Certificate of Medical Business Administration

Unit 1 – Manage health billing and accounting system

• Integrate billing systems
• Codes of practice, conduct and ethics
• Privacy, confidentiality and disclosure
• Records management
• Medicare cards, forms and safety net
• Reciprocal health care agreements
• Entitlement programs and concessions
• Insurance
• Bulk billing and payments
• Services not covered by Medicare
• Communication skills
• Cash flow budgets
• Meet viability and cash flow needs
• Patient information
• Issuing accounts and private accounts
• Ineligible Medicare rebates
• DVA manual claiming and electronic claiming
• Motor vehicle accident claims
• Billing documentation
• Electronically generated accounts
• Planning procedures for billing and payments systems
• Staff training and support
• Strategies to reduce client debt load
• Debt tolerance
• Tracking unpaid accounts
• Collecting outstanding amounts
• Debt collection role
• Debt payment terms and procedures
• Letter of demand
• Debt recovery and initiating legal action
• Adjusting debt recovery policy and practices
• Financial management practices
• Reconciling Medicare payment with claims
• Record keeping requirements
• Report distribution
• Profit and loss statements

Unit 2 – Medical terminology

• Work instructions
• Strategies for tackling new words
• Using a medical dictionary or medical terminology spell check
• Guidelines for correct pronunciation
• Building block of medical words
• Word construction
• Eponyms
• Special words and phrases
• Medical investigations and procedures
• Medical equipment and instruments
• Medications
• Medical specialties and medication practitioners
• Hospital departments/sections
• Standard checklists
• Interpret abbreviations
• Metric system
• Policies and procedures
• Standard operating procedures (SOP)
• Clarification of terminology
• Using medical terminology correctly
• Ordering and receiving goods
• Quotes and invoices
• Types of surgery
• Surgery and surgical processes
• Written communication
• Completing forms and documentation
• Drug names
• Written references to surgical procedures
• List of major specialised areas of medicine
• List of major systems of the human body

Unit 3 – Maintain patient records

• Responsibility for patient record
• Privacy legislation
• Record maintenance responsibilities
• Roles and responsibilities
• Induction and training
• Policies and procedures
• Performance reviews
• Procedures for patient record-keeping
• Accessing documented procedures
• Unclear procedures
• Access patient records
• Facilitate patient visit
• Confirm /Check patient details
• Create new patient records
• Health and safety legislation
• Communication details
• Check records following patient visit
• Store patient records
• Filing systems
• Colour coding
• Chronological filing
• Maintain records
• Checks on patient files
• File movement register
• Archiving patient files
• Disposal schedule
• Archiving digital records
• Transfer patient files
• Monitor and review role
• Review own role
• Identify improvements
• Continuous improvement cycle

Unit 4 – Apply the principles of confidentiality, privacy and security within the medical environment

• Accepted codes of conduct
• Work approved by health practitioner
• Legislation
• Policies and procedures
• Medical terminology
• Complete tasks in a timely manner
• Clarify unclear procedures
• Treat patients and colleagues with respect
• Act with honest and integrity
• Conflict of interests
• Communication discretion
• Privacy legislation
• Australian privacy principles (APPs)
• Preparing patient records
• Dealing with family/ friends
• Power of attorney
• Report infectious diseases
• Security procedures
• Secure patient records
• Record formats
• Storage and security
• Drugs and equipment storage
• Health and safety

Unit 5 – Manage patient record-keeping system

• Patient record-keeping systems
• Policies and procedures
• Legislative requirements
• Record keeping processes
• Communication to personnel
• System operations
• Roles and responsibilities
• Job descriptions
• Induction training
• Operation of patient records system
• Maintain patient records
• Medical coding
• Staff training
• System efficiency
• Integrity of patient records
• Security of patient records
• Confidentiality of patient records
• Transferring records authorisation
• Archiving records
• Improve patient records system
• Monitor and review
• Identify improvements
• Implement approved recommendations
• Deliver staff training

Unit 6 – Prepare and process medical accounts

• Identify patient fee schedule
• Advising patients of fee schedule
• Medical benefits scheme (MBS)
• Australian Medical Association (AMA)
• MBS and AMA item numbers
• Entitlements and rebates
• Medicare benefits
• Medicare card
• Medicare forms
• Medicare rebates and safety net
• Bulk billing
• Reciprocal health care agreements
• Service not covered by Medicare
• Other entitlement programs
• Legislation
• Communication skills
• Schedule medical appointments
• Health and safety legislation
• Procedures and policies
• Scheduling appointments
• Check referrals to ensure validity
• Follow correct procedures
• Referral procedures and validity
• Filing referral letters
• Billing policies and procedures
• Patient information and confidentiality
• Issuing and payment of accounts
• Bulk Billing
• Private accounts
• Eligible for medicare rebate
• Electronically generated accounts
• Account and billing documentation
• Department of Veterans affairs (DVA)
• DVA manual and electronic claiming
• Workers compensation
• Motor vehicle accident claims (CTP)
• Process accounts
• Receive and document payments
• Issuing receipts
• Cash payments
• Receipting methods
• Combined account / receipt
• Reconciling medicare payments
• Overdue / unpaid accounts
• Storing financial records

Unit 7 – Assist in controlling stocks and supplies

• Determine own role in stock control processes
• Ensure stock levels are correctly maintained
• Duty and standards
• Stock control responsibilities in a medical practice
• Roles and responsibilities
• Stock control policies and procedures
• Ambiguous procedures
• Assist in maintaining stock levels
• Monitor stock levels
• Effective stock control systems
• Ordering stock (EOQ)
• Avoiding short falls
• Stock rotation
• Stock piling
• Waste management
• Checking and completing orders
• Store stock
• Unpacking and checking stock
• Damaged or missing stock
• Storing stock
• Specialised storage
• Assist in stocktaking
• Stocktaking / documenting procedures
• Full stocktake
• Assist in disposal of out-of-date stock and recalls
• Disposing of stock
• Stock recalls
• Health and safety legislation