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February 13, 2021

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AAMA-CMA test Format | AAMA-CMA Course Contents | AAMA-CMA Course Outline | AAMA-CMA test Syllabus | AAMA-CMA test Objectives

Follow a step-by-step guide to apply for the exam:
- Eligibility
- Documentation
- Policies
- Applying
- Scheduling
- Preparing
- Score Notification
- Certificate

Content Outline for the CMA (AAMA) Certification Exam
I. AG General
A. Psychology
1. Understanding Human Behavior
a. Behavioral theories
(1) Maslow
(2) Erikson
b. Defense mechanisms
(1) Common types
(2) Recognition and management

2. Human Growth and Development
a. Normal developmental patterns/milestones

3. Death and Dying Stages

B. Communication
1. Therapeutic/Adaptive Responses to Diverse Populations
a. Visually impaired
b. Hearing impaired
c. Age specific
(1) Geriatric
(2) Pediatric/adolescent
d. Seriously/terminally ill
e. Intellectual disability
f. Illiterate
g. Non-English speaking
h. Anxious/angry/distraught
i. Socially/culturally/ethnically diverse

2. Nonverbal Communication
a. Body language
(1) Posture
(2) Position
(3) Facial expression
(4) Territoriality/physical boundaries
(5) Gestures
(6) Touch
(7) Mannerisms
(8) Eye contact

3. Communication Cycle
a. Sender-message-receiver-feedback
b.Listening skills
(1) Active/therapeutic
c. Assess level of understanding
(1) Reflection
(2) Restatement
(3) Clarification
(4) Feedback
d. Barriers to communication
(1) Internal distractions
(a) Pain
(b) Hunger
(c) Anger
(2) External/environmental distractions
(a) Temperature
(b) Noise

4. Collection of Data
a. Types of questions
(1) Exploratory
(2) Open-ended
(3) Closed/Direct

5. Telephone Techniques
a. Call management
(1) Screening/gathering data
(2) Emergency/urgent situations
b. Messages
(1) Taking messages
(2) Leaving messages

6. Interpersonal Skills
a. Displaying impartial conduct without regard to race, religion, age, gender, sexual orientation, socioeconomic status, physical challenges, special needs, lifestyle choices
b. Recognizing stereotypes and biases
c. Demonstrating empathy/sympathy/compassion

C. Professionalism
1. Professional Behavior
a. Professional situations
(1) Displaying tact, diplomacy, courtesy, respect, dignity
(2) Demonstrating responsibility, integrity/honesty
(3) Responding to criticism
b. Professional image

2. Performing as a Team Member
a. Principles of health care team dynamics
(1) Cooperation for optimal outcomes
(2) Identification of the roles and credentials of health care team members
b. Time management principles
(1) Prioritizing responsibilities

D. Medical Law/Regulatory Guidelines
1. Advance Directives
a. Living will
b. Medical durable power of attorney
c. Patient Self-Determination Act (PSDA)

2. Uniform Anatomical Gift Act

3. Occupational Safety and Health Administration (OSHA)

4. Food and Drug Administration (FDA)

5. Clinical Laboratory Improvement Act (CLIA '88)

6. Americans with Disabilities Act Amendments Act (ADAAA)

7. Health Insurance Portability and Accountability Act (HIPAA)
a. Health insurance portability access and renewal without preexisting conditions
b. Coordination of care to prevent duplication of services

8. Health Information Technology for Economic and Clinical Health (HITECH) Act
a. Patient's right to inspect, amend, and restrict access to his/her medical record

9. Drug Enforcement Agency (DEA)
a. Controlled Substances Act of 1970

10. Medical Assistant Scope of Practice
a. Consequences of failing to operate within scope

11. Genetic Information Nondiscrimination Act of 2008 (GINA)

12. Centers for Disease Control and Prevention (CDC)

13. Consumer Protection Acts
a. Fair Debt Collection Practices Act
b. Truth in Lending Act of 1968 (Regulation Z)

14. Public Health and Welfare Disclosure
a. Public health statutes
(1) Communicable diseases
(2) Vital statistics
(3) Abuse/neglect/exploitation against child/elder
(a) Domestic abuse
(4) Wounds of violence

