MOA241 Medical Records
INSTRUCTOR: Kristin M. Spencer, PhD Candidate, MBA, CMA(AAMA)
PHONE: 517-796-8463 Email: SpencerKristinM01@jccmi.edu
For where to listed for schools closings for inclement weather go to: http:www.jccmi.edu/info/closings.htm
Pre-requisites: MOA141(2.0), MOA 120 (2.5)
Course Description: The patient medical record serves as a means of communication between the
patient, physician, other health care providers, third party payers, and the courts. It is usually the
responsibility of the medical assistant, medical biller, health information tech, administrator, and/or
similar others to generate and organize the patient's record and use the information contained to provide
care and abstract information for statistics or billing. This course addresses the basic principles and
procedures involved with medical records. It is designed to give students an in-depth study of record
technology, coding for diagnoses and procedures, the basics of medical insurance billing, filing systems,
and legal aspects of record keeping and release of information.
Required Textbooks and Learning Tools:
Fordney, Insurance Handbook for the Medical Office, 11th Edition, Saunders, 2010.
Fordney, Insurance Handbook for the Medical Office Workbook, 11th Edition, Saunders, 2010.
Other learning materials :
International Classification of Disease: ICD-9 CM
Current Procedural Terminology code book: CPT
HCPCS Michigan Procedural book
State of Michigan Medical Assistance Program Manual
www.ahima.org American Health Information Management Association
www.webcom.com/medical/AMBA.htm - American Medical Billing Association
www.dhhs.gov Department of Health and Human Services
www.icd0cm.crisendres.com Procedure and Diagnosis coding
www.ssa.gov Social Security Administration
www.bcbsm.com Blue Cross Blue Shield of Michigan
www.hpmich.com Health Plan of Michigan
www.cms.hhs.gov/hipaa/ - Health Insurance Portability and Accountability Act
aama-ntl.org American Association of Medical Assistants
www.billers.com Medical Biller Association
1. Students must attend each class session. You will fall behind quickly if you miss this class. This class
includes a large "lab" component requiring use of tools and practice skills. It is your responsibility to
schedule a make up lab for missed work.
2. Students are expected to conduct themselves in a professional manner and utilize lab time efficiently for
practicing skills or completing assigned work.
3. MOA students are expected to adhere to the department dress code (copy attached).
4. Students are required to read the textbook and answer questions in the workbook. It is to your advantage to
use the workbook as a study guide to reinforce reading from the text.
5. All assignments are expected to be turned in on time. Late assignments will not be accepted.
6. There will be tests throughout the term along with a final exam.
** If you are absent on a test day, you will have to take a make-up test with a 10% deduction. Only 1 make-
up is allowed.
7. A skill based competency will be evaluated through a performance skill checklist. The competency must be
achieved with 85% accuracy or better with two attempts maximum. If the competency must be repeated, a
score of 100% is required.
Grading: Your grade will be calculated based on the following percentages:
20% - Skill Based Competency
40% - Tests/quizzes
20% - Final Exam
20% - Other (Homework, Professionalism, Participation)
** You must achieve a minimum of 80% overall on the lecture portion and 85% on the final competency (with a
max of two attempts) in order to pass the class! If you do not achieve the required percentage on the theory (lecture)
portion of the class, you must repeat the class, regardless of your total overall average for the course.
2.0 79-73% (REQUIRED PASSING GRADE FOR COURSE
0.0 below 60%
Course Schedule: Assignments
Additional assignments may be given that are not listed here. Weekly assignments listed under
homework are taken from the workbook. Homework will be checked for completion at the
beginning of class and if completed, you will receive full credit. If not completed or you are late,
you will receive a zero. Answers will be given in class before the test for a last minute review.
WEEK 1 Introduction and Syllabus Review
Create 3x5 flashcards for the Key
Abbreviations. You will create these for each
Date: Ch. 1 Role of an Insurance Billing chapter and they will be on the final.
WEEK 2 Test #1 (Ch.1)
Date: Ch. 2 HIPAA Compliance and
Privacy in Billing Assign: 2-1 to 2-4
WEEK 3 Test #2 (Ch. 2)
Date: Ch. 3 Basics of Health Insurance
Assign: 3-1 to 3-2
WEEK 4 Test #3 (Ch. 3)
Date: Ch. 4 Medical Documentation Flashcards
Assign: 4-1 to 4-4
WEEK 5 Test #4 (Ch. 4)
Date: Ch. 5 Diagnostic Coding
Assign: 5-1 to 5-8
Ch. 6 Procedural Coding Flashcards
Assign: 6-1 to 6-9
Test #5 (Ch. 5 & Ch. 6) Flashcards
Ch. 7 The Paper Claim Assign: 7-1 to 7-5
Ch. 8 Electronic Data Interchange 8-1
Test # 6 (Ch. 7 & Ch. 8) Flashcards
Ch. 11 The Blue Plans, Private Insurance, and Assign: 11-1 to 11-6
Managed Care Plans
Test #7 (Ch. 11) Flashcards
Ch. 12 Medicare Assign: 12-1
12-2 (1-9), 12-3 to 12-8
(due in two weeks)
Continue work on Ch. 12 Flashcards
Ch. 13 Medicaid and Other State Program Assign: 13-1, 13-3, 13-4
(due next week)
WEEK 11 Test #8 (Ch. 12 & Ch. 13)
Date: Ch. 14 Tricare and Champva
Assign: 14-1, 14-4, 14-7
Test #9 (Ch. 14) Flashcards
Ch. 15 Worker's Compensation Assign: 15-1 to 15-3
Ch. 16 Disability Claims
16-1 to 16-2
Test #10 (Ch. 15 & Ch. 16) Flashcards
Ch. 9 Receiving Payments and Insurance Assign: 9-1, 9-3, 9-5
Ch. 10 Office and Insurance Collection
Test #11 (Ch. 9 & Ch. 10)
Date: Study for Final Exam.
Final Skill Based Competency
(This is provided by the instructor and is to be completed Remember your Flashcards!!
during class. You must achieve an 85% or better or must
repeat it next week)
English Language Arts and Mathematics Tests Preliminary Results Spring 2015 Administration Highlights The new Ohio State Tests in English language arts and mathematics were administered for the first time during the 2014-2015 school year. These tests were produced by the Partnership for Assessment of Readiness …
Employment Application Cummins Location: Today's Date: Reviewed By: Date available to start work: Print name in full: LAST FIRST MIDDLE Social Security No.: Salary expected: Present address: City: State & Zip Code: Previous addresses over the past 10 years: Email address: Phone No. & Area …
Live your life, enjoy your life A guide to using your health plan In a hurry? Pages 45 shows where to find your medical plan information online quickly at myuhc.com. Welcome We're glad you're here. While no one can predict t the future, , you …
Fetal Pig Dissection Labs Dr. J. Lim Objective: In this exercise you will examine the organization of the many body systems studied this semester in the context of a single specimen, the fetal pig. Be sure to identify the major organs as you explore the …