AHM – Allied Health Medical
AHM 102 Introduction to Health Care
Describe the major health care organizations and agencies and their role in the health care delivery system.
Identify the role of members of the health care team.
Describe the major components involved in the payment/reimbursement process.
Identify government payment programs.
Describe the role of information technology on practice management.
Define the basic terminology associated with health information and health information technology.
Identify the legal, ethical, privacy, security and confidentially issues and practices applicable to health information.
List the data that are included in a health information record.
List various measures of health care quality.
AHM 104 Body Structure and Function I
Analyze the architectural plan of the human body as a whole, the organization of its functional units, and the mechanisms by which it performs its various activities.
Discuss the mechanism and patterns of disease-causing pathogens and neoplasms, and the body’s response to threat of injury and disease.
Explain the function and interrelationship of fluids and electrolytes, the mechanisms by which the constancy of total body fluids is maintained, and regulation of the acid-base balance.
Describe the structure and function of the integumentary system and major disorders of this system.
Describe the structure and function of the skeletal and muscular systems as well as disorders of these systems.
Describe the structure and function of the circulatory and lymphatic systems as well as disorders of these systems.
Describe the structure and function of the respiratory system as well as disorders of this system.
AHM 105 Body Structure and Function II
Describe the structure and function of the digestive system as well as disorders of this system.
Describe adequate nutrition and the complex mechanism of metabolism, as well as disorders associated with eating and metabolism.
Describe the structure and function of the urinary system and major disorders of this system.
Describe the structure and function of the nervous system and disorders of this system.
Describe the mechanisms by which the sense organs are able to sense changes in our external and internal environments as a requirement for maintaining homeostasis; and diseases commonly affecting the sense organs.
Describe the structure and function of the endocrine system and major disorders of this system.
Describe the structure and function of the male and female reproductive systems, and briefly describe the major disorders inherent to these systems as well as the major disorders associated with pregnancy.
Describe the concept of development as a biological process characterized by continuous modification and change as well as the effects of aging on major body organ systems.
Describe genetics, the scientific study of inheritance, and its relationship to human disease.
Describe the physiology of congenital diseases and the roles that heredity and environmental factors play in the development of these conditions.
AHM 106 Medical Assistant Clinical I
Describe the role and function of the medical assistant in the health care delivery system.
Evaluate the impact of disease and disease causing organisms on humans and their environment.
Describe the role of the medical assistant in assisting with physical measurements.
Perform the duties necessary to assist the physician with the health history and physical examination.
Identify and describe the role of the medical assistant in the collecting and handling of specimens.
Analyze the role of the medical assistant in assisting the physician in minor surgery.
Describe the importance of nutrition, exercise, and diet therapy to the well being of the patient.
AHM 107 Medical Assistant Clinical II
Analyze the role and the responsibility of the Medical Assistant concerning the principles of pharmacology and drug administration.
Classify the commonly used diagnostic laboratory procedures that are utilized in a physician’s office.
Classify the commonly used diagnostic radiological procedures that are utilized in the physician’s office.
Describe the role of the Medical Assistant in the recording of an EKG and other cardiac tests.
Describe the role of the Medical Assistant in assisting with therapeutic modalities, rehabilitative procedures, orthopedic medicine and physical therapy.
Evaluate the role of the Medical Assistant during a medical emergency and in preparing for an emergency situation.
AHM 109 Medical Assistant Review Practicum I
Understand the role and function of the medical assistant in the health care delivery system.
Describe the role of the medical assistant in assisting with physical measurements.
Analyze the role of the medical assistant in assisting the physician with the health history and physical examination.
Understand the role of the medical assistant in the collecting and handling of specimens.
Analyze the role of the medical assistant in assisting the physician in minor surgery.
AHM 110 Medical Assistant Review Practicum II
Apply the principles of pharmacology and drug administration.
Perform diagnostic laboratory procedures that are utilized in a physician’s office.
Perform an EKG.