15. Confidentiality
a. Electronic access audit/activity log
b. Use and disclosure of personal/protected health information (PHI)
(1) Consent/authorization to release
(2) Drug and alcohol treatment records
(3) HIV-related information
(4) Mental health

16. Health Care Rights and Responsibilities
a. Patients' Bill of Rights/Patient Care Partnership
b. Professional liability
(1) Current standard of care
(2) Standards of conduct
(3) Malpractice coverage
c. Consent to treat
(1) Informed consent
(2) Implied consent
(3) Expressed consent
(4) Patient incompetence
(5) Emancipated minor
(6) Mature minor

17. Medicolegal Terms and Doctrines
a. Subpoena duces tecum
b. Subpoena
c. Respondeat superior
d. Res ipsa loquitor
e. Locum tenens
f. Defendant-plaintiff
g. Deposition
h. Arbitration-mediation
i. Good Samaritan laws

18. Categories of Law
a. Criminal law
(1) Felony/misdemeanor
b. Civil law
(1) Contracts (physician-patient relationships)
(a) Legal obligations to the patient
(b) Consequences for patient noncompliance
(c) Termination of medical care
(i) Elements/behaviors for withdrawal of care
(ii) Patient notification and documentation
(d) Ownership of medical records
(2) Torts
(a) Invasion of privacy
(b) Negligence
(c) Intentional torts
(i) Battery
(ii) Assault
(iii) Slander
(iv) Libel
c. Statutory law
(1) Medical practice acts
d. Common law (Legal precedents)

E. Medical Ethics
1. Ethical Standards

2. Factors Affecting Ethical Decisions
a. Legal
b. Moral

F. Risk Management, Quality Assurance, and Safety
1. Workplace Accident Prevention
a. Slips/trips/falls

2. Safety Signs, Symbols, Labels

3. Environmental Safety
a. Ergonomics
b. Electrical safety
c. Fire prevention/extinguisher use/regulations

4. Compliance Reporting
a. Reporting unsafe activities and behaviors
b. Disclosing errors in patient care
c. Insurance fraud, waste, and abuse
d. Conflicts of interest
e. Incident reports

G. Medical Terminology
1. Word Parts
a. Basic structure
(1) Roots/combining forms
(2) Prefixes
(3) Suffixes

2. Definitions/Medical Terminology
a. Diseases and pathologies
b. Diagnostic procedures
c. Surgical procedures
d. Medical specialties

II. H-M Administrative
H. Medical Reception
1. Medical Record Preparation

2. Demographic Data Review
a. Identity theft prevention
b. Insurance eligibility verification

3. Handling Vendors/Business Associates

4. Reception Room Environment
a. Comfort
b. Safety
c. Sanitation

5. Practice Information Packet
a. Office policies
b. Patient financial responsibilities

I. Patient Navigator/Advocate
1. Resource Information
a. Provide information about community resources
b. Facilitate referrals to community resources
c. Referral follow-up

J. Medical Business Practices
1. Written Communication
a. Letters
b. Memos/interoffice communications
c. Reports

2. Business Equipment
a. Routine maintenance
b. Safety precautions

3. Office Supply Inventory
a. Inventory control/recordkeeping

4. Electronic Applications
a. Medical management systems
(1) Database reports
(2) Meaningful use regulations
b. Spreadsheets, graphs
c. Electronic mail
d. Security
(1) Password/screen saver
(2) Encryption
(3) Firewall
e. Transmission of information
(1) Facsimile/scanner
(2) Patient portal to health data
f. Social media

K. Establish Patient Medical Record
1. Recognize and Interpret Data
a. History and physical
b. Discharge summary
c. Operative note
d. Diagnostic test/lab report
e. Clinic progress note
f. Consultation report
g. Correspondence
h. Charts, graphs, tables
i. Flow sheet

2. Charting Systems
a. Problem-oriented medical record (POMR)
b. Source-oriented medical record (SOMR)

L. Scheduling Appointments
1. Scheduling Guidelines
a. Appointment matrix
b. New patient appointments
(1) Identify required information
c. Established patient appointments
(1) Routine
(2) Urgent/emergency
d. Patient flow
(1) Patient needs/preference
(2) Physician preference
(3) Facility/equipment requirements
e. Outside services (e.g., lab, X-ray, surgery, outpatient procedures, hospital admissions)

