MAP 113 - Medical Office Management II

1. Perform accounts receivable procedures 
   1. Post charges, payments, adjustments to patient accounts 
   2. Obtain accurate patient billing information 
2. Describe how to use the most current procedural coding system 
   1. Define medical necessity as it applies to procedural coding 
   2. Discuss the effects of upcoding, downcoding 
3. Describe how to use the most current diagnostic coding classification system 
   1. Define medical necessity as it applies to diagnostic coding 
   2. Discuss the effects of upcoding, downcoding 
4. Analyze components of professional telephone techniques
   1. Document telephone messages accurately 
   2. Discuss appropriate telephone communication skills 
5. Characterize an EMR 
   1. Input patient data utilizing a practice management system 
   2. Identify advantages of electronic scheduling systems 
   3. Identify components of the EMR 
6. Analyze critical information required for scheduling patient procedures 
   1. Display sensitivity when managing appointments 
   2. Apply established protocols when performing appointment scheduling 
7. Outline requirements of Health Insurance Portability and Accountability Act (HIPAA) 
   1. Protect the integrity of the medical record 
   2. Demonstrate sensitivity to patient rights 
8. Adhere to protocols for accurate medical insurance claims and processing 
   1. Interpret information on an insurance card 
   2. Obtain precertification or preauthorization including documentation 
   3. Complete an insurance claim form 
   4. Verify eligibility for services, precertification, preauthorization