Describe the role of the medical assistant in assisting with physical therapy.
Evaluate the role of the medical assistant during a medical emergency and giving first aid.
AHM 130 Medical Coding Concepts for Allied Health
Identify and explain the organization of both the ICD-CM manual and CPT manual.
Transform descriptions of diagnostic terms and symptoms into correct ICD-CM codes.
Transform outpatient procedures into valid CPT codes.
Follow rules and guidelines for selecting the current ICD-CM and CPT codes.
Identify and use the HCPCS (Healthcare Common Procedural Coding System) Codes for Medicare patients.
Complete forms related to insurance reimbursement, insurance eligibility and describe the process for these activities.
AHM 140 Professional and Communication Issues in Health Care
Apply basic principles of communication in responding to verbal and nonverbal communication.
Respond appropriately to issues of confidentiality in the health care setting.
Demonstrate knowledge of federal and state health care legislation and regulations.
Describe professionalism in relation to the health care setting.
Explain the role of alternative and complimentary medicine in health care.
Develop transcultural communication skills.
AHM 185 Medical Office Management
Describe the ethical and legal responsibilities of a medical office administrator.
Demonstrate effective oral and written communication both with professionals and patients.
Utilize electronic health record software applications in the health care setting.
Use and understand systems of maintaining patient clinical and financial records.
Perform office tasks appropriate for computer solutions.
Organize and maintain the physical requirements of a medical office.
AHM 198 Medical Coding Internship
Maintain ethical and legal standards of a Medical Coding ProfessionalDemonstrate the ability to use computer applications and technology relating to Medical Billing and Coding.
Interpret and evaluate data in the Electronic Medical Record while searching for deficiencies in demographic and/or insurance information.
Apply correct coding systems for appropriate reimbursement.
Evaluate coding procedures for achievement of optimal quality in seeking appropriate reimbursement.
Create a portfolio to demonstrate professional skills to enhance marketability for employment.
AHM 199 Medical Assistant Externship
Apply knowledge of the anatomical structure and physiological functioning of the human body and of medical terms descriptive of body systems.
Apply the business/administrative and clinical duties of the medical assistant.
Function as an assistant to the physician in a medical and/or other health care setting.
Implement the ethical and legal responsibilities of the medical assistant in the health care delivery system.
Apply selected principles of biophysical and psychosocial sciences in providing assistance to the physician.
Maintain business and patient health records.
Discuss the fundamental concepts of disease.
AHM 202 Fundamentals of Health Information Technology Science
Describe the purpose, structure, Code of Ethics and certification processes of the American Health Information Management Association (AHIMA).
Differentiate the roles of Health Information Management (HIM) professionals.
Describe the workflow of records within a HIM Department.
Differentiate between the functions and uses of primary and secondary health records.
Identify the basic forms and formats for collection of patient information in various health care facilities.
Evaluate and apply principles of forms design.
Describe the purposes and techniques related to record analysis, including quantitative, qualitative, and legal.
Compare different storage and retrieval systems.
Discuss what forces are driving the adoption of electronic health records.
Identify the legal, ethical, privacy, security and confidentiality issues and practices as they apply to health information.
AHM 208 Pathophysiology and Pharmacology
Explain the disease process, including causes of disease, risk factors, diagnosis, and treatment modalities.
Explain the physiology, assessment and management of pain.
Describe common infectious diseases and neoplasms.
Describe common congenital diseases and mental health disorders.
Correlate the pathophysiology with the etiology, clinical manifestations, diagnosis, and treatment of diseases for each human body system.
Classify commonly used medications by action and body system.
Identify the routes of administration, indications, adverse effects, and related laboratory studies of commonly used medications.
Explain the relationship between the structure and function of microorganisms.
Describe techniques of microbial control.
Apply principles of sterile technique in specimen collection and performing laboratory procedures in the microbiology lab.
Describe the distribution of normal and pathogenic flora for different body sites.
Discuss antibiotic treatment for disease.
Classify and perform diagnostic procedures of body fluid specimens.