2. Appointment Protocols
a. Legal aspects
b. Physician referrals
c. Cancellations/no-shows
d. Physician delay/unavailability
e. Reminders/recall systems
(1) Appointment cards
(2) Phone calls/text messages/e-mail notifications
(3) Tickler file

M. Practice Finances
1. Financial Terminology
a. Accounts receivable
b. Accounts payable
c. Assets
d. Liabilities
e. Aging of accounts
f. Debits
g. Credits
h. Diagnosis Related Groups (DRGs)
i. Relative Value Units (RVUs)

2. Financial Procedures
a. Payment receipts
(1) Co-pays
b. Data entry
(1) Post charges
(2) Post payments
(3) Post adjustments
c. Manage petty cash account
d. Financial calculations
e. Billing procedures
(1) Itemized statements
(2) Billing cycles
f. Collection procedures
(1) Aging of accounts
(2) Preplanned payment options
(3) Credit arrangements
(4) Use of collection agencies

3. Diagnostic and Procedural Coding Applications
a. Current Procedural Terminology (CPT)
(1) Modifiers
(2) Upcoding
(3) Bundling of charges
b. International Classification of Diseases, Clinical Modifications (ICD-CM) (Current schedule)
c. Linking procedure and diagnosis codes
d. Healthcare Common Procedure Coding System (HCPCS Level II)

4. Third-Party Payers/Insurance
a. Types of plans
(1) Commercial plans
(2) Government plans
(a) Medicare
(i) Advance Beneficiary Notice (ABN)
(b) Medicaid
(3) Managed care organizations (MCOs)
(a) Managed care requirements
(i) Care referrals
(ii) Precertification
[a] Diagnostic and surgical procedures
(iii) Prior authorization
[a] Medications
(4) Workers' compensation
b. Insurance claims
(1) Submission
(2) Appeals/denials
(3) Explanation of benefits (EOB)

III. N-V Clinical
N. Anatomy and Physiology
1. Body as a Whole
a. Structural units
b. Anatomical divisions, body cavities
c. Anatomical positions and directions
d. Body planes, quadrants

2. Body Systems Including Normal Structure, Function, and Interrelationships Across the Life Span
a. Integumentary
b. Musculoskeletal
c. Nervous
d. Cardiovascular, hematopoietic, and lymphatic
e. Respiratory
f. Digestive
g. Urinary
h. Reproductive
i. Endocrine
j. Sensory

3. Pathophysiology and Diseases of Body Systems
a. Integumentary
b. Musculoskeletal
c. Nervous
d. Cardiovascular, hemtopoietic, and lymphatic
e. Respiratory
f. Digestive
g. Urinary
h. Reproductive
i. Endocrine
j. Sensory

O. Infection Control
1. Infectious Agents
a. Bacteria
b. Viruses
c. Protozoa
d. Fungi
e. Parasites

2. Modes of Transmission
a. Direct
b. Indirect
c. Airborne
d. Droplet
e. Inhalation

3. Infection Cycle/Chain of Infection

4. Body's Natural Barriers

5. Medical Asepsis
a. Hand hygiene
(1) Hand washing
(2) Alcohol-based hand rub
b. Sanitization
c. Disinfection

6. Surgical Asepsis
a. Surgical scrub
b. Sterilization techniques/Autoclave
(1) Preparing items
(2) Wrapping
(3) Sterilization indicators

7. Standard Precautions/Blood-borne Pathogen Standards
a. Body fluids
b. Secretions
c. Excretions
d. Blood
e. Mucous membranes
f. Personal protective equipment (PPE)
(1) Gowns
(2) Gloves
(3) Masks
(4) Caps
(5) Eye protection
g. Post-exposure plan

8. Biohazard Disposal/Regulated Waste
a. Sharps
b. Blood and body fluids
c. Safety data sheets (SDS)
d. Spill kit

P. Patient Intake and Documentation of Care
1. Medical Record Documentation
a. Subjective data
(1) Chief complaint
(2) Present illness
(3) Past medical history
(4) Family history
(5) Social and occupational history
(6) Review of systems
b. Objective data
c. Making corrections
d. Treatment/compliance

