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How can you help empower the patient to seek care from appropriate specialists to improve patient
satisfaction within an organization?
Providing patients with the information and resources needed to seek care from specialists helps to
motivate patients to take an active role in managing their medical care. Active patient involvement in
decision making assists in positive patient satisfaction and outcomes.
Scope of practice
A specific set of standards that a medical professional may perform within the limits of the medical
license, registration, and/or certification.
MA admin duties
Scheduling patient appointments
Patient registration (demographics, payer information, compliance forms)
Updating and working in patient records
Sending claims to insurance
Collecting patient responsibility amounts (copays, coinsurance, deductible)
MA clinical duties
Collecting and processing lab specimens
Performing diagnostic testing (EKG, spirometry)
,Preparing and cleaning examination rooms
Preparing the patient for evaluation and procedure
Measuring vital signs
Preparing medications and administering immunizations
Who determines the scope of medical assistants?
State medical boards
While the provider the medical assistant works under and the organization who employs them may place
stricter scope regulations on the medical assistant, all individual and company policies must comply with
state regulations.
Occupational therapists
assist patients who have conditions that disable them developmentally, emotionally, mentally, or
physically.
Physical therapists
assist patients in improving mobility, strength, and range of motion.
Endorsement
The process of a state/territory granting a license to an applicant who is licensed in good standing at the
equivalent designation in another jurisdiction.
Reciprocity
Agreement or arrangement that allows resident licensees of one reciprocal state to obtain a license in
another reciprocal state.
patient-centered medical home (PCMH)
,A partnership between a patient and their care team in which total health is the focus and not just a
single condition. A health care team consists of a provider (physician, nurse practitioner, physician
assistant), CMAA, CCMA, nurses, and pharmacist.
What are the primary benefits of mobile health units?
Mobile health units bring health care to the communities that most need it and may otherwise lack
access to the services provided. They have been particularly helpful during the COVID-19 pandemic, as
they can bring testing and vaccines to many communities and make these services as easy as possible to
access and use.
Telehealth appropriate
Follow-up on medication adjustments
Chronic condition review and discussion
Patient education
Evaluation of minor or common rashes and skin concerns
Follow-up on new medical equipment, such as a CPAP machine
Discussion of lab results
In-Person Evaluation Needed
Diagnostic testing, such as imaging or lab work
New pain symptoms
Physical examination
Describe the medical assistant's role in patient portals.
The MA is often responsible for assisting patients with enrolling in the portal. This includes having
necessary paperwork completed, providing enrollment instructions, and reviewing how to use the portal
, to effectively interact with their health care team. The MA may also be responsible for uploading or
updating data in the portal.
fee-for-service
System used by private insurance companies and not-for-profits in which insurance carriers determine
the allowed charge either by a fee schedule or through service benefits that define covered services but
not necessarily the exact payments.
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
System used by private and public insurance plans that controls health care cost and improves
preventive care for its patients by having contracts with providers and medical organizations. The three
types of managed care plans are health maintenance organization (HMO), preferred provider
organization (PPO), and point of service (POS).
Capitation
A managed care method of monthly payments to the provider based on the number of enrolled patients,
regardless of how many encounters a patient may have during the month.
patients are assigned a per-member, per-month payment based on their age, race, sex, lifestyle, medical
history, and benefit design.Payment rates are tied to expected usage regardless of how often the patient
visits.