AHM 231 Introduction to CPT Coding
Define terms, phrases and abbreviations related to medical coding.
Apply specific volumes of Current Procedural Terminology (CPT) and Healthcare Common Procedural Coding Systems as they pertain to the identification of procedures, medications and medical equipment in healthcare facilities.
Apply Current Procedural Terminology (CPT) coding as they pertain to identification of procedures, medications, and medical equipment in a variety of medical specialties, including but not limited to: Evaluation and Management Coding, Surgery Coding, Pathology and Laboratory Coding, and Radiology coding.
Describe insurance carrier reimbursement systems, such as APCs, RUGs, Outpatient Prospective Payment System (OPPS), Fee-For-Service Payments and Capitation payments.
Apply legal concepts to issues of medical coding.
Code accurately a medical or surgical operative report, physician office visit (Evaluation and Management) or outpatient procedural case study.
Recognize the economic and ethical implications of coding assignment on reimbursement, and how these are impacted by reimbursement systems such as APC’s (Ambulatory Payment Classifications, ASC’s (Ambulatory Surgery Center) and RBRVS (Resource Based Relative Value Scale).
Determine if coded data is of optimal quality and evaluate if coded cases require a single code or multiple codes (both CPT and HCPCS codes) as well as analyze sequencing of these codes.
Identify word parts and their meanings in medical terms.
Utilize reference materials to determine meaning, usage, and spelling of medical terms.
Describe the main functions of each body system.
Define diagnostic, symptomatic, and therapeutic terms related to each system.
Identify terms describing pathology affecting body systems.
Define anatomical landmarks, directional, positional, and numeric medical terms.
Recognize common classes of drugs and their actions.
Recognize the correct spelling of medical terms.
Develop a medical vocabulary.
AHM 239 Introduction to ICD-10-CM Coding
Understand the format, convention and chapter specific guidelines to correctly assign ICD-10-CM codes.
Apply general guidelines and chapter specific guidelines to correctly assign ICD-10-CM codes.
Understand the code of ethics for coders.
AHM 240 Hospital Coding and Case Studies
Given a scenario, extract the relevant diagnoses and/or procedures and then accurately and completely code them according to ICD-10-CM guidelines and ICD-10-PCS guidelines.
Apply coding guidelines to accurately code principal diagnoses and procedures to determine the correct diagnosis related group assignments.
Demonstrate the use of ICD-10-CM coding and ICD-10-PCS coding in DRG assignment.
Recognize the economic and ethical implications of coding assignment on reimbursement.
AHM 241 Revenue Cycle Management and Reimbursement Methodologies
Describe legal and ethical issues involved in revenue cycle management and compliance and identifying potential abuse and fraudulent trends through data analysis.
Describe and explain different types of health insurance carriers and reimbursement systems as well as rules and regulations for each (private insurance, managed care, Medicare, Medicaid, Workers Compensation, Military insurance).
Recognize the economic and ethical implications of coding assignment on reimbursement, and how these are impacted by reimbursement systems such as APC’s (Ambulatory Payment Classifications, ASC’s (Ambulatory Surgery Center) and RBRVS (Resource Based Relative Value Scale).
Accurately complete referral, preauthorization, registration and encounter forms.
Submit claims in paper and electronic format.
Document billing information using correct medical terminology and perform an internal and external chart audit.
Accurately complete referral, preauthorization, registration forms, encounter forms, EOB (explanation of benefits review and analysis) and ABN forms (Advanced Beneficiary Notices).
and ensure appropriate coding as per CMS (Center for Medicare and Medicaid Guidelines).
Resolve claim errors and learn how to resubmit claims that have been rejected.
Generate patient bills when needed through interpretation of explanations of benefits/remittance advice statements.
Describe the process of how to follow up with insurance companies and patients regarding unpaid bills.
Record changes, payments and adjustments for patient scenarios provided.