Q. Patient Preparation and Assisting the Provider
1. Vital Signs/Anthropometrics
a. Blood pressure
(1) Technique
(2) Equipment
(a) Stethoscope
(b) Sphygmomanometer
b. Pulse
(1) Technique
(a) Pulse points
(b) Rate and rhythm
c. Height/weight/BMI
(1) Technique
(2) Equipment
d. Body temperature
(1) Technique
(2) Equipment
e. Oxygen saturation/pulse oximetry
(1) Technique
(2) Equipment
f. Respiration rate
(1) Technique

2. Recognize and Report Age-Specific Normal and Abnormal Vital Signs

3. Examinations
a. Methods
(1) Auscultation
(2) Palpation
(3) Percussion
(4) Mensuration
(5) Manipulation
(6) Inspection
b. Body positions/draping
(1) Sims
(2) Fowlers
(3) Supine
(4) Knee-chest
(5) Prone
(6) Lithotomy
(7) Dorsal recumbent
c. Pediatric test
(1) Growth chart
(a) Measurements
(i) Techniques
b. OB-GYN test
(1) Pelvic exam/PAP smear
(2) Prenatal/postpartum exams

4. Procedures
a. Procedure explanation and patient instructions
b. Supplies, equipment, and techniques
(1) Eye irrigation
(2) Ear irrigation
(3) Dressing change
(4) Suture/staple removal
(5) Sterile procedures
(a) Surgical assisting
(b) Surgical tray prep
(c) Antiseptic skin prep
(d) Sterile field boundaries
(e) Surgical instruments
(i) Classifications
(ii) Instrument use

5. Patient Education/Health Coach
a. Health maintenance and disease prevention
(1) Diabetic teaching and home care
(a) Home blood sugar monitoring
(2) Instruct on use of patient mobility equipment and assistive devices
(3) Pre-/post-op care instructions
(4) Patient administered medications
(5) Home blood pressure monitoring and lifestyle controls
(6) Home anticoagulation monitoring
(7) Home cholesterol monitoring
b. Alternative medicine

6. Wellness/Preventive Care
a. Cancer screening
b. Sexually transmitted infections
c. Hygienic practices
(1) Hand washing
(2) Cough etiquette
d. Smoking risks and cessation
e. Recognition of substance abuse
f. Osteoporosis screening/bone density scan
g. Domestic violence screening and detection

R. Nutrition
1. Basic Principles
a. Food nutrients
(1) Carbohydrates
(2) Fats
(3) Proteins
(4) Minerals/electrolytes
(5) Vitamins
(6) Fiber
(7) Water
b. Dietary supplements

2. Special Dietary Needs
a. Weight control
b. Diabetes
c. Cardiovascular disease
d. Hypertension
e. Cancer
f. Lactose sensitivity/intolerance
g. Gluten free
h. Food allergies

3. Eating Disorders

S. Collecting and Processing Specimens
1. Methods of Collection
a. Blood
(1) Venipuncture
(a) Site selection
(b) Site prep
(c) Equipment
(i) Evacuated tubes
(ii) Tube additives
(iii) Needles
(2) Capillary/dermal puncture
b. Urine
(1) Random
(2) Midstream/clean catch
(3) Timed 24-hour collection
(4) Catheterization
(5) Pediatric urine collector
c. Fecal specimen
d. Sputum specimen
e. Swabs
(1) Throat
(2) Genital
(3) Wound
(4) Nasopharyngeal

2. Prepare, Process, and Examine Specimens
a. Proper labeling
b. Sources of contamination
c. Specimen preservation
(1) Refrigeration
(2) Fixative
d. Recordkeeping
e. Incubator
f. Centrifuge
g. Microscope
h. Inoculating a culture
i. Microbiologic slides
(1) Wet mount

3. Laboratory Quality Control/Quality Assurance
a. Testing protocols
b. Testing records and performance logs
c. Daily equipment maintenance
d. Calibration
e. Daily control testing
f. Monitor temperature controls
g. Reagent storage
h. CLIA-waived tests

