settings Ch 5, Define personal protective equipment for all body fluids, secretions, and excretions; blood; nonintact skin; mucous membranes Ch 5 7. Identify Center for Disease Control (CDC) regulations that impact health care practices Ch 5, Demonstrate proper disposal of biohazardous material (sharps, regulated wastes) Ch 5

5 712 APPENDIX B Medical Assisting Task List and Competency Tables TABLE B-2 (continued) CAAHEP Standards and Guidelines CONTENT AREA IV: Nutrition COGNITIVE (KNOWLEDGE) PSYCHOMOTOR (SKILLS) AFFECTIVE (BEHAVIOR) IV.C. Nutrition IV.P. Nutrition IV.A. Nutrition 1. thru 3. Dietary nutrients and functions (clinically-related skills not included) 1. Dietary needs (clinicallyrelated skills not included) 1. Dietary change (clinically-related skills not included) CONTENT AREA V: Concepts of Effective Communication V.C. Concepts of Effective Communication V.P. Concepts of Effective Communication V.A. Concepts of Effective Communication 1. Identify styles and types of verbal communication Pro 4-2 thru Use feedback techniques to obtain patient information including: (a) reflection, (b) restatement, and (c) clarification Pro 4-1; JS 4-3, 4 1. Demonstrate: (a) empathy, (b) active listening, and (c) nonverbal communication Pro 4-1; JS 4-1, 2, 4-10 thru 13; Ch 5, 18, Identify types of nonverbal communication Ch 4 2. Respond to nonverbal communication JS 4-1; Ch Demonstrate the principles of self-boundaries Pro 4-1, 8; JS 4-10, Recognize barriers to communication Pro 4-2 thru 4-10; JS 4-6 thru Use medical terminology correctly and pronounce accurately to communicate information to providers and patients JS 1-1 and Abbreviation and Spelling Review in each chapter of WB; JS 9-1, 3, 4, 5, 6; JS 11-1 thru Demonstrate respect for individual diversity including: (a) gender, (b) race, (c) religion, (d) age, (e) economic status, and (f) appearance Ch 4; JS 4-3 thru 4-9, 11, 12, Identify techniques for overcoming communication barriers Pro 4-2 thru Coach patients regarding: (a) office policies, (b) health maintenance, (c) disease prevention, and (d) treatment plan Ch 1, 3, 5, 6; JS 2-2, 3; Pro Explain to a patient the rationale for performance of a procedure Ch 3 5. Recognize the elements of oral communication using a sender-receiver process Pro 4-2 thru Coach patients appropriately considering: (a) cultural diversity, (b) developmental life stage, and (c) communication barriers Pro 4-2, 3 JS 4-3 thru Define coaching a patient as it relates to: (a) health maintenance, (b) disease prevention, (c) compliance with treatment plan, (d) community resources, and (e) adaptations relevant to individual patient needs JS 2-2, 3; Ch 3; JS 5-2, 3 6. Demonstrate professional telephone techniques Ch 3; Pro 6-1 thru 6-7; JS 6-1, 4

6 APPENDIX B Medical Assisting Task List and Competency Tables 713 TABLE B-2 (continued) CAAHEP Standards and Guidelines CONTENT AREA V: Concepts of Effective Communication COGNITIVE (KNOWLEDGE) PSYCHOMOTOR (SKILLS) AFFECTIVE (BEHAVIOR) V.C. Concepts of Effective Communication V.P. Concepts of Effective Communication V.A. Concepts of Effective Communication 7. Recognize elements of fundamental writing skills JS 3-4; JS 7-6; Pro 11-1, 2, 3; JS 11-1 thru 11-10; JS 12-6, 7, 8 7. Document telephone messages accurately JS Discuss applications of electronic technology in professional communication Ch 1, 4, 6 8. Compose professional correspondence utilizing electronic technology JS 1-6; JS 9-5; Pro 11-1, 2, 3; JS 11-2, 11-4 thru 11-10; JS 12-6, 7, 8; JS 21-2, 3, 4 9. Identify medical terms labeling the word parts 9. Develop a current list of community resources related to patients health care needs Pro 5-4; JS Define medical terms and abbreviations related to all body systems JS 1-1 and Abbreviation and Spelling Review in each chapter of WB; Online Ch Facilitate referrals to community resources in the role of a patient navigator Pro 5-4; JS Define the principles of self-boundaries Ch Report relevant information concisely and accurately JS 1-6; Pro 6-1, 2; JS 6-2, 3; JS 9-1, 2, 3, 5, 6; JS 11-2 thru 11-10; JS 19-1, 2; JS 21-2, 3, Define patient navigator Ch Describe the role of the medical assistant as a patient navigator 14. Relate the following behaviors to professional communication: (a) assertive, (b) aggressive, and (c) passive 15. Differentiate between adaptive and nonadaptive coping mechanisms 16. Differentiate between subjective and objective information Ch 1, 3 Ch 1 Ch 1 Ch 4

7 714 APPENDIX B Medical Assisting Task List and Competency Tables TABLE B-2 (continued) CAAHEP Standards and Guidelines CONTENT AREA V: Concepts of Effective Communication COGNITIVE (KNOWLEDGE) PSYCHOMOTOR (SKILLS) AFFECTIVE (BEHAVIOR) V.C. Concepts of Effective Communication V.P. Concepts of Effective Communication V.A. Concepts of Effective Communication 17. Discuss the theories of: (a) Maslow, (b) Erikson, and (c) Kubler-Ross Ch 1, Discuss examples of (a) cultural, (b) social, and (c) ethnic diversity Ch 4 CONTENT AREA VI: Administrative Functions VI.C. Administrative Functions VI.P. Administrative Functions VI.A. Administrative Functions 1. Identify different types of appointment scheduling methods Ch 7 1. Manage appointment scheduling using established priorities JS 7-1 thru Display sensitivity when managing appointments Pro 6-5, 6; JS 6-1 thru 6-4; Ch 7 2. Identify advantages and disadvantages of the following appointment systems: (a) manual and (b) electronic Ch 7 2. Schedule a patient procedure Pro 7-6, 7; JS 7-5, 7 3. Identify critical information required for scheduling patient procedures Ch 5, 6, 9; Pro 7-4; JS 7-5, 6, 9 3. Create a patient s medical record JS 5-1; Pro 8-6; JS 8-4, 5; JS 9-1, 2, 5 4. Define types of information contained in the patient s medical record Ch 5, 6, 7, 8, 9 4. Organize a patient s medical record Pro 8-6; Ch 9 5. Identify methods of organizing the patient s medical record based on: (a) problem-oriented medical record (POMR), (b) source-oriented medical record (SOMR) Ch 8, 9 5. File patient medical records JS 8-1 thru Identify equipment and supplies needed for medical records in order to: (a) create, (b) maintain, and (c) store Ch 8, 9 6. Utilize an EMR 7. Describe filing indexing rules Ch 8 7. Input patient data utilizing a practice management system Ch 6, 7, 8, 9 8. Differentiate between electronic medical records (EMR) and a practice management system Ch 9 8. Perform routine maintenance of administrative or clinical equipment JS 19-4

