CALIFORNIA MEDICAL ASSISTANT
KNOWLED
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SEPTEMBER/OCTOBER
2011
WHAT’S INSIDE
Published Bi-Monthly by the California Medical Assistants Association, Inc. for Medical Office Professionals
PRESIDENT’S
MESSAGE
CMAA and You Can Make A Difference!
t is appropriate that I chose a “bird
theme” for my year of serving as your
President as the time is really FLYING
BY! I have been very busy with travel
and promotion of CMAA.
I
■ PRESIDENT’S MESSAGE ..............1
■ TOP SECRET:
Food for Thought.......................3
■ FALL CONFERENCE 2011:
Educational Speakers Schedule .....4
San Marcos & CSUSM ................5
Ways & Means .........................9
■ EDUCATION DAYS SACRAMENTO REGION:
Meeting Schedule Update ............6
■ CERTIFYING BOARD UPDATE:
Newly Certified California
Medical Assistants ..................7-9
I have just returned from a two week
trip to Mexico where I had the privilege
to help build two homes, play with the
kids at the orphanage and help serve
breakfast to children who live in the
retired Tijuana dump. It is an amazing
trip that I have made many times and I
am never ready to come home! You
should see the smiles on the children
when we fill four eight foot gutters with
ice cream and all the trimmings to make
a giant sundae. It is a mess, but so fun!
continued on page 2
Kate & Mike Logan take photo with local boy.
■ CONTINUING EDUCATION:
NCCI - What It Is and
Why It Matters ....................10-12
Self-Assessment Test................14
Article Order Form ...................15
■ TRIWEST PROVIDER SERVICES:
Social Security Numbers and
Military ID Cards .....................13
■ 2012 COMING ATTRACTIONS.........16
________________________
CALIFORNIA
MEDICAL ASSISTANTS
ASSOCIATION, INC.
P.O. Box 5694
Petaluma, CA 94954-5694
Toll Free 1.888.464.2622
Fax 208.730.3763
Children getting ready to enjoy the giant ice cream sundaes.
www.cmaa-ca.org
Email address: cmaahq@aol.com
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2011
1
California Medical Assistant
PRESIDENT’S MESSAGE
continued from page 1
EDITOR
VICKEY MARTINEZ, CCMA-C
Riverside Region
P.O. Box 2931
Riverside, CA 92516
Email: Vmartin1519@charter.net
P U B L I C AT I O N C O M M I T T E E
HARRIETT TOSE, CCMA-A
Sacramento Region
KRISTINE ONSTINE, CCMA-A
Redwood Region
KATE LOGAN, CCMA-AC
Sacramento Region
Certifying Board Administrator
C O O R D I N AT O R
JANICE SAMS, CCMA-C
Redwood Region
CMAA PRESIDENT
KATE LOGAN, CCMA-AC
(530) 295-1512
Email: katelogan.cmaa@gmail.com
For Advertising contact:
CALIFORNIA MEDICAL ASSISTANTS
ASSOCIATION, INC.
at
CMAA, INC.
P.O. Box 5694
Petaluma, CA 94954-5694
Toll Free: 1.888.464.2622
Fax: 208.730.3763
Email: cmaahq@aol.com
www.cmaa-ca.org
Material contained herein may NOT
be used without the permission of the
California Medical Assistants Association, Inc.
ALL ITEMS FOR PUBLICATION
SHOULD BE SENT
DIRECTLY TO THE EDITOR.
California Medical Assistant
— NEXT ISSUE —
NOVEMBER/DECEMBER 2011
(Above) Photos of some of the beautiful children we meet on our trip to Mexico.
I am still working on a medical mission
trip for Medical Assistants to sponsor
a health faire for the community of
La Mision or one of the surrounding
communities. I mentioned this in my
last message and it is still in the works.
Are you interested in coming along?
Let me know!
The Fall Conference in the San Diego area
is fast approaching (September 8 – 11).
I hope you have sent in your registration.
KNOWLED
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CALIFORNIA MEDICAL ASSISTANTS ASSOCIATION, INC.
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Email Address: vmartin1519@charter.net
DEADLINE: October 1, 2011
All materials must be submitted by the
deadline date to be included in the next issue!
2
I have asked each member of CMAA to
participate in MAKE A DIFFERENCE DAY!
This is an event that is held annually on
the fourth Saturday of October. Millions
of Americans rally into a single day of
action to help change the world. Find
a need in your community and plan a
project. I hope that each Region is
working on something special. If you are
continued on page 4
To submit items to be published in this
newsletter, please mail or email:
Vickey Martinez, CCMA-A
3181 Tangerine Way
Riverside, CA 92506
The committee is working hard to provide a
great meeting.
M I S S I O N S TAT E M E N T
UNITY IS
The purpose of the California Medical Assistants Association, Incorporated,
is to promote the professional and educational growth of medical assistants.
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2011
PRESIDENT-ELECT ’ S MESSAGE
Do we listen to our patients and co-workers? As a Medical
Assistant we must be able to listen to both verbal and non-verbal
communications.