4. Laboratory Panels and Performing Selected Tests
a. Urinalysis
(1) Physical
(2) Chemical
(3) Microscopic
(4) Culture
b. Hematology panel
(1) Hematocrit
(2) Hemoglobin
(3) Erythrocyte sedimentation rate
(4) Automated cell counts
(a) Red blood cell (RBC)
(b) White blood cell (WBC)
(c) Platelet
(5) Coagulation testing/INR
c. Chemistry/metabolic testing
(1) Glucose
(2) Kidney function tests
(3) Liver function tests
(4) Lipid profile
(5) Hemoglobin A1c
d. Immunology
(1) Mononucleosis test
(2) Rapid Group A Streptococcus test
(3) C-reactive protein (CRP)
(4) HCG pregnancy test
(5) H. pylori
(6) Influenza
e. Fecal occult blood/guaiac testing

T. Diagnostic Testing

1. Cardiovascular Tests
a. Electrocardiography (EKG/ECG)
(1) Perform standard 12-lead
(2) Lead placement
(3) Patient prep
(4) Recognize artifacts
(5) Recognize rhythms, arrhythmias
(6) Rhythm strips
b. Holter monitors
c. Cardiac stress test
2. Vision Tests
a. Color
b. Acuity/distance
(1) Snellen
(2) E chart
(3) Jaeger card
c. Ocular pressure
d. Visual fields

3. Audiometric/Hearing Tests
a. Pure tone audiometry
b. Speech and word recognition
c. Tympanometry

4. Allergy Tests
a. Scratch test
b. Intradermal skin testing

5. Respiratory Tests
a. Pulmonary function tests (PFT)
b. Spirometry
c. Peak flow rate
d. Tuberculosis tests/purified protein derivative (PPD) skin tests

6. Distinguish Between Normal/Abnormal Laboratory and Diagnostic Test Results

U. Pharmacology

1. Medications
a. Classes of drugs
b. Drug actions/desired effects
c. Adverse reactions
d. Physicians' Desk Reference (PDR)
e. Storage of drugs

2. Preparing and Administering Oral and Parenteral Medications
a. Dosage
(1) Metric conversion
(2) Units of measurements
(3) Calculations
b. Routes of administration
(1) Intramuscular
(a) Z-tract
(2) Subcutaneous
(3) Oral/sublingual/buccal
(4) Topical
(5) Inhalation
(6) Instillation (eye-ear-nose)
(7) Intradermal
(8) Transdermal
(9) Vaginal
(10) Rectal
c. Injection site
(1) Site selection
(2) Needle length and gauge
d. Medication packaging
(1) Multidose vials
(2) Ampules
(3) Unit dose
(4) Prefilled cartridge-needle units
(5) Powder for reconstitution
e. Six Rights of Medication Administration
(1) Right patient, right drug, right route, right time, right dose, right documentation

3. Prescriptions
a. E-prescribing
b. Controlled substance guidelines

4. Medication Recordkeeping
a. Reporting/documenting errors

5. Immunizations
a. Childhood
b. Adult
c. Recordkeeping
(1) Vaccine information statement (VIS)
d. Vaccine storage

V. Emergency Management/Basic First Aid
1. Assessment and Screening
a. Treatment algorithms/flow charts
b. Triage algorithms/flow charts

2. Identification and Response to Emergencies
a. Bleeding/pressure points
b. Burns
c. Cardiac and respiratory arrest
d. Foreign body obstruction
e. Choking
f. Diabetic ketoacidosis
g. Insulin shock
h. Bone fractures
i. Poisoning
j. Seizures
k. Shock
l. Cerebral vascular accident (CVA)
m. Syncope
n. Vertigo
o. Wounds
p. Cold exposure
q. Heat exposure
r. Joint dislocations/sprains/strains
s. Asthmatic attack
t. Hyperventilation
u. Animal bite
v. Insect bite
w. Concussion

3. Office Emergency Readiness
a. Equipment
(1) Crash cart supplies
(2) Automated external defibrillator
b. Emergency response plan
(1) Evacuation plan

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in case you have no outdated existence insurance plan in impact, some coverage companies supply conditional or brief lifestyles coverage until the underwriting procedure is finished.

