MOA241 Medical Records – Jackson Community College – Where you

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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 :

Medical Dictionaries
International Classification of Disease: ICD-9 CM
Current Procedural Terminology code book: CPT
HCPCS Michigan Procedural book
State of Michigan Medical Assistance Program Manual

Internet Resources:

www.evolve.elsevier.com
www.ahima.org  American Health Information Management Association
www.webcom.com/medical/AMBA.htm - American Medical Billing Association
www.cms.gov  Medicare
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
Course Requirements/Evaluation:
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.

Grading Scale:

4.0 100-94%
3.5    93-89%
3.0    88-85%
2.5    84-80%
2.0    79-73% (REQUIRED PASSING GRADE FOR COURSE
1.5    74-70%
1.0    69-65%
0.5    64-60%
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.

                                 LECTURE                                    HOMEWORK
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.
                    Specialist
                                                                Assign: 1-1



WEEK 2              Test #1 (Ch.1)
                                                                Flashcards
Date:               Ch. 2  HIPAA Compliance and
                    Privacy in Billing                          Assign: 2-1 to 2-4



WEEK 3              Test #2 (Ch. 2)
                                                                Flashcards
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)
                                                                Flashcards
Date:               Ch. 5  Diagnostic Coding
                                                                Assign: 5-1 to 5-8
                             LECTURE                            HOMEWORK
WEEK 6
          Ch. 6  Procedural Coding                         Flashcards
Date:
                                                            Assign: 6-1 to 6-9




WEEK 7
          Test #5 (Ch. 5 & Ch. 6)                           Flashcards
Date:
          Ch. 7  The Paper Claim                           Assign: 7-1 to 7-5
          Ch. 8  Electronic Data Interchange                       8-1



WEEK 8
          Test # 6 (Ch. 7 & Ch. 8)                          Flashcards
Date:
          Ch. 11  The Blue Plans, Private Insurance, and   Assign: 11-1 to 11-6
          Managed Care Plans



WEEK 9
          Test #7 (Ch. 11)                                  Flashcards
Date:
          Ch. 12  Medicare                                 Assign: 12-1
                                                            12-2 (1-9), 12-3 to 12-8
                                                            (due in two weeks)


WEEK 10
          Continue work on Ch. 12                           Flashcards
Date:
          Ch. 13  Medicaid and Other State Program         Assign: 13-1, 13-3, 13-4
                                                            (due next week)
                              LECTURE                                         HOMEWORK
WEEK 11   Test #8 (Ch. 12 & Ch. 13)
                                                                       Flashcards
Date:     Ch. 14  Tricare and Champva
                                                                       Assign: 14-1, 14-4, 14-7




WEEK 12
          Test #9 (Ch. 14)                                             Flashcards
Date:
          Ch. 15  Worker's Compensation                               Assign: 15-1 to 15-3
          Ch. 16  Disability Claims
                                                                               16-1 to 16-2


WEEK 13
          Test #10 (Ch. 15 & Ch. 16)                                   Flashcards
Date:
          Ch. 9  Receiving Payments and Insurance                     Assign: 9-1, 9-3, 9-5
          Problem Solving
                                                                       Assign: 10-1
          Ch. 10  Office and Insurance Collection
          Strategies


WEEK 14
          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)




WEEK 15
          Final Exam
Date:
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