8 APPENDIX B Medical Assisting Task List and Competency Tables 715 TABLE B-2 (continued) CAAHEP Standards and Guidelines CONTENT AREA VI: Administrative Functions COGNITIVE (KNOWLEDGE) PSYCHOMOTOR (SKILLS) AFFECTIVE (BEHAVIOR) VI.C. Administrative Functions VI.P. Administrative Functions VI.A. Administrative Functions 9. Explain the purpose of routine maintenance of administrative and clinical equipment JS Perform an inventory with documentation JS List steps involved in completing an inventory JS Explain the importance of data back-up Ch 8, Explain meaningful use as it applies to EMR Ch 3, 8, 9, 10 CONTENT AREA VII: Basic Practice Finances VII.C. Basic Practice Finances VII.P. Basic Practice Finances VII.A. Basic Practice Finances 1. Define the following bookkeeping terms: (a) charges, (b) payments, (c) accounts receivable, (d) accounts payable, and (e) adjustments Ch 13, 15, Perform accounts receivable procedures to patient accounts including posting: (a) charges, (b) payments, and (c) adjustments JS 13-2, 5, 6; Pro 15-1; JS 15-1; JS 15-1, 3, 5, 8, 11; JS 18-2, 3, 4 1. Demonstrate professionalism when discussing patient s billing record Pro 13-1, 3, 4; JS 13-4, 5, 6 2. Describe banking procedures as related to the ambulatory care setting Ch 14, Prepare a bank deposit Pro 14-1; JS 14-1; JS 20-1 thru 4 2. Display sensitivity when requesting payment for services rendered Ch Identify precautions for accepting the following types of payments: (a) cash, (b) check, (c) credit card, and (d) debit card Ch 13, 14, 15; Pro 13-3, 4, 5; JS 13-4, 6, 7 3. Obtain accurate patient billing information Pro 5-2; JS 5-1; Pro 13-3, 4; JS Describe types of adjustments made to patient accounts including: (a) nonsufficient funds (NSF) check, (b) collection agency transaction, (c) credit balance, and (d) third party Ch 13; JS 15-1, 3, 5, 8, Inform a patient of financial obligations for services provided Pro 13-3, 4; JS 13-4, 5 5. Identify types of information contained in the patient s billing record Pro 13-1; JS Explain patient financial obligations for services rendered Pro 13-1; JS 13-4, 5, 6

9 716 APPENDIX B Medical Assisting Task List and Competency Tables TABLE B-2 (continued) CAAHEP Standards and Guidelines CONTENT AREA VIII: Third-Party Reimbursement COGNITIVE (KNOWLEDGE) PSYCHOMOTOR (SKILLS) AFFECTIVE (BEHAVIOR) VIII.C. Third-Party Reimbursement VIII.P. Third-Party Reimbursement VIII.A. Third-Party Reimbursement 1. Identify (a) types of thirdparty plans, (b) information to file a third-party claim, and (c) the steps for filing a third-party claim Ch 2, 18, App A 1. Interpret information on an insurance card Ch Interact professionally with third-party representatives Ch Outline managed care requirements for patient referral Ch 2, Verify eligibility for services including documentation JS Display tactful behavior when communicating with medical providers regarding third-party requirements Ch Describe processes for: (a) verification of eligibility for services, (b) precertification, and (c) preauthorization Ch 2, Obtain precertification or preauthorization including documentation Ch 2; JS Show sensitivity when communicating with patients regarding thirdparty requirements Ch 13, Define patient-centered medical home (PCMH) Ch 2 4. Complete an insurance claim JS 18-2, 3, 4 5. Differentiate between fraud and abuse Ch 18 CONTENT AREA IX: Procedure and Diagnostic Coding IX.C. Procedural and Diagnostic Coding IX.P. Procedural and Diagnostic Coding IX.A. Procedural and Diagnostic Coding 1. Describe how to use the most current procedural coding system Ch Perform procedural coding Pro 16-1, 2; JS 16-2 thru Utilize tactful communication skills with medical providers to ensure accurate code selection Ch 13, 16, Describe how to use the most current diagnostic coding classification system Ch Perform diagnostic coding Pro 17-1, 2; JS 17-1 thru Describe how to use the most current HCPCS level II coding system Ch Utilize medical necessity guidelines Ch 9, Discuss the effects of: (a) upcoding and (b) downcoding Ch 16, Define medical necessity as it applies to procedural and diagnostic coding Ch 2, 17, 18