AHM 242 Virtual Professional Practice Experience Capstone Course
Demonstrate the ability to use computer applications and technology related to Medical Billing and Coding.
Analyze, interpret and evaluate data in the medical record to determine correct clinical documentation to support codes used.
Evaluate data from electronic medical records and code these records with appropriate ICD, CPT-4 and HCPCS codes and coding from source documents.
Describe how compliance standards correlate with medical records and documentation guidelines.
Evaluate various specialties of coding and compare and contrast the different specialties.
Create a portfolio to demonstrate professional skills to enhance marketability for employment.
Describe the major health care organizations and agencies and their role in the health care delivery system.
Identify the role of members of the health care team.
Describe the major components involved in the payment/reimbursement process.
Identify government payment programs.
Describe the role of information technology on practice management.
Define the basic terminology associated with health information and health information technology.
Identify the legal, ethical, privacy, security and confidentially issues and practices applicable to health information.
List the data that are included in a health information record.
List various measures of health care quality.
Analyze the architectural plan of the human body as a whole, the organization of its functional units, and the mechanisms by which it performs its various activities.
Discuss the mechanism and patterns of disease-causing pathogens and neoplasms, and the body’s response to threat of injury and disease.
Explain the function and interrelationship of fluids and electrolytes, the mechanisms by which the constancy of total body fluids is maintained, and regulation of the acid-base balance.
Describe the structure and function of the integumentary system and major disorders of this system.
Describe the structure and function of the skeletal and muscular systems as well as disorders of these systems.
Describe the structure and function of the circulatory and lymphatic systems as well as disorders of these systems.
Describe the structure and function of the respiratory system as well as disorders of this system.
Describe the structure and function of the digestive system as well as disorders of this system.
Describe adequate nutrition and the complex mechanism of metabolism, as well as disorders associated with eating and metabolism.
Describe the structure and function of the urinary system and major disorders of this system.
Describe the structure and function of the nervous system and disorders of this system.
Describe the mechanisms by which the sense organs are able to sense changes in our external and internal environments as a requirement for maintaining homeostasis; and diseases commonly affecting the sense organs.
Describe the structure and function of the endocrine system and major disorders of this system.
Describe the structure and function of the male and female reproductive systems, and briefly describe the major disorders inherent to these systems as well as the major disorders associated with pregnancy.
Describe the concept of development as a biological process characterized by continuous modification and change as well as the effects of aging on major body organ systems.
Describe genetics, the scientific study of inheritance, and its relationship to human disease.
Describe the physiology of congenital diseases and the roles that heredity and environmental factors play in the development of these conditions.
Describe the role and function of the medical assistant in the health care delivery system.
Evaluate the impact of disease and disease causing organisms on humans and their environment.
Describe the role of the medical assistant in assisting with physical measurements.
Perform the duties necessary to assist the physician with the health history and physical examination.
Identify and describe the role of the medical assistant in the collecting and handling of specimens.
Analyze the role of the medical assistant in assisting the physician in minor surgery.
Describe the importance of nutrition, exercise, and diet therapy to the well being of the patient.
Analyze the role and the responsibility of the Medical Assistant concerning the principles of pharmacology and drug administration.
Classify the commonly used diagnostic laboratory procedures that are utilized in a physician’s office.
Classify the commonly used diagnostic radiological procedures that are utilized in the physician’s office.
Describe the role of the Medical Assistant in the recording of an EKG and other cardiac tests.
Describe the role of the Medical Assistant in assisting with therapeutic modalities, rehabilitative procedures, orthopedic medicine and physical therapy.
Evaluate the role of the Medical Assistant during a medical emergency and in preparing for an emergency situation.
Understand the role and function of the medical assistant in the health care delivery system.
Describe the role of the medical assistant in assisting with physical measurements.
Analyze the role of the medical assistant in assisting the physician with the health history and physical examination.
Understand the role of the medical assistant in the collecting and handling of specimens.
Analyze the role of the medical assistant in assisting the physician in minor surgery.
Apply the principles of pharmacology and drug administration.
