MDAA101- Portfolio Project W3

MDAA101 – Introduction to Medical Office Support & Services Portfolio Project Template Student’s Name (First and Last): Alexis Smith Instructor: Dr. Tracy Stepanyan Session: Directions: Please use this template for your portfolio project. Type within the document and submit the same file with each deliverable. Week 2: MAA Job Duties, Law & Ethics  Summarize the job description of a medical administrative assistant. Please identify and discuss at least 4 duties/responsibilities of a medical administrative assistant in at least 50 words for each duty. As a medical administrative assistant you are responsible to perform multiple tasks on a daily basis while delievering quality customer service for the patients. Some responsibilities include updating and maintaing patients health records which makes it easier for the physician to give the approiate treatment. If the records didn’t get updated physicians could misdiagnose patients. Also medical billers and coders use the information in patient charts to create medical claims. MAA also schedule and coordinate appointments. When scheduling the medical administrative assistant will use a scheduling system to book and manage appointments for patients. They will also book follow-up appointments, medical procedures, reschedule appointments, and consultations for patients. Depending on the place of business there can be different styles of scheduling such as wave schedulding, time slot scheduling, and open book scheduling.Another task that a MAA preform is process insurance claims. Many paitents have insurance that pays for some or all of theit medical treatment. A MAA takes the paitnents insurance card and makes copies of it and proceeds to help file a claim. Lastly a MAA oversee medical billing as a task in their day. Patients with or without health inscurance could have to pay some medical fees out of pocket. A medical administrative assistant can process the payments or give information about a payment plan that will best work for the patient.  In at least 300 words, complete the following:

MDAA101 – Portfolio Project Template 2 o Identify 3 laws/regulations from the list below and summarize the purpose and use of each selected law/regulation. o Describe 1 way an MAA upholds each of the laws/regulations you have chosen in their career. Here is a list of laws/regulations to choose from:  False Claims Act  Good Samaritan Act  Health Insurance Portability and Accountability Act (HIPAA) of 1996  HIPAA Breach Notification Rule  HIPAA Privacy Rule  HIPAA Transaction and Code Set Standards  HIPAA Security Rule  Medical Practice Acts  Patient’s Bill of Rights  Physician Orders for Life-Sustaining Treatment (POLST)  Respondeat Superior  Stark Law/Anti-Kickback Laws  Statutory Reports The False Claims Act is a whistle blower law that prohibits an individual or organization from submitting inaccurate claims to government programs. Nursing facilities, physician offices and hospitals are under the False Claims Act. When someone has proof of the misuse of federal funds a claim is filed under the FCA. A MAA upholds the False Claims Act by ensuring the accurate services are being billed. If a billing issue is discovered, it should be addressed and taken care of as quickly as possible. The HIPAA Privacy Rule is a national standard to protect individual’s medical records and other personal health information. The privacy requirements limit the release of patient protected health information without the patient’s knowledge and consent beyond the required patient care. The Privacy Rule protects all Protected Health Information (PHI) held or transmitted by a covered organization, in any form or media including verbal communications among the staff, patients or other providers. As an MAA upholds the HIPAA Privacy Rule, they are not allowed to share information with family and friends that are identified to them by the patient. The Patient’s Bill of Rights outlines essential guarantees for individuals receiving medical care. These include the right to courtesy, respect, dignity, and timely responsive attention to the patient’s needs. The patient being able to receive information from their physician and to discuss the risks, benefits, and costs for treatment. To ask questions about their health status or recommended treatment that they do not understand, make

