Medical Assistant Students Frustrated Over Medical Billing and Coding Expectations

Medical assistant students enrolled in medical assistant courses often have difficulties understanding the medical billing claim form and have problems understanding evaluation and management codes.

We often hear from frustrated students on our active online forums; many wind up venting.

One medical assistant student recently posted into the forum that her instructor wasn't very helpful; she felt the instructor apparently wasn't well versed in the medical billing and coding process herself and therefore was unable to explain the process in a manner that made it clear to the class. The students are frustrated and overwhelmed.



Another person posted a request for help:

I work for a Cardiologist. We are trying to get clarification on:
·        CPT 93454  (Catheter place in coronary arterty(s) for coronary angiography, imaging supervision, and interpretation

·        CPT 93458 (with left heart catherization including intraprocedural injection(s) for left ventriculogy, when performed

QUESTION: Can these two codes be billed together if both of these services are performed?

Medical Coding and Billing Questions in the Certification Exams

We receive many, many, many similar forum discussions from frustrated medical assistant certificants. Some posted right after taking the medical assistant certification exam where they stated that they were totally stumped over the amount of medical coding questions in the exam. The questions were multiple choice and asked about specific numeric codes, or modifiers, for a given specific diagnoses or procedures. Now, ask any medical assistant to cite a specific code without any reference book/manual; he/she would be hard-pressed to give the right one, since there are so many, not to mention specific modifiers.

Agnes told us:Hi, I just took the RMA exam today and I have to tell you that from the 206 questions none of them were in the AMT study book. I passed the test so I feel very lucky because it was very difficult. I was very disappointed because I felt the RMA test was not fair; they focused too much on the administrative area and I felt like it has nothing to do with the MA profession.

We also heard from a physical therapy instructor who teaches the basics of medical coding and billing as it pertains to PT because the majority of his students do their own billing and coding. One question this has raised is why do medical assistant students have to learn medical coding and billing and why is is such an extensive part of the medical assistant certification exams? Rather, shouldn't students who want to learn about it sign up for medical coding and billing classes?

Should Medical Assistants Learn Coding and Billing?

We can see where medical assistants (MA) need to have an idea of medical practice financial management, such as banking deposits, accounting and bookkeeping, dishonored check processing, payroll - and even that is nowadays often outsourced. Nevertheless, in any profession you should get a picture of how the whole kit and caboodle functions to make it run.

In our opinion, as far as medical assistant students being introduced to the billing and collections process in GENERAL is okay--only to give them a well-rounded understanding of the practice and how things work. This way, they can better address patient questions and communicate with the medical billing and coding staff efficiently should certain issues arise.

However, as far as actual billing and coding responsibilities in my role as a Certified Medical Assistant (CMA),  I was NEVER involved in the actual billing and coding process, neither were any of my medical assistant colleagues, with the exception of one medical office manager, who had worked her way up through the ranks as a medical assistant in a small single-physician office.

Many believe medical assistant programs who focus too much and dive too deep into the medical coding and billing process as part of their teaching curruculum are wasting their time. Most medical assistant students feel this time would be better spent drawing up injections, or drawing blood.

What Stands Behind the Medical Assistant's Name

Have You Ever Asked Yourself: What Stands Behind the Medical Assistant's Name?

If you asked anybody, whether a health care professional, neighbor, or friend what stands behind a medical assistant's name, chances are you might get one of the following two responses:

1.) what the heck is a medical assistant?
2.) let me think about that for a moment

The latter will give it a moment's thought and then very likely say:

a.) I don't know
b.) a bunch of letters?

... by which they are referring to various certified medical assistant credentials, such as RMA, NCMA, CCMA, and CMA. You know the gamut of certified credentials and designations! However... what truly stands behind a medical assistant's name are not roles, titles, credentials, or the letters that signify a certification, but MOSTLY and more appropriately their dedication, hard work and pride in their profession and what they do. Not every medical assistant is certified, but every medical assistant is proud and giving it their very best helping people and making a difference in their community, even if it is as "only" a medical assistant (MA) without any special certifications.

So, if you are a medical assistant I would like to hear your stories and thoughts on What Stands Behind the Medical Assistant's Name - be spontaneous - right off the top of your head!!! (And don't come back with answer a.) - You already KNOW what a medical assistant is. The POST COMMENTS link is below.

Are Medical Assistant Required to State their Name?

On January 8th, 2011 Mandy Roads asked:

Are medical assistants supposed to provide full name or only 1st name to a patient who asks? All doctors provide full name, but do patients have the right to full name disclosure of Medical assistants, also? If not, how do patients keep track for reference who said what, or did what medical care etc. on a given date and time etc.?

Medical Assistant Name Admin Says: 
March 23rd, 2011 at 4:10 pm   edit

In my opinion, and many will agree here, there is good policy and practice to state your full name when greeting a patient. By stating your name you establish an identity and build rapport with the patients.

Most medical assistants simply use their first name, while wearing a name badge with their full name and credentials printed behind it, e.g. MA, RMA, CMA, CCMA, NCMA, or whichever designations they have. A typical greeting, once a patient has been called in from the waiting area, is: “Hello, my name is Judy, and I am your medical assistant.” However, if a patient asks for the full name, I believe it would be improper and unethical to refuse to give it. I am sure this would not go over well with the doctor under which the medical assistant works. To me, refusal to state the name immediately implies lack of cooperation, lack of empathy, lack of courtesy and comes across as unprofessional.

In addition, from my own observations as a patient, I always find it odd if a medical assistant calls me in for my exam, takes me to the exam room, begins to take my vital signs and NEVER stated her name. Often, I will say politely something along the lines: “Excuse me, but I didn’t get your name”, just to let him, or her know I’d be more comfortable knowing with whom I am in the room. I, in my own role as a medical assistant and also, as a patient, highly recommend that every medical assistant automatically states his, or her name. The patients will appreciate it.