Perform diagnostic laboratory procedures that are utilized in a physician’s office.
Perform an EKG.
Describe the role of the medical assistant in assisting with physical therapy.
Evaluate the role of the medical assistant during a medical emergency and giving first aid.
Identify and explain the organization of both the ICD-CM manual and CPT manual.
Transform descriptions of diagnostic terms and symptoms into correct ICD-CM codes.
Transform outpatient procedures into valid CPT codes.
Follow rules and guidelines for selecting the current ICD-CM and CPT codes.
Identify and use the HCPCS (Healthcare Common Procedural Coding System) Codes for Medicare patients.
Complete forms related to insurance reimbursement, insurance eligibility and describe the process for these activities.
Apply basic principles of communication in responding to verbal and nonverbal communication.
Respond appropriately to issues of confidentiality in the health care setting.
Demonstrate knowledge of federal and state health care legislation and regulations.
Describe professionalism in relation to the health care setting.
Explain the role of alternative and complimentary medicine in health care.
Develop transcultural communication skills.
Describe the ethical and legal responsibilities of a medical office administrator.
Demonstrate effective oral and written communication both with professionals and patients.
Utilize electronic health record software applications in the health care setting.
Use and understand systems of maintaining patient clinical and financial records.
Perform office tasks appropriate for computer solutions.
Organize and maintain the physical requirements of a medical office.
Maintain ethical and legal standards of a Medical Coding ProfessionalDemonstrate the ability to use computer applications and technology relating to Medical Billing and Coding.
Interpret and evaluate data in the Electronic Medical Record while searching for deficiencies in demographic and/or insurance information.
Apply correct coding systems for appropriate reimbursement.
Evaluate coding procedures for achievement of optimal quality in seeking appropriate reimbursement.
Create a portfolio to demonstrate professional skills to enhance marketability for employment.
Apply knowledge of the anatomical structure and physiological functioning of the human body and of medical terms descriptive of body systems.
Apply the business/administrative and clinical duties of the medical assistant.
Function as an assistant to the physician in a medical and/or other health care setting.
Implement the ethical and legal responsibilities of the medical assistant in the health care delivery system.
Apply selected principles of biophysical and psychosocial sciences in providing assistance to the physician.
Maintain business and patient health records.
Discuss the fundamental concepts of disease.
Describe the purpose, structure, Code of Ethics and certification processes of the American Health Information Management Association (AHIMA).
Differentiate the roles of Health Information Management (HIM) professionals.
Describe the workflow of records within a HIM Department.
Differentiate between the functions and uses of primary and secondary health records.
Identify the basic forms and formats for collection of patient information in various health care facilities.
Evaluate and apply principles of forms design.
Describe the purposes and techniques related to record analysis, including quantitative, qualitative, and legal.
Compare different storage and retrieval systems.
Discuss what forces are driving the adoption of electronic health records.
Identify the legal, ethical, privacy, security and confidentiality issues and practices as they apply to health information.
Explain the disease process, including causes of disease, risk factors, diagnosis, and treatment modalities.
Explain the physiology, assessment and management of pain.
Describe common infectious diseases and neoplasms.
Describe common congenital diseases and mental health disorders.
Correlate the pathophysiology with the etiology, clinical manifestations, diagnosis, and treatment of diseases for each human body system.
Classify commonly used medications by action and body system.
Identify the routes of administration, indications, adverse effects, and related laboratory studies of commonly used medications.
Explain the relationship between the structure and function of microorganisms.
Describe techniques of microbial control.
Apply principles of sterile technique in specimen collection and performing laboratory procedures in the microbiology lab.
Describe the distribution of normal and pathogenic flora for different body sites.
Discuss antibiotic treatment for disease.
Classify and perform diagnostic procedures of body fluid specimens.
Define terms, phrases and abbreviations related to medical coding.
Apply specific volumes of Current Procedural Terminology (CPT) and Healthcare Common Procedural Coding Systems as they pertain to the identification of procedures, medications and medical equipment in healthcare facilities.