10 APPENDIX B Medical Assisting Task List and Competency Tables 717 TABLE B-2 (continued) CAAHEP Standards and Guidelines CONTENT AREA X: Legal Implications COGNITIVE (KNOWLEDGE) PSYCHOMOTOR (SKILLS) AFFECTIVE (BEHAVIOR) X.C. Legal Implications X.P. Legal Implications X.A. Legal Implications 1. Differentiate between scope of practice and standards of care for medical assistants Ch 3 1. Locate a state s legal scope of practice for medical assistants JS Demonstrate sensitivity to patient rights JS 3-6, 7; JS Compare and contrast provider and medical assistant roles in terms of standard of care Ch 3 2. Apply HIPAA rules in regard to: (a) privacy and (b) release of information JS 3-2; Ch 5 2. Protect the integrity of the medical record JS 3-2; JS 5-1; Ch 10, 16, Describe the components of the Health Information Portability & Accountability Act (HIPAA) Ch 3, 5, 8, 9, 10, 17, Document patient care accurately in the medical record JS 9-1, 2, 3, 5, 6; JS 10-5, 6, 7, 8; Ch 16, Summarize the Patient Bill of Rights JS Apply the Patient s Bill of Rights as it relates to: (a) choice of treatment, (b) consent for treatment, and (c) refusal of treatment JS Discuss licensure and certification as they apply to health care providers Ch 1, 2, 3, Perform compliance reporting based on public health statutes Ch 16, 17, Compare civil and criminal law as they apply to the practicing medical assistant Ch 3 6. Report an illegal activity in the health care setting following proper protocol JS Define: (a) negligence, (b) malpractice, (c) statute of limitations, (d) Good Samaritan Act, (e) Uniform Anatomical Gift Act, (f) living will/advance directives, (g) medical durable power of attorney, (h) Patient Self- Determination Act (PSDA), and (i) risk management Ch 1, 3, 5 7. Complete an incident report to an error in patient care Pro Describe the following types of insurance: (a) liability, (b) professional (malpractice), and (c) personal injury Ch 3 9. List and discuss legal and illegal applicant interview questions Ch 19, 21

11 718 APPENDIX B Medical Assisting Task List and Competency Tables TABLE B-2 (continued) CAAHEP Standards and Guidelines CONTENT AREA X: Legal Implications COGNITIVE (KNOWLEDGE) PSYCHOMOTOR (SKILLS) AFFECTIVE (BEHAVIOR) X.C. Legal Implications X.P. Legal Implications X.A. Legal Implications 10. Identify: (a) Health Information Technology for Economic and Clinical Health (HITECH) Act, (b) Genetic Information Nondiscrimination Act of 2008 (GINA), and (c) Americans with Disabilities Act Amendments Act (ADAAA) a) Ch 3, Describe the process in compliance reporting: (a) unsafe activities, (b) errors in patient care, (c) conflicts of interest, and (d) incident reports Ch 3, Describe compliance with public health statutes: (a) communicable diseases, (b) abuse, neglect, and exploitation, and (c) wounds of violence Ch Define the following medical legal terms: (a) informed consent, (b) implied consent, (c) expressed consent, (d) patient incompetence, (e) emancipated minor, (f) mature minor, (g) subpoena duces tecum, (h) respondeat superior, (i) res ipsa loquitur, (j) locum tenens, (k) defendantplaintiff, (l) deposition, (m) arbitration-mediation, and (n) Good Samaritan laws Ch 3

12 APPENDIX B Medical Assisting Task List and Competency Tables 719 TABLE B-2 (continued) CAAHEP Standards and Guidelines CONTENT AREA XI: Ethical Considerations COGNITIVE (KNOWLEDGE) PSYCHOMOTOR (SKILLS) AFFECTIVE (BEHAVIOR) XI.C. Ethical Considerations XI.P. Ethical Considerations XI.A. Ethical Considerations 1. Define (a) ethics and (b) morals Ch 3 1. Develop a plan for separation of personal and professional ethics JS Recognize the impact personal ethics and morals have on the delivery of health care JS Differentiate between personal and professional ethics JS Demonstrate appropriate responses to ethical issues Ch 3 3. Identify the effect of personal morals on professional performance Ch 3 CONTENT AREA XII: Protective Practices XII.C. Protective Practices XII.P. Protective Practices XII.A. Protective Practices 1. Identify: (a) safety signs, (b) symbols, and (c) labels Ch 5 1. Comply with: (a) safety signs, (b) symbols, and (c) labels Ch 5; Fig 5-17; Table Recognize the physical and emotional effects on persons involved in an emergency situation JS 5-9; Pro 6-6; JS 6-4; Ch 7 2. Identify safety techniques that can be used in responding to accidental exposure to: (a) blood, (b) other body fluids, (c) needle sticks, and (d) chemicals Ch 5 2. Demonstrate proper use of: (a) eyewash equipment, (b) fire extinguishers, and (c) sharps disposal containers Pro 5-7, 8; JS 5-7 Ch 5 2. Demonstrate self-awareness in responding to an emergency situation JS Discuss fire safety issues in an ambulatory health care environment Ch 5 3. Use proper body mechanics JS Describe fundamental principles for evacuation of a health care setting Pro Participate in a mock exposure event with documentation of specific steps Pro 5-9; JS 5-8, 9 5. Describe the purpose of Safety Data Sheets (SDS) in a health care setting Ch 5 5. Evaluate the work environment to identify unsafe working conditions JS Discuss protocols for disposal of biological chemical materials Ch 5, Identify principles of: (a) body mechanics, and (b) ergonomics Fig 5-13, 14, 15, 16; Pro 5-6; JS Identify critical elements of an emergency plan for response to a natural disaster or other emergency Pro 5-9; JS 5-9