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americans with certain pre-latest fitness situations can be ineligible for normal lifestyles insurance — they may still accept as true with no clinical examination lifestyles insurance.

The insurance enterprise sends a paramedical skilled to your domestic or company to function the examination. The medical exam, often known as a paramedical exam, can soak up to 30 minutes and usually includes a blood and urine sample, weight, and blood force screening. 

it is informed that you just fast before the exam, so early appointments are most excellent — otherwise, you'll ought to fast many of the day for an afternoon appointment. Your samples are despatched to a lab and you are given a code to check the effects.

if in case you have health concerns like excessive blood drive, cholesterol, diabetes, or a family unit background of melanoma or heart disease , the assurance business may additionally request your fitness statistics from your attending or fundamental care doctor. this could make the underwriting technique longer because the assurance enterprise waits to get hold of your scientific data out of your doctor and evaluate them. in case your clinical records point out different health issues, are expecting comply with-up calls from the assurance company.

no longer figuring out your scientific historical past means the assurance enterprise is taking a gamble in your health. consequently, demise benefits for no scientific examination lifestyles insurance are restrained, usually with a greater expensive top class than assurance with a scientific exam, and for a restrained term — no more than two decades.

Getting a scientific examination helps lower your premiums because the underwriting procedure can greater examine your level of risk. 

it's important to reply honestly for your existence insurance application as a result of if it is discovered that you just lied on the software or didn't divulge essential statistics, the coverage company can invalidate the policy, and your beneficiaries will now not obtain your demise benefit. 

for your initial lifestyles assurance software, you're typically requested when you've got coronary heart sickness, excessive blood pressure, cholesterol, diabetes, smoker, legal record, or mental illness. if you reply sure to any of these questions, you should definitely are expecting a observe-up name or further questionnaire about your family scientific history before your medical test is scheduled.

in case you reply no to the preliminary medical questions, you're going to obtain an email or cell name from a consultant to time table your medical exam. The examination is paid for by using the assurance company as a part of the underwriting system.

in accordance with your clinical examination, you're assigned a chance evaluation class. as soon as your possibility is classified, your premiums are calculated in line with your possibility and you are issued a policy.

here's a top level view of the different chance classifications used by coverage companies:

information sourced from NAIC and Quotacy

if you are denied existence coverage coverage for health reasons, believe these options:

  • group lifestyles insurance: A time period existence policy offered by way of employers to employees. That means that every one personnel are authorized. One drawback of supplier-offered community lifestyles insurance is that if you depart your job (resign, retire, or are terminated), you lose your coverage. 
  • No scientific examination existence insurance: A coverage with a low death advantage and sometimes a two-yr ready length earlier than paying out to beneficiaries. examine the certain and simplified problem no medical examination coverage mailers that may arrive for your mailbox from AARP, Colonial Penn, or Mutual of Omaha. 
  • Annual renewable time period lifestyles insurance: brief-term insurance. A one-year policy is low priced compared to a standard time period life coverage. it is renewed at the end of every year, and your top class continually raises as you age. despite the fact your top rate may additionally enhance every year in accordance with your age, you wouldn't have to have a clinical examination each time you renew, in response to constancy existence.
  • final cost coverage: a sort of assured concern policy that may also be term or total life, with a low loss of life benefit that covers funeral and burial expenses.
  • find existence coverage groups that focus on "excessive chance" candidates. this could require some work and analysis because "high-chance" can imply you're a smoker, felon, or have fitness concerns.
  • Ronda Lee is an associate editor for insurance at personal Finance Insider covering existence, auto, owners, and renters coverage for buyers. She is additionally an authorized lawyer who practiced litigation and coverage protection.

    Disclosure: This submit is delivered to you with the aid of the own Finance Insider crew. They sometimes spotlight fiscal items and services that can support you are making smarter decisions with your cash. They do not provide investment assistance or inspire you to adopt a definite funding method. What you make a decision to do along with your money is as much as you. if you take action in keeping with one among their techniques, they get a small share of the revenue from their commerce partners. This does not affect even if they feature a monetary product or carrier. They function independently from their advertising sales team.

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