Apply Current Procedural Terminology (CPT) coding as they pertain to identification of procedures, medications, and medical equipment in a variety of medical specialties, including but not limited to: Evaluation and Management Coding, Surgery Coding, Pathology and Laboratory Coding, and Radiology coding.
Describe insurance carrier reimbursement systems, such as APCs, RUGs, Outpatient Prospective Payment System (OPPS), Fee-For-Service Payments and Capitation payments.
Apply legal concepts to issues of medical coding.
Code accurately a medical or surgical operative report, physician office visit (Evaluation and Management) or outpatient procedural case study.
Recognize the economic and ethical implications of coding assignment on reimbursement, and how these are impacted by reimbursement systems such as APC’s (Ambulatory Payment Classifications, ASC’s (Ambulatory Surgery Center) and RBRVS (Resource Based Relative Value Scale).
Determine if coded data is of optimal quality and evaluate if coded cases require a single code or multiple codes (both CPT and HCPCS codes) as well as analyze sequencing of these codes.
Identify word parts and their meanings in medical terms.
Utilize reference materials to determine meaning, usage, and spelling of medical terms.
Describe the main functions of each body system.
Define diagnostic, symptomatic, and therapeutic terms related to each system.
Identify terms describing pathology affecting body systems.
Define anatomical landmarks, directional, positional, and numeric medical terms.
Recognize common classes of drugs and their actions.
Recognize the correct spelling of medical terms.
Develop a medical vocabulary.
Understand the format, convention and chapter specific guidelines to correctly assign ICD-10-CM codes.
Apply general guidelines and chapter specific guidelines to correctly assign ICD-10-CM codes.
Understand the code of ethics for coders.
Given a scenario, extract the relevant diagnoses and/or procedures and then accurately and completely code them according to ICD-10-CM guidelines and ICD-10-PCS guidelines.
Apply coding guidelines to accurately code principal diagnoses and procedures to determine the correct diagnosis related group assignments.
Demonstrate the use of ICD-10-CM coding and ICD-10-PCS coding in DRG assignment.
Recognize the economic and ethical implications of coding assignment on reimbursement.
Describe legal and ethical issues involved in revenue cycle management and compliance and identifying potential abuse and fraudulent trends through data analysis.
Describe and explain different types of health insurance carriers and reimbursement systems as well as rules and regulations for each (private insurance, managed care, Medicare, Medicaid, Workers Compensation, Military insurance).
Recognize the economic and ethical implications of coding assignment on reimbursement, and how these are impacted by reimbursement systems such as APC’s (Ambulatory Payment Classifications, ASC’s (Ambulatory Surgery Center) and RBRVS (Resource Based Relative Value Scale).
Accurately complete referral, preauthorization, registration and encounter forms.
Submit claims in paper and electronic format.
Document billing information using correct medical terminology and perform an internal and external chart audit.
Accurately complete referral, preauthorization, registration forms, encounter forms, EOB (explanation of benefits review and analysis) and ABN forms (Advanced Beneficiary Notices).
and ensure appropriate coding as per CMS (Center for Medicare and Medicaid Guidelines).
Resolve claim errors and learn how to resubmit claims that have been rejected.
Generate patient bills when needed through interpretation of explanations of benefits/remittance advice statements.
Describe the process of how to follow up with insurance companies and patients regarding unpaid bills.
Record changes, payments and adjustments for patient scenarios provided.
Demonstrate the ability to use computer applications and technology related to Medical Billing and Coding.
Analyze, interpret and evaluate data in the medical record to determine correct clinical documentation to support codes used.
Evaluate data from electronic medical records and code these records with appropriate ICD, CPT-4 and HCPCS codes and coding from source documents.
Describe how compliance standards correlate with medical records and documentation guidelines.
Evaluate various specialties of coding and compare and contrast the different specialties.
Create a portfolio to demonstrate professional skills to enhance marketability for employment.
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