Medical Billing & Administrative Medical Assistant Combination Program
MBILLAMA — Medical Billing and Administrative Medical Assistant , hours
Program Objectives
1) Apply medical terminology
2) Explain the importance of health insurances and managed health care
3) Process an insurance claim for commercial insurance, Blue Cross/Blue Shield, Medicare, Medicaid, TRICARE, and Workers' Compensation
4) Demonstrate the basics of medical coding
5) Explain the importance of coding for medical necessity
6) Explain the legalities of medical billing
7) Follow essential CMS-1500 Claim instructions
8) Discuss daily activities of an Administrative Medical Assistant
9) Demonstrate professional communication in the medical workplace
10) Identify ethical issues related to Administrative Medical Assisting
11) Awareness of HIPAA and other patient privacy regulations and guidelines
12) Engage in proper professional relationships with patients and clients
13) Demonstrate ability to navigate medical records and office equipment
14) Familiar with CPT Coding changes and updates
15) Familiar with insurance claims forms
16) Demonstrate ability to engage in proper bookkeeping practices
Professor
Gina Hobert
Gina is the Internal Audit Director at MaineGeneral Health in the Health Information Services Department. Prior to joining MaineGeneral Health, she was a Senior Manager Consultant at BNN’s healthcare management consulting practice, specializing in medical billing and coding education, provider education, chart auditing, billing compliance, provider-based practices and billing, and chargemaster reviews.
Gina has over 25 years of healthcare experience, including managing billing compliance and medical audit functions, and conducted educational sessions for a major New England hospital system. She was also previously employed as the director of the Coding Center, which provided chart auditing services, on-site coding education programs, and coding certification courses.
Summer Haggins
Summer has a Bachelor of Science in Nursing and a Master of Business Administration with a specialization in Healthcare Administration from Cleveland State University. Summer has 15 years of professional experience which include critical care nursing, medical surgical nursing, staff development, teaching, and management. The management experience included supervising the daily operations of a 27-bed facility while also overseeing an expansion of the facility.
In her spare time, she is actively involved in church and fitness. She also enjoys teaching focusing on motivation and assisting individuals with achieving a healthy lifestyle.
Online Support (IT) and Moodle Navigation
All members of the Lakewood University community who use the University’s computing, information or communication resources must act responsibly. Support is accessible by calling 1-800-517-0857 option 2 or by emailing info@lakewood.edu
Books and Resources
Medical Billing
Green, Michelle A., and Jo Ann C. Rowell. Understanding Health Insurance: A Guide to Billing and Reimbursement. 14th ed. Clifton Park, NY: Delmar Cengage Learning, 2019
Administrative Medical Assistant
Kinn's the Administrative Medical Assistant: An Applied Learning Approach, 13 edition (June 7, 2016)
Evaluation Method
Graded work will receive a numeric score reflecting the quality of performance.
Course Requirement Summary
- Assignments - Total of 140 Points
- Weekly discussion forums-Total of 70 Points
- Lesson Test - 1400 Points
- Final Exam - 50 Points
- Practical Learning Exercises – 200 Points
Grading Scale
Graded work will receive a numeric score reflecting the quality of performance as given above in evaluation methods. The maximum number of points a student may earn is 1660. To determine the final grade, the student's earned points are divided by 1660.
Your overall course grade will be determined according to the following scale:
A = (90% -100%)
B = (80% - 89%)
C = (70% - 79%)
D = (60% - 69%)
F < (Below 60%)
Assignment and Discussion Forum Post Rubrics
Writing Assignment Grading Rubric
|
Points |
Excellent |
Good |
Poor |
Very Poor |
No Response |
|
Original Posting ____/10 |
Writing assignment was well thought out, coherent, and thoughtfully organized with all parts of the questions addressed along with appropriate grammar and spelling |
Writing was clear and relatively well organized and responded to many/most of the key points with a few mistakes in regard to grammar and spelling |
Writing was somewhat confusing and not well organized and had little or no focus on the subject matter with significant grammar and spelling errors |
Writing is confusing and hard to follow with no organization while missing the point of the assignment entirely |
No Assignment |
|
Total Points ____/10 |
Additional Comments: |
Discussion Question Grading Rubric
|
Points |
Excellent Pass |
Good Pass |
Poor Fail |
No Response Fail |
|
Original Posting PASS/FAIL |
Original post reflected good focus to the discussion with well thought out ideas and appropriate grammar and spelling |
Original post responded to the topic in a general fashion but failed to organize them well and had a few mistakes in regard to grammar and spelling |
Responded with little or no focus to the discussion and contained short, irrelevant and/or confusing commentary with significant grammar and spelling errors |
No posting |
|
Reply to fellow student PASS/FAIL |
Response to fellow student reflected good focus to the post with well thought out ideas and appropriate grammar and spelling |
Response to fellow student in a general fashion but failed to organize them well and had a few mistakes in regard to grammar and spelling |
Little or no focus to the post and contained short, irrelevant and/or confusing commentary with significant grammar and spelling errors |
No posting |
|
Total Points PASS/FAIL |
Additional Comments: |
Academic Integrity/ Plagiarism
Cheating (dishonestly taking the knowledge of another person whether on a test or an assignment and presenting it as your work) and plagiarism (to take and pass off as one's own the ideas or writing of another) are a serious issue. While it is legitimate to talk to others about your assignments and incorporate suggestions, do not let others "write" your assignments in the name of peer review or "borrow" sections or whole assignments written by others. We do get ideas from life experiences and what we read but be careful that you interpret these ideas and make them your own.