Here are some suggestions to enable all of us to be a better
listener to our patients and co-workers.
•
Listen to the main points in the discussion.
•
Attend to both verbal and non-verbal messages.
•
Be patient and nonjudgmental.
•
Do not interrupt.
•
Never intimidate your patient.
•
Use active listening techniques: restatement,
reflection, and clarification.
How to become a better listener:
Honestly evaluate your personal biases. What do you find
unacceptable in people? Do you prejudge an individual based
on his or her affiliation with a particular group, or because of
a certain lifestyle decision? Do these biases create barriers to
the development of therapeutic relationships? If so, how can
you get beyond these barriers?
Remember; as you may
judge others, they too
judge you. Always put
your best foot forward
and treat others as you
would want to be treated.
Learn to be a better
listener.
Submitted by
Randy Geddings, CCMA-AC
President-Elect
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2011
3
C A L I F O R N I A M E D I C A L A S S I S TA N T S A S S O C I AT I O N , I N C .
KNOWLED
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continued from page 2
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in a Region that is not active, consider
getting some friends together and do
something. For ideas you can visit the
WER
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PRESIDENT’S
MESSAGE
UNITY IS
FALL CONFERENCE 2011
“Fly South for Some Tweet Education”
California State University
SAN MARCOS, CA
September 8 – 11, 2011
Educational Speakers
MAKE A DIFFERENCE DAY website at
www.usaweekend.com/section/MDDAY
/Make-A-Difference-Day. You can
“friend” them on Facebook or join their
Twitter (@mdday) to TWEET your plans
for this year’s event using the
#mdday11.
DATE & TIME
FRIDAY, 9/09/11
8:00 am
8:45 am -
While a good Medical Assistant makes a
difference each day at work, let’s meet
the challenge of going a step further on
October 22nd! And don’t forget to let
me know what you are doing to help
others! I would love to report all of your
great ideas to our membership!
See you all when you “FLY SOUTH
FOR SOME TWEET EDUCATION”
at the 2011 Fall Conference.❧
NAME OF FUNCTION
Registration opens at McMahon House
9:45 am Medical Reserves – Pauline Thomas ..............Basic 1u
10:15 am - 11:15 am Juvenile Diabetes – Research Foundation.......Basic 1u
1:30 pm - 2:30 pm California Medical Foundation.......................Basic 1u
3:00 pm - 4:00 pm CCBMA- Beta Testing ...............................Clinical 1u
SATURDAY, 09/10/11
8:00 am
Registration opens at McMahon House
8:15 am - 10:15 am Holistic Medicine – Dr. Katiraei .....................Basic 2u
11:00 am - 12:00 pm Speaker TBA..........................................................*
1:15 pm - 3:15 pm Dr. Shafai – Childhood Obesity .....................Basic 2u
SUNDAY, 9/11/11
8:00 am -
9:00 am Speaker: TBA.........................................................*
10:00 am - 11:00 am Mandated Reporting Updates – Lt. Timothy Salas ...Basic 1u
Kate Logan, CCMA-AC
President
11:15 am Closing Business Session for Members and Guests
California Medical Assistants
Association, Inc.
4
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2011
SAN MARCOS
L
CALIFORNIA
MEDICAL
A S S I S TA N T S
ocated in the beautiful foothills of
northern San Diego County is
San Marcos.
From miles of
trails in the
local hills, to
unique dining
and shopping
opportunities
in its retail
centers, San
Marcos has all
the ingredients
that make visiting enjoyable.
Just a 35-minute drive south takes you to
downtown San Diego, while a short jaunt
west across north county takes you to the
majestic shores of the beautiful Pacific
Ocean.
A S S O C I AT I O N ,
INC.
-
FA L L
C O N F E R E N C E
2 0 1 1
The California State University San Marcos (CSUSM) is a new kind of CSU — fully
engaged in its community, technologically sophisticated, and dedicated to teaching future
generations through a relevant curriculum with a global perspective.
What makes CSUSM so special?
• High quality, close instruction at three colleges and a school of nursing
• Accessible faculty — 100% of full-time faculty hold Ph.D.s or the highest degree in
their field
• A technology-rich campus — the entire campus is equipped with high-speed Wi-Fi
Internet access, and numerous “smart” classrooms offer advanced multimedia
equipment as a teaching and learning tool
• A fun campus — more than 80 student clubs and organizations, the Clarke Field
House and an active Associated Students, Inc.
• An expanding campus — current construction projects include a state-of-the-art
Social & Behavioral Sciences building, a parking structure, and a public safety building.
• A beautiful campus — 304 rolling acres nestled into the foothills above the City of
San Marcos, and a short distance to the beaches of the Pacific Ocean and the Mexican border
CSUSM is conveniently located in North San Diego County — only a short drive from the
City of San Diego, Riverside County, and Orange County. The campus is easily accessed
from Interstates 5 and 15. For driving instructions, visit http://www.csusm.edu/guide/
For parking information, visit http://www.csusm