13 720 APPENDIX B Medical Assisting Task List and Competency Tables ABHES CURRICULUM COMPETENCIES * The Accrediting Bureau of Health Education Schools (ABHES) is a nationally recognized, independent, nonprofit accrediting agency of institutions and educational programs that predominantly provide allied health education. Policies, procedures, and standards have been developed for the accreditation of medical assisting programs and the 2017 entry-level competencies required for successful completion are outlined as follows. * Chapters, procedures, and job skills are cross-referenced to each competency to help locate them in the Administrative Medical Assisting textbook and Workbook. TABLE B-3 Accrediting Bureau of Health Education Schools (ABHES) Competencies for Medical Assisting Programs, 2017 ACCREDITING BUREAU OF HEALTH EDUCATION SCHOOLS (ABHES) Programmatic Evaluation Standards for Medical Assisting (Chapter VII, Section A) GENERAL ORIENTATION: Graduates will be able to: a. Describe the current employment outlook for the medical assistant Ch 1, 2, 21 b. Compare and contrast the allied health professions and understand their relation to medical assisting c. Describe medical assistant credentialing requirements and the process to obtain the credential and comprehend the importance of credentialing Table 1-2 JS 1-4 d. List the general responsibilities and skills of the medical assistant Ch 1, 21; JS 1-3: JS ANATOMY AND PHYSIOLOGY: Graduates will be able to: a. List all body systems, their structure and functions JS 1-5; Ch 11 d. Apply a system of diet and nutrition: 1. Explain the importance of diet and nutrition 2. Educate patients regarding proper diet and nutrition guidelines 3. Identify categories of patients that require special diets or diet modifications Ch 5 3. MEDICAL TERMINOLOGY: Graduates will be able to: a. Define and use entire basic structure of medical words and be able to accurately identify in the correct context, that is, root, prefix, suffix, combinations, spelling, and definitions b. Build and dissect medical terms from roots/suffixes to understand the word element combinations that create medical terminology WB: Ch 1-21; JS 1-1, 5 WB: Ch 1-21; JS 1-1, 5 c. Apply various medical terms for each specialty Tables: 2-3, 4; JS 1-5; 2-3, 4 d. Define and use medical abbreviations when appropriate and acceptable WB: Ch 1-21 JS 1-1; JS 2-4; JS 10-4 thru 10-8; Ch 11; JS 13-2; JS MEDICAL LAW AND ETHICS: Graduates will be able to: a. Follow documentation guidelines Pro 9-2, 3; JS 9-1 thru 9-6; JS 10-5, 6, 8; Ch 11 b. Institute federal and state guidelines when: 1. Releasing medical records or information 2. Entering orders in and utilizing electronic health records JS 3-2, 4; JS 10-4 thru 10-8 Table 9-1; Pro 7-4; Pro 9-1 thru 9-4; JS 9-1 thru 9-6; JS 11-4 thru * Only those clinical competencies that apply to this text are listed.

14 APPENDIX B Medical Assisting Task List and Competency Tables 721 TABLE B-3 (continued) ACCREDITING BUREAU OF HEALTH EDUCATION SCHOOLS (ABHES) Programmatic Evaluation Standards for Medical Assisting (Chapter VII, Section A) MEDICAL LAW AND ETHICS: Graduates will be able to: c. Follow established policies when initiating or terminating medical treatment JS 3-4 d. Distinguish between employer and personal liability coverage Ch 3 e. Perform risk management procedures Ch 3 f. Comply with federal, state, and local health laws and regulations as they relate to health care settings: 1. Define scope of practice for the medical assistant within the state that the medical assistant is employed 2. Describe what procedures can and cannot be delegated to the medical assistant and by whom within various employment settings JS 3-5; JS 9-3; Ch10; JS 13-4, 5, 6; Ch 16, 18, 19, 20, 21 JS 3-3 JS 3-3; Ch Comply with meaningful use regulations Ch 2, 3, 8, 9, 10, 11 g. Display compliance with Code of Ethics of the profession Ch 1 thru 21; JS 3-1 h. Demonstrate compliance with HIPAA guidelines, the ADA Amendments Act, and the Health Information Technology for Economic and Clinical Health (HITECH) Act Ch 3, 18, HUMAN RELATIONS: Graduates will be able to: a. Respond appropriately to patients with abnormal behavior patterns Ch 4 b. Provide support for terminally ill patients: Ch 1 1. Use empathy when communicating with terminally ill patients Ch 1 2. Identify common stages that terminally ill patients experience Ch 1 3. List organizations/support groups that can assist patients and family members of patients experiencing terminal illnesses c. Intervene on behalf of the patient regarding issues/concerns that may arise, that is, insurance policy information, medical bills, physician/provider orders, etc. Ch 1 Ch 1, 2, 4, 13 d. Discuss developmental stages of life Ch 4 e. Analyze the effect of hereditary, cultural, and environmental influences on behavior JS 4-5 f. Demonstrate an understanding of the core competencies for Interprofessional Collaborative Practice (i.e., values/ethics, roles/responsibilities, interprofessional communication, and teamwork) Ch 1, 2, 3, 19 g. Partner with health care teams to attain optimal patient health outcomes Ch 2; JS 3-6 h. Display effective interpersonal skills with patients and health care team members Ch 2; Pro 4-11; JS 4-1, 3, 4, 4-6 thru 4-13 i. Demonstrate cultural awareness JS PHARMACOLOGY: Graduates will be able to: a. Identify drug classification, usual dose, side effects, and contraindications of the most commonly used medications JS 10-3 c. Prescriptions: JS 10-1 thru Identify parts of prescriptions JS 10-4 thru Identify appropriate abbreviations that are accepted in prescription writing JS 10-4 thru Comply with legal aspects of creating prescriptions including federal and state laws JS 10-4 thru 10-6

15 722 APPENDIX B Medical Assisting Task List and Competency Tables TABLE B-3 (continued) ACCREDITING BUREAU OF HEALTH EDUCATION SCHOOLS (ABHES) Programmatic Evaluation Standards for Medical Assisting (Chapter VII, Section A) PHARMACOLOGY: Graduates will be able to: d. Properly use Physician s Desk (PDR), drug handbook and other drug references to identify a drug s classification, usual dosage, usual side effects, and contraindications JS 10-1, 2, 3 7. ADMINISTRATIVE PROCEDURES: Graduates will be able to: a. Gather and process documents JS 6-2, 3; Pro 8-2, 3, 6; JS 8-1 thru 8-5; JS 9-1, 2, 5, 6; JS 12-1, 2, 4, and 6 thru 9; JS 13-2; JS 14-2, 3, 4; Ch 15; JS 18-1; JS 19-1, 3, 9; JS b. Navigate electronic health records systems and practice management software WB: Ch 5, 8, 9, 11; JS 11-2 thru 11-10; Ch 15, 19 c. Perform billing and collection procedures Pro 13-1 thru 13-8; JS 13-1, 2, 5; JS 14-2, 3, 4; Pro 15-1; JS 15-1 thru 15-13; Ch 16, 17; JS 18-1 d. Process insurance claims JS 16-1 thru 16-6; JS 17-1 thru 17-6; JS 18-2 thru 18-4 e. Apply scheduling principles Pro 7-1 thru 7-7; JS 7-1 thru 7-7 f. Maintain inventory of equipment and supplies JS 19-4, 5, 6, 8 g. Display professionalism through written and verbal communication JS 2-1; Pro 4-1 thru 4-11; JS 4-1 thru 4:13; Pro 6-1 thru 6-7; JS 6-2 thru 6-4; JS 7-6; JS 9-4, 5; Pro 11-1; JS 11-2 thru 11-10; JS 12-1, 2, 4, 6 thru 9; JS 13-5; JS 19-2: 21-1 thru CLINICAL PROCEDURES: Graduates will be able to: b. Obtain vital signs, patient history, and formulate chief complaint JS 6-1, 4 JS 11-2 thru 11-10; Ch 15, 16, 19 g. Recognize and respond to medical office emergencies JS 5-5 thru 5-9; JS 6-4 h. Teach self-examination disease management and health promotion Pro 5-5 i. Identify community resources and Complementary and Alternative Medicine (CAM) practices Ch 1; Pro 5-4; JS 5-3; Ch 16 j. Make adaptations with patients with special needs JS 4-6 thru 4-11, Ch 7 k. Make adaptations to care for patients across their lifespan Ch 1 9. MEDICAL LABORATORY PROCEDURES: Graduates will be able to: c. Dispose of biohazardous materials Ch CAREER DEVELOPMENT: Graduates will be able to: a. Perform the essential requirements of employment such as resume writing, effective interviewing, dressing professionally, time management, and following up appropriately Pro 21-1 thru 21-6; JS 21-1 thru 21-4 b. Demonstrate professional behavior Ch 1 thru 21 c. Explain what continuing education is and how it is acquired Ch 1