I am aware that many types of assignments are available on the internet and will check these sources when there is legitimate suspicion.
Penalty is a zero on the assignment. In cases where there is a major or continuous breach of trust, further discipline, such as an "F" in the course, may be necessary.
The major consequence of any form of cheating is damage to your character and the result of trust and respect.
Disability Accommodations
Students who have a disability and wish to request an academic accommodation should contact Jim Gepperth, the Disabilities Services Coordinator and Academic Dean. The student can request an accommodation at any time although it is encouraged to do so early in the enrollment process. The student should complete an accommodation request form which begins a conversation between the school and the student regarding the nature of their disability and an accommodation that would help the student succeed in their program. The school may request documentation regarding the disability to address the accommodation request effectively. The school will communicate to the student the type of accommodation arranged. This process typically follows a team approach, bringing together persons from the academic department (including the instructor) and personnel from other departments as necessary. Additional information on disability accommodations may be found in the Lakewood University Catalog.
Disability Services Email: disabilityservices@lakewood.edu
Supplemental Texts
You can use the following resources to assist you with proper source citation.
American Psychological Association Style Guide- https://www.mylakewoodu.com/pluginfile.php/118179/mod_resource/content/1/APA%20Style%20Guide%207th%20edition.pdf
The Purdue OWL website is also a helpful resource for students. Here is a link to the OWL website: https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html
Library
Mary O'Dell is the Librarian on staff at Lakewood University
She is available by appointment. You can make an appointment with her by emailing her at modell@lakewood.edu or call at 1-800-517-0857 X 730
You may also schedule a meeting at this link: https://my.setmore.com/calendar#monthly/r3a761583354923270/01032020
She can assist you with navigating LIRN, research, citations etc.
Support
Each student at Lakewood University is assigned a Success Coach. Your Success Coach exists to assist you with academic and supportive services as you navigate your program. They will reach out to you, often, to check-in. Please use the resources they offer.
Student Services is available to assist with technical questions regarding Lakewood University and all services available to you.
1-800-517-0857 option 2
info@lakewood.edu
studentservices@lakewood.edu
Career Services
Students are offered Career Services at any point as they journey their academics at Lakewood University.
1-800-517-0857 option 2
careerservices@lakewood.edu
Objectives
-
1) Apply medical terminology
2) Explain the importance of health insurances and managed health care
3) Process an insurance claim for commercial insurance, Blue Cross/Blue Shield, Medicare, Medicaid, TRICARE, and Workers' Compensation
4) Demonstrate the basis of medical coding
5) Explain the importance of coding for medical necessity
6) Explain the legalities of medical billing
7) Follow essential CMS-1500 Claim instructions
8) Discuss daily activities of an Administrative Medical Assistant
9) Demonstrate professional communication in the medical workplace
10) Identify ethical issues related to Administrative Medical Assisting
11) Awareness of HIPAA and other patient privacy regulations and guidelines
12) Engage in proper professional relationships with patients and clients
13) Demonstrate ability to navigate medical records and office equipment
14) Familiar with CPT Coding changes and updates
15) Familiar with insurance claims forms
16) Demonstrate ability to engage in proper bookkeeping practices
Lessons
| Medical Terminology and NHA Registration |
Medical Terminology
NHA Registration
Complete all activities in lesson
Health Insurance Specialist Career
Reading: Understanding Health - Chapter 1 Assignment #1 Essay
Simulated Experiential Learning Exercise #2
Medical Billing Lesson Test #1
Complete all activities and tests in lesson
Introduction to Health Insurance/Managed Health Care
Reading: Understanding Health - Chapter 2 & 3, Assignment #2
Simulated Experiential Learning Exercise #3
Medical Billing Lesson Test 2
Complete all activities and tests in lesson
| Processing an Insurance Claim |
Reading: Understanding Health- Chapter 4, Assignment #3
Medical Billing Lesson Test #3
Discussion Forum — Life Cycle of a Claim
Lesson Evaluation
Simulated Experiential Learning Exercise 4
Complete all activities and tests in lesson
Legal and Regulatory Issues
Reading: Understanding Health - Chapter 5, Assignment #4
Medical Billing Lesson Test #4