MDAA101 – Portfolio Project Template 4 MAA: “Perfect! Okay Ms. Pinn, I have you down for Monday at 8:45am with Ms. Smith. Is there anything else I can help you with today?” Patient: “No ma’am you been such great help.” MAA: “We look forward to seeing you. Have a great day Ms. Pinn.” Patient: “Thank you, you do as well. Bye Bye.” MAA: “Bye.” Some examples of types of calls you will receive as an MAA include:  Patient calls to request an appointment  Patient requests a prescription refill  Patient asks to talk with physician or nurse because a patient is ill or needs some medical information  Patient calls with an insurance or billing question  Insurance company calls requesting information on a patient  Patient calls with a complaint  In at least 100 words, demonstrate that you can properly assess the needs of patients that call BSC Healthcare Facility. Each patient must be properly screened to meet their needs. The MAA can determine if the situation is an emergency by asking a predetermined sequence of questions (triage). Listed below are four patient case scenarios. Choose two patients from the list. Create a script for each selected patient with the proper sequence of questions based on the patient’s needs. 1. Patient A : Denisha Smith is a new patient who needs to make an appointment to meet with a doctor. 2. Patient B : Henry Wong is an established patient who would like to know the results of his lab work that was completed one week ago. MAA: “Thank you for calling Smith Heath Center, this is Nylah speaking how may I help you?” Henry: “Hi this is Henry Wong I am calling because I had my lab work done a week ago and I haven’t heard anything back about the results why is it taking so long?”

MDAA101 – Portfolio Project Template 5 MAA: “Hello Henry I apologize about the long wait let me take a look into that for you. Can you provide me with your date of birth?” Henry: “Yes its May 23, 1986.” MAA: “Thank you, I am going to take a look. I found them it looks like it was an error on our end, and I am sorry for that I will give them to a doctor right now so they can go over them with you will that be, okay? Henry: “Yes and thank you for taking the time to look for them.” MAA: “You’re welcome. The doctor will be out in a second to grab you.” Henry: “Okay thank you and have a nice day.” MAA: “You as well.” 3. Patient C : Susie Stratton is a new patient calling with chest pains. MAA: “Good morning and thank you for calling Smith Health Center this Zaire speaking how may I help you?” Susie: “Hi I need to make an appointment to see a doctor about my chest pains.” MAA: “I’m sorry to hear that. Let’s get you an appointment scheduled have you been here before?” Susie: “No I haven’t.” MAA: “Okay Susie, what is your full name and birthday?” Susie: “My name is Susie Stratton, and I was born on November 28, 1976. MAA: “How long have you been having chest pains?” Susie:” They started about an hour and a half ago when I was going down my stairs. The pains come and go but they are sharp pains.

MDAA101 – Portfolio Project Template 7 Week 6: Payments and Collections  In at least 75 words, identify and discuss 4 possible methods of payment that can be used during a patient’s first visit.  In at least 75 words, define monthly billing. Discuss 1 benefit and 1 drawback of monthly billing.  In at least 75 words, define cycle billing. Discuss 1 benefit and 1 drawback of cycle billing. Using the BSC Healthcare Facility Daysheet, please provide responses to the following questions: 1. What is the total in insurance deposit checks? 2. What is the total cash amount for the day? 3. What is the total patient check amount for the day? 4. How many patients had to pay a co-pay? 5. List the patients (First & Last name) with a balance on their account. 6. Describe a potential office policy for a patient with an outstanding balance for over 90 days. BSC Healthcare Facility 1234 Any Street Anytown, Any State 12345 BSC Healthcare Facility Daysheet Date Patient Description Fee Copay Form of Payment Balanc e Doc # 07.15.20 23 Johnson, Howard 99203 142.10 10.00 Cash $0.00 1 07.15.20 23 Martin, Patricia 99201 120.00 25.00 Cash $0.00 1 07.15.20 23 Hunt, Cheryl 99202 173.00 30.00 Check #5140 143.00 2 07.15.20 23 Smith, James 99395 150.00 25.00 Cash 125.00 1 07.15.20 23 Ramos, Joseph 99201 140.50 25.00 Cash 115.50 2 07.15.20 23 Elliott, Sara Aflac Payment 99211 256.32 Check #82190 $0.00 07.15.20 23 Boyle, David 99213 200.00 50.00 Cash 150.00 1

MDAA101 – Portfolio Project Template 8 07.15.20 23 Richards , Peter 99205 350.00 40.00 Check#556 0 310.00 2 07.15.20 23 Hicks, Christine 99202 175.00 25.00 Cash $120.0 0 1 07.15.20 23 Helms, Sonya BCBS Payment 99212 187.62 Check#092 4 $0.00