16 APPENDIX B Medical Assisting Task List and Competency Tables 723 CMA (AAMA) CERTIFICATION EXAMINATION * CONTENT The American Association of Medical Assistants (AAMA) has developed a content outline for the Certified Medical Assistant (CMA [AAMA]) certification examination as follows. ** Chapters are cross-referenced to each competency to help locate them in the Administrative Medical Assisting textbook and Workbook. TABLE B-4 American Association of Medical Assistants (AAMA) Certified Medical Assistant (CMA [AAMA]) Examination Content Outline (09/2014) CMA (AAMA) Competencies s I. A-G GENERAL A. Psychology 1. Understanding Human Behavior Ch 4 a. Behavioral theories Ch 4 (1) Maslow Ch 4 (2) Erikson Ch 4 b. Defense mechanisms Ch 1 (1) Common types Ch 1 (2) Recognition and management Ch 1 2. Human Growth and Development Ch 4 a. Normal developmental patterns/milestones Ch 4 3. Death and Dying Ch 1 B. Communication 1. Therapeutic/Adaptive Responses to Diverse Populations Ch 4 a. Visually impaired Ch 4 b. Hearing impaired Ch 4 c. Age specific Ch 4 (1) Geriatric Ch 4 (2) Pediatric/adolescent Ch 4 d. Seriously/terminally ill Ch 1 e. Intellectual disability Ch 4 f. Illiterate Ch 4 g. Non-English speaking Ch 4 h. Anxious/angry/distraught Ch 4 i. Socially/culturally/ethnically diverse Ch 4 * Printed with permission by the American Association of Medical Assistants. ** Only those competencies that apply to administrative skills are listed.

17 724 APPENDIX B Medical Assisting Task List and Competency Tables TABLE B-4 (continued) CMA (AAMA) Competencies s 2. Nonverbal Communication Ch 4 a. Body language Ch 4 (1) Posture Ch 4 (2) Position Ch 4 (3) Facial expression Ch 4 (4) Territoriality/physical boundaries Ch 4 (5) Gestures Ch 4 (6) Touch Ch 4 (7) Mannerisms Ch 4 (8) Eye contact Ch 4 3. Communication Cycle Ch 4 a. Sender-message-receiver-feedback Ch 4 b. Listening skills Ch 4 (1) Active/therapeutic Ch 4 c. Assess patient level of understanding Ch 2 (1) Reflection Ch 4 (2) Restatement Ch 4 (3) Clarification Ch 4 (4) Feedback Ch 4 d. Barriers to communication Ch 4 (1) Internal distractions Ch 4 (a) Pain Ch 4 (b) Hunger Ch 4 (c) Anger Ch 4 (2) External/environmental distractions Ch 4 (a) Temperature Ch 4 (b) Noise Ch 4 4. Collection of Data Ch 4 a. Types of questions Ch 4 (1) Exploratory Ch 4 (2) Open-ended Ch 4 (3) Closed/Direct Ch 4

18 APPENDIX B Medical Assisting Task List and Competency Tables 725 TABLE B-4 (continued) CMA (AAMA) Competencies s 5. Telephone Techniques Ch 6 a. Call management Ch 6 (1) Screening/gathering data Ch 6 (2) Emergency/urgent situations Ch 6 b. Messages Ch 6 (1) Taking messages Ch 6 (2) Leaving messages Ch 6 6. Interpersonal Skills Ch 1, 4 a. Displaying impartial conduct without regard to race, religion, age, gender, sexual orientation, socioeconomic status, physical challenges, special needs, lifestyle choices Ch 4 b. Recognizing stereotypes and biases Ch 4 c. Demonstrating empathy/sympathy/compassion Ch 1, 4 C. Professionalism 1. Professional Behavior Ch 1, 19, 21 a. Professional situations Ch 1, 19, 21 (1) Displaying tact, diplomacy, courtesy, respect, dignity Ch 1, 19, 21 (2) Demonstrating responsibility, integrity/honesty Ch 1, 19, 21 (3) Responding to criticism Ch 1, 19, 21 b. Professional image Ch 1, 19, Performing as a Team Member Ch 1, 19, 21 a. Principles of health care team dynamics Ch 1, 19, 21 (1) Cooperation for optimal outcomes Ch 1, 19, 21 (2) Identification of the roles and credentials of health care team members Ch 1, 19, 21 b. Time management principles Ch 1, 19 (1) Prioritizing responsibilities 1, 19 D. Medical Law/Regulatory Guidelines 1. Advance Directives Ch 3 a. Living will Ch 3 b. Medical durable power of attorney Ch 3 c. Patient Self-Determination Act (PSDA) Ch 3 2. Uniform Anatomical Gift Act Ch 3 3. Occupational Safety and Health (OSH) Act Ch 5 4. Food and Drug Administration (FDA) Ch Clinical Laboratory Improvement Act (CLIA 88) N/A 6. Americans with Disabilities Act Amendments Act (ADAAA) Ch 19

