Standard

Rev. 01/2005

Rev. 02/2005

MAS 115 – Medical Administrative Procedures II

Course Description

Emphasizes essential skills required for the typical medical office.  Topics include:  accounting procedures and insurance preparation and coding.     

Competency Areas	Hours
Accounting Procedures	Class	1
Insurance Preparation and Coding	D. Lab	2
Application Software	P. Lab/O.B.I.	3
	Credit	3

Prerequisite:	MAS 114
Corequisite:

Course Guide

Competency	After completing this section, the student will:	Hours
		Class	D.Lab	P.Lab/ O.B.I.
ACCOUNTING PROCEDURES		4	5	10
Financial arrangements	Make financial arrangements with a patient requesting credit.
	Describe and explain a physician's fee schedule.
Bookkeeping	Explain the three main bookkeeping systems and procedures for each (single-entry, double-entry, and pegboard).
	Prepare a ledger account for a new patient.
	Prepare a patient charge slip.
	Post the entries from the daily journal to patient ledger cards.
	Establish and maintain a petty cash fund.
	Post service charges and payments using a pegboard.
	Prepare a bank deposit.
	Correctly write a check.
	Pay office bills by check.
	Reconcile a bank statement with the checkbook balance.
	Prepare patient's monthly statements.
	Initiate proceedings to collect delinquent accounts.
Maintenance of office records	Demonstrate telephone collection techniques.
	Maintain personnel and payroll records.
	Maintain office inventory.
INSURANCE PREPARATION AND CODING		5	10	15
Private versus group	Cite advantages of group over private health insurance.
Major types of health coverage	Identify and complete appropriate insurance forms for patients covered by private, group, or government insurance plans.
Diagnostic and procedural coding for insurance forms	Demonstrate usage of ICD coding books and CPT coding books.
Claims rejections	List reasons for claims rejections and purpose solutions for rejections.
Deductibles and coinsurance	Calculate the billing for patients whose insurance includes deductibles and coinsurance.
Insurance payments	Post daily insurance payments and process overpayments.
APPLICATION SOFTWARE		1	5	5

Software

Describe different types of Medical Office Software including Software used for reimbursement and demonstrate the use of more types of software

Suggested Resources

Books

Duncan, C. H., et al.  (1998). College keyboarding/typewriting (11th ed.).  Cincinnati: South-Western.

Fredrick, P. M., & Kinn, M. E.  (1998). The medical office assistant: Administrative and clinical.  Philadelphia: Saunders.

Frew, M. A., & Frew, D. R.  (1998). Medical office administrative procedures (4th ed.).  Philadelphia: F. A. Davis.

Humphrey, D. (1999).   Contemporary medical office procedures. Cincinnati: South-Western.

Kinn, M. E.  (1999). The administrative medical assistant. Philadelphia: Saunders.

Metropolitan Medical Center.  (1995). Business administration for the medical assistant. Cincinnati: South-Western. Rice, J.  (1994). Medspell. East Norwalk, CT: Appleton & Lange.

Brown, (2001). Medical Insurance Made Easy: A Worktext

Kinn, (2000). The Medical Assistant: Adm/Clinical, 8^th ed.

Kinn, (2000). The Medical Assistant: Adm/Clinical Workbook, 8^th ed.

Kinn, (1999) The Administrative Medical Assisting, 4^th ed.

Kinn, (1999) The Administrative Medical Assisting Workbook, 4^th ed.

Holmes, (2002). Medical Assisting Exam Review, Saunders.

Krager & Krager, (2005). HIPPA for Medical Office Personnel, Delmar.

Medical Office Procedures with Medical Pegboard

Atkinson & Miller, Medical Office Procedures, 7^th ed., Delmar.

Lindh, Pooler & Tamparo. Comprehensive Medical Assisting, 2^nd ed., Delmar.

Lindh, Pooler & Tamparo. Workbook to Accompany Comprehensive Medical Assisting, 2^nd ed., Delmar.

Gartee. The Medical Manager Student Edition Version 9.20 for Windows, Delmar.

The Medical Manager Student Edition Version 10 for Windows, (2004) Delmar.

Adam. Adam's Guide to Coding and Reimbursement, Mosby.

Becklin, Medical Office Procedures, 5^th ed. McGraw-Hill.

The Medical Assistant: Adm/Clinical, Thomson Delmar.

Workbook to accompany The Medical Assistant: Adm/Clinical, Thomson Delmar.

Simulating the Medical Office, Thomson Delmar.

Belch, Simulating the Medical Office for Windows 95, Career Publishing, Inc.

Delmar's Medical Office Reference Manual, Thomson Delmar.

Buck, Step By Step Medical Coding, 4^th ed., Saunders

From Patient to Payment Insurance Procedures for the Medical Office w/Medical Pegboard, 3^rd ed., Delmar.

Lindh, Pooler & Tamaro, Administrative Medical Assisting, 2^nd ed.

Lindh, Pooler & Tamparo. Administrative Medical Assisting Workbook, 2^nd ed.

Fordney, French & Follis, (2004). Administrative Medical Assisting, 5^th ed., Delmar.

Fordney, French & Follis, (2004). Workbook to Accompany Administrative Medical Assisting, 5^th ed., Delmar.

Fordney, (2004). Administrative Medical Assisting, 5^th ed., ITP Publishers.

Fordney, (2004). Workbook to Accompany Administrative Medical Assisting, 5^th ed., ITP Publishers.

Lindh, Pooler & Tamparo. Comprehensive Medical Assisting, 2^nd ed., Delmar.

Lindh, Pooler & Tamparo. Workbook to Accompany Comprehensive Medical Assisting, 2^nd ed., Delmar.

Taber's Cyclopedia Dictionary, 19^th ed., FA Davis.

Audiovisuals

Healthcare Management Advisors Inc.  (Year). Coding for quality introduction to CPT.  Alpharetta, GA: Author.

Healthcare Management Advisors Inc.  (Year). Coding for quality ICD-9 CM.  Alpharetta, GA: Author. Medical Manager.  Delmar.