Discussion Forum — The 1970s Affect on Healthcare
Simulated Experiential Learning Exercise 5
Complete all activities and tests in lesson
ICD-10-CM Coding
Reading: Understanding Health - Chapter 6, Assignment #5
Medical Billing Lesson Test #5
Lesson Evaluation
Simulated Experiential Learning Exercise #6
Complete all activities and tests in lesson
CPT Coding
Reading: Understanding Health - Chapter 7, Assignment #6
Medical Billing Lesson Test #6
Complete all activities and tests in lesson
HCPCS Coding System
Reading: Understanding Health - Chapter 8 Assignment #7
Medical Billing Lesson Test #7
Complete all activities and tests in lesson
CMs Reimbursement Methodologies
Reading: Understanding Health - Chapter 9 Assignment #8
Medical Billing Lesson Test #8
Complete all activities and tests in lesson
Coding for Medical Necessity
Reading: Understanding Health - Chapter 10, Assignment #9
Medical Billing Lesson Test #9
Complete all activities and tests in lesson
Essential CMS-1500 Claim Instructions
Reading: Understanding Health - Chapter 11 Assignment #10
Medical Billing Lesson Test #10
Discussion Forum - InsureKIds
Complete all activities and tests in lesson
Commercial Insurance
Reading: Understanding Health - Chapter 12, Assignment #11
Medical Billing Lesson Test #11
Complete all activities and tests in lesson
Blue Cross and Blue Shield Plans
Reading: Understanding Health - Chapter 13, Assignment #12 Discussion Forum - Blue Cross Blue Shield
Medical Billing Lesson Test #12
Complete all activities and tests in lesson
Medicare and Medicaid
Reading: Understanding Health, Chapters 14 & 15 Assignment #13
Medical Billing Lesson Test #13
Discussion Forum - CMS Quarterly Medicare Updates
Complete all activities and tests in lesson
TRICARE & Workers’ Compensation
Reading: Understanding Health, Chapter 16 & 17, Assignment #14
Discussion Forum—TRICARE Medical Billing Lesson Test #14
Complete all activities and tests in lesson
Final Examination
Final Exam
Code of Ethics
Complete all activities and tests in lesson
Introduction to Administrative Medical Assisting
Review required information.
Complete all activities.
The Medical Assisting Profession
Reading: The AMA - Chapters 1 & 2
Simulated Experiential Learning Exercise #1
Discussion Forum - Introductions/ The New Medical Assistant
Complete all activities and lessons
Professional Behavior in the Workplace and Ethics in Administrative Medical Assisting
Reading: The AMA - Chapters 3 & 4
Simulated Experiential Learning Exercise #2
AMA Lesson Test #11
Discussion Forum - Professional Grooming in the Workplace
Complete all activities
Interpersonal Communication
Reading: The AMA - Chapters 5 & 6
Simulated Experiential Learning Exercise #3
Assignment - An Ethical Issue
Complete all activities
Maintaining Patient Privacy (HIPAA)
Reading: The AMA Chapters 7 & 8 Simulated Experiential Learning Exercise #4
Discussion Forum - Mrs. Smith
AMA Test 2
Complete all activities
Patient Reception and Processing
Reading: The AMA Chapters 9 & 10 Simulated Experiential Learning Exercise #5
Discussion Forum - HIPAA Regulations
Assignment - Scheduling Appointments
Complete all activities
The Paper Medical Record
Reading: The AMA Chapters 11 & 12 Simulated Experiential Learning Exercise #6
Discussion Forum - Interacting with Patients
AMA Test 3
Complete all activities
The Electronic Medical Record
Reading: The AMA Chapters 13 & 14 Simulated Experiential Learning Exercise #7
Discussion Forum - Equipment in the Office
Assignment - The Paper Medical Record
Complete all activities
Privacy in the Physician's Office
Reading: The AMA Chapters 15 & 16 Simulated Experiential Learning Exercise #8
Discussion Forum - The Electronic Health Record
AMA Test 4
Complete all activities
Basics of Procedural Coding
Reading: The AMA Chapters 17 & 18 Simulated Experiential Learning Exercise #9
Assignment - Patient Privacy and Office Coding
Assignment - Exploring the NHA Website
Complete all activities
The Health Insurance Claim Form
Reading: The AMA Chapters 19 & 20 Simulated Experiential Learning Exercise #10
Discussion Forum - Updating the CPT
AMA Test 5
Complete all activities
Banking Services and Procedures / Financial and Practice Management
Reading: The AMA Chapters 21 & 22 Simulated Experiential Learning Exercise #11
Assignment - The Insurance Claim Form
Complete all activities
Interview with a Medical Assistant Preparation
Reading: The AMA Chapter 23 Simulated Experiential Learning Exercise #12
Discussion Forum - Bookkeeping in Medical Offices
AMA Test 6
Complete all activities
| Interview with a Medical Assistant Summary |
This assignment may take longer than previous assignments because it requires the student to schedule and meet with a Medical Assistant in their area.
Complete all activities
Your Future in Medical Assisting
Assignment - Your Future as a Medical Assistant
Final Examination
Final Examination
Complete all activities