19 726 APPENDIX B Medical Assisting Task List and Competency Tables TABLE B-4 (continued) CMA (AAMA) Competencies s 7. Health Insurance Portability and Accountability Act (HIPAA) Ch 3, 5, 8, 9, 17, 18 a. Health insurance portability access and renewal without preexisting conditions Ch 18 b. Coordination of care to prevent duplication of services Ch Health Information Technology for Economic and Clinical Health (HITECH) Act Ch 3 a. Patient s right to inspect, amend, and restrict access to his/her medical record Ch 5, 9 9. Drug Enforcement Agency (DEA) Ch 10 a. Controlled Substances Act of 1970 Ch Medical Assistant Scope of Practice Ch 3, 10 a. Consequences of failing to operate within scope Ch Genetic Information Nondiscrimination Act of 2008 Ch 18, Centers for Disease Control and Prevention (CDC) Ch 5, Consumer Protection Acts Ch 13 a. Fair Debt Collection Practices Act Ch 13 b. Truth in Lending Act of 1968 (Regulation Z) Ch Public Health and Welfare Disclosure Ch 3, 9 a. Public health statutes Ch 3, 9 (1) Communicable diseases Ch 3, 9 (2) Vital statistics Ch 3, 9 (3) Abuse/neglect/exploitation against child/elder Ch 3, 9 (a) Domestic abuse Ch 3, 9 (4) Wounds of violence Ch 3, Confidentiality Ch 3, 5, 6, 7, 9, 10 a. Electronic access audit/activity log Ch 9 b. Use and disclosure of protected health information (PHI) Ch 5, 6, 7, 9 (1) Consent/authorization to release Ch 3 (2) Drug and alcohol treatment records Ch 9, 10 (3) HIV-related information Ch 3, 9 (4) Mental health Ch 3, Health Care Rights and Responsibilities Ch 3 a. Patients Bill of Rights/Patient Care Partnership Ch 3 b. Professional liability Ch 3 (1) Current standard of care Ch 3 (2) Standards of conduct Ch 3 (3) Malpractice coverage Ch 3

20 APPENDIX B Medical Assisting Task List and Competency Tables 727 TABLE B-4 (continued) CMA (AAMA) Competencies s c. Consent to treat Ch 3 (1) Informed consent Ch 3 (2) Implied consent Ch 3 (3) Expressed consent Ch 3 (4) Patient incompetence Ch 3 (5) Emancipated minor Ch 3 (6) Mature minor Ch Medicolegal Terms and Doctrines Ch 3 a. Subpoena duces tecum Ch 3 b. Subpoena Ch 3 c. Respondeat superior Ch 3 d. Res ipsa loquitor Ch 3 e. Locum tenens Ch 3 f. Defendant-plaintiff Ch 3 g. Deposition Ch 3 h. Arbitration-mediation Ch 3 i. Good Samaritan laws Ch Categories of Law Ch 3 a. Criminal law Ch 3 (1) Felony/misdemeanor Ch 3 b. Civil law Ch 3 (1) Contracts (physician patient relationships) Ch 3 (a) Legal obligations to the patient Ch 3 (b) Consequences for patient noncompliance Ch 3 (c) Termination of medical care Ch 3 (i) Elements/behaviors for withdrawal of care Ch 3 (ii) Patient notification and documentation Ch 3 (d) Ownership of medical records Ch 3, 9 (2) Torts Ch 3 (a) Invasion of privacy Ch 3 (b) Negligence Ch 3 (c) Intentional torts Ch 3 (i) Battery Ch 3 (ii) Assault Ch 3

21 728 APPENDIX B Medical Assisting Task List and Competency Tables TABLE B-4 (continued) CMA (AAMA) Competencies s (iii) Slander Ch 3 (iv) Libel Ch 3 c. Statutory law Ch 3 (1) Medical practice acts Ch 3 d. Common law (legal precedents) Ch 3 E. Medical Ethics 1. Ethical Standards Ch 1, 3 2. Factors Affecting Ethical Decisions Ch 3 a. Legal Ch 3 b. Moral Ch 3 F. Risk Management, Quality Assurance, and Safety 1. Workplace Accident Prevention Ch 5 a. Slips/trips/falls Ch 5 2. Safety Signs, Symbols, Labels Ch 5 3. Environmental Safety Ch 5 a. Ergonomics Ch 5 b. Electrical safety Ch 5 c. Fire prevention/extinguisher use/regulations Ch 5 4. Compliance Reporting Ch 5 a. Reporting unsafe activities and behaviors Ch 5, 19 b. Disclosing errors in patient care Ch 5, 19 c. Insurance fraud, waste, and abuse Ch 18 d. Conflicts of interest Ch 1 e. Incident reports Ch 5, 19 G. Medical Terminology 1. Word Parts WB Ch Definitions/Medical Terminology WB Ch 1-21 a. Medical specialties Table 2-4, 2-5 II. H-M Administrative H. Medical Reception 1. Medical Record Preparation Ch 5, 9 2. Demographic Data Review Ch 5, 18 a. Identity theft prevention Ch 5 b. Insurance eligibility verification Ch 18

22 APPENDIX B Medical Assisting Task List and Competency Tables 729 TABLE B-4 (continued) CMA (AAMA) Competencies s 3. Handling Vendors/Business Associates Ch 5 4. Reception Room Environment Ch 5 a. Comfort Ch 5 b. Safety Ch 5 c. Sanitation Ch 5 5. Practice Information Packet Ch 5 a. Office policies Ch 5, 19 b. Patient financial responsibilities Ch 5, 13 I. Patient Navigator Advocate 1. Resource Information Ch 2, 5 a. Provide information about community resources Ch 5 b. Facilitate referrals to community resources Ch 5 c. Referral follow-up Ch 2, 5 J. Medical Business Practices 1. Written Communication Ch 9, 11 a. Letters Ch 9, 11 b. Memos/interoffice communications Ch 11 c. Reports Ch 9, Business Equipment Ch 19 a. Routine maintenance Ch 19 b. Safety precautions Ch 5 3. Office Supply Inventory Ch 19 a. Inventory control/recordkeeping Ch Electronic Applications Ch 1, 3, 8, 9, 10, 11, 12, 18, 19, 21 a. Medical management systems Ch 9, 11 (1) Database reports Ch 9 (2) Meaningful use regulations Ch 3, 8, 9, 10 b. Spreadsheets, graphs Ch 9 c. Electronic mail Ch 12 d. Security Ch 5 (1) Password/screen saver Ch 8, 9 (2) Encryption Ch 8 (3) Firewall Ch 8

23 730 APPENDIX B Medical Assisting Task List and Competency Tables TABLE B-4 (continued) CMA (AAMA) Competencies s e. Transmission of information Ch 8, 9, 21 (1) Facsimile/scanner Ch 5, 9, 12 (2) Patient portal to health data Ch 3, 5, 7 f. Social media Ch 4 K. Establish Patient Medical Record 1. Recognize and Interpret Data Ch 9, 11 a. History and physical Ch 9 b. Discharge summary Ch 9 c. Operative note Ch 9 d. Diagnostic test/lab report Ch 9 e. Clinic progress note Ch 9, 11 f. Consultation report Ch 9, 11 g. Correspondence Ch 9, 11 h. Charts, graphs, tables Ch 9 i. Flow sheet Ch 9 2. Charting Systems Ch 9 a. Problem-oriented medical record (POMR) Ch 9 b. Source-oriented medical record (SOMR) Ch 9 L. Scheduling Appointments 1. Scheduling Guidelines Ch 7 a. Appointment matrix Ch 7 b. New patient appointments Ch 7 (1) Identify required information Ch 7 c. Established patient appointments Ch 7 (1) Routine Ch 7 (2) Urgent/emergency Ch 7 d. Patient flow Ch 7 (1) Patient needs/preference Ch 7 (2) Physician preference Ch 7 (3) Facility/equipment requirements Ch 7 e. Outside services (e.g., lab, x-ray, surgery, outpatient procedures, hospital admissions) Ch 7 2. Appointment Protocols Ch 7 a. Legal aspects Ch 7 b. Physician referrals Ch 7 c. Cancellations/no-shows Ch 7 d. Physician delay/unavailability Ch 7

24 APPENDIX B Medical Assisting Task List and Competency Tables 731 TABLE B-4 (continued) CMA (AAMA) Competencies s e. Reminders/recall systems Ch 7 (1) Appointment cards Ch 7 (2) Phone calls/text messages/ notifications Ch 7 (3) Tickler file Ch 7 M. Practice Finances 1. Financial Terminology Ch 13, 15, 20 a. Accounts receivable Ch 13, 15, 20 b. Accounts payable Ch 13, 15, 20 c. Assets Ch 15, 20 d. Liabilities Ch 15, 20 e. Aging of accounts Ch 15, 20 f. Debits Ch 15 g. Credits Ch 15 h. Diagnosis-Related Groups (DRGs) Ch 13 i. Relative Value Studies (RVSs) Ch Financial Procedures Ch 13, 15, 18, 20 a. Payment receipts Ch 13, 20 (1) Copays Ch 13, 15 b. Data entry Ch 15 (1) Post charges Ch 15, 18 (2) Post payments Ch 15 (3) Post adjustments Ch 15 c. Manage petty cash accounts Ch 15 d. Financial calculations Ch 15, 18 e. Billing procedures Ch 13 (1) Itemized statements Ch 13 (2) Billing cycles Ch 13 f. Collection procedures Ch 13 (1) Aging of accounts Ch 13, 15, 20 (2) Preplanned payment options Ch 13 (3) Credit arrangements Ch 13 (4) Use of collection agencies Ch Diagnostic and Procedural Coding Applications Ch 16, 17, 18 a. Current Procedural Terminology (CPT) Ch 16 (1) Modifiers Ch 16

25 732 APPENDIX B Medical Assisting Task List and Competency Tables TABLE B-4 (continued) CMA (AAMA) Competencies s (2) Upcoding Ch 16 (3) Bundling of charges Ch 16 b. International Classification of Diseases, Clinical Modification (ICD-CM) (Current schedule) Ch 17 c. Linking procedure and diagnosis codes Ch 17, 18 d. Healthcare Common Procedure Coding System (HCPCS Level II) Ch Third-Party Payers/Insurance Ch 2, 13, 16, 18 a. Types of plans Ch 2, 18 (1) Commercial Ch 2, 18 (2) Government Ch 2, 18 (a) Medicare Ch 2, 19 (i) Advanced Beneficiary Notice (ABN) Ch 18 (b) Medicaid Ch 18 (c) TRICARE/CHAMPVA Ch 18 (3) Managed care organizations (MCOs) Ch 2, 18 (a) Managed care requirements Ch 2, 18 (i) Care referrals Ch 2, 18 (ii) Precertification Ch 2 [a] Diagnostic and surgical procedures Ch 16 (iii) Prior authorization Ch 2 [a] Medications Ch 10 (4) Workers compensation Ch 18 b. Insurance claims Ch 18 (1) Submission Ch 18 (2) Appeals/denials Ch 18 (3) Explanation of benefits (EOB) Ch 13 III. N-V CLINICAL N. Anatomy and Physiology 1. Body as a Whole WB Ch 1-21 a. Structural units WB Ch 1-21 O. Infection Control 7. Standard Precautions/Blood-Borne Pathogen Standards Ch 5 d. Blood Ch 5 (1) HIV-HBV-HCV Ch 5

26 APPENDIX B Medical Assisting Task List and Competency Tables 733 TABLE B-4 (continued) CMA (AAMA) Competencies s f. Personal protective equipment (PPE) Ch 5 (1) Gowns Ch 5 (2) Gloves Ch 5 (3) Masks Ch 5 (4) Caps Ch 5 (5) Eye protection Ch 5 g. Post-exposure plan Ch 5 8. Biohazard Disposal/Regulated Waste Ch 5 a. Sharps Ch 5 b. Blood and body fluids Ch 5 c. Safety data sheets (SDS) Ch 5 d. Spill kit Ch 5 P. Patient Intake and Documentation of Care 1. Medical Record Documentation Ch 9 a. Subjective data Ch 9 (1) Chief complaint Ch 9 (2) Present illness Ch 9 (3) Past medical history Ch 9 (4) Family history Ch 9 (5) Social and occupational history Ch 9 (6) Review of systems Ch 9 b. Objective data Ch 9 c. Making corrections Ch 9 d. Treatment/compliance Ch 9 Q. Patient Preparation and Assisting the Provider 3. Examinations Ch 9 a. Methods Ch 9 (1) Auscultation Ch 9 (2) Palpation Ch 9 (3) Percussion Ch 9 (4) Mensuration Ch 9 (5) Manipulation Ch 9 (6) Inspection Ch 9 4. Procedures Ch 5 a. Procedure explanation and patient instructions Ch 5

27 734 APPENDIX B Medical Assisting Task List and Competency Tables TABLE B-4 (continued) CMA (AAMA) Competencies s 5. Patient Education/Health Coach Ch 1-7, 9, 10, 12, 13, 14, 16, 18, 19, 20 a. Health maintenance and disease prevention Ch 5 b. Alternative medicine Ch 1, Wellness/Prevention Care Ch 5 a. Cancer screening Ch 5 b. Sexually transmitted disease prevention Ch 5 g. Domestic violence screening and detection Ch 5 R. Nutrition 1. Basic Principles Ch 5 2. Special Dietary Needs Ch 5 U. Pharmacology For the 50 most commonly used medications, see the Top 200 Drugs at Ch Medications Ch 10 a. Classes of drugs Ch 10 b. Drug actions/desired effects Ch 10 c. Adverse reactions Ch 10 d. Physician s Desk (PDR) Ch 10 e. Storage of drugs Ch Preparing and Administering Oral and Parenteral Medications Ch 10 d. Routes of administration Ch Prescriptions Ch 10 a. E-prescribing Ch 10 b. Controlled substances Ch Medication Recordkeeping Ch 10 a. Reporting/documenting errors Ch Immunizations Ch 10 a. Recordkeeping Ch 10 (1) Vaccine information statement (VIS) Ch 10 V. Emergency Management/Basic First Aid 1. Assessment and Screening Ch 5 2. Identification and Response to Emergencies Ch 5 3. Office Emergency Readiness Ch 5 b. Emergency response plan Ch 5 (1) Evacuation plan Ch 5

28 APPENDIX B Medical Assisting Task List and Competency Tables 735 RMA CERTIFICATION EXAMINATION * COMPETENCIES The American Medical Technologists (AMT) has established (2009) competencies and construction parameters for the Registered Medical Assistant (RMA) certification examination as follows. ** Chapters are cross-referenced to each competency to help locate them in the Administrative Medical Assisting textbook and Workbook. TABLE B-5 American Medical Technologists (AMT) Competencies and Construction Parameters for the Registered Medical Assistant (RMA) Certification Examination 2009 RMA (AMT) Competencies s I. GENERAL MEDICAL ASSISTING KNOWLEDGE A. Anatomy and Physiology 1. Body systems Identify the structure and function of the following systems: JS 1-5; Ch 9 a. Skeletal Ch 9 b. Muscular Ch 9 c. Endocrine Ch 9 d. Urinary Ch 9 e. Reproductive Ch 9 f. Gastrointestinal Ch 9 g. Nervous Ch 9 h. Respiratory Ch 9 i. Cardiovascular/Circulatory Ch 9 j. Integumentary Ch 9 k. Special senses Ch 9 3. Wellness Ch 1, 4 a. Identify nutritional factors that are required for, or influence wellness Ch 1 b. Identify factors associated with exercise that are required for, or influence, wellness Ch 1 c. Identify factors associated with lifestyle choices that are required for, or influence, wellness Ch 1, 4 B. Medical Terminology 1. Word parts WB Ch Definitions WB Ch Common abbreviations and symbols WB Ch 1-21; Table 2-4; Table 7-1; Ch 9; Table 10-3, 4; Table 12-3, 4; Table 13-2; Table 15-2 a. Identify and understand utilization of medical abbreviations and symbols WB Ch 1-21 * RMA competencies are reprinted with permission from the American Medical Technologists. ** Only those clinical competencies that apply to administrative skills are listed.

29 736 APPENDIX B Medical Assisting Task List and Competency Tables TABLE B-5 (continued) RMA (AMT) Competencies s 4. Spelling WB Ch 1-21 a. Spell medical terms accurately WB Ch 1-21 C. Medical Law 1. Identify and understand the application of: Ch 3, 9, 16, 17, 18, 19, 21 a. Types of consent used in medical practice Ch 3 b. Disclosure laws and regulations (including HIPAA Security and Privacy Acts, state and federal laws) Ch 3, 5, 8, 9, 10, 17, 18 c. Laws, regulations, and acts pertaining to the practice of medicine Ch 3, 9, 16, 17, 18, 19, 21 d. Scope of practice acts regarding medical assisting Ch 3 e. Patient Bill of Rights legislation Ch 1, 3 2. Licensure, certification, and registration Ch 1 a. Identify credentialing requirements of medical professionals Ch 1 3. Terminology Ch 3 a. Define terminology associated with medical law Ch 3 D. Medical Ethics 1. Principles of medical ethics and ethical conduct Ch 1, 3 a. Identify and employ proper ethics in practice as a medical assistant Ch 3 b. Identify the principles of ethics established by the American Medical Association Ch 3 c. Identify and understand the application of the AMA Patient Bill of Rights Ch 3 d. Recognize unethical practices and identify the proper response Ch 3 e. Recognize the importance of professional development through continuing education Ch 1 E. Human Relations 1. Patient relations Ch 1, 4, 19 a. Identify age-group specific responses and support Ch 4 b. Identify and employ professional conduct in all aspects of patient care Ch 1, 4 c. Understand and properly apply communication methods Ch 4, 19 d. Identify and respect cultural and ethnic differences Ch 4 e. Respect and care for patients without regard for age, gender, sexual orientation, or socioeconomic level Ch 4 2. Interpersonal relations Ch 1, 4, 19, 21 a. Employ appropriate interpersonal skills with: (1) employer/administration Ch 1, 4, 19, 21 (2) coworkers Ch 1, 4, 19, 21 (3) vendors Ch 1, 4, 19, 21 (4) business associates Ch 1, 4, 19, 21 b. Observe and respect cultural diversity in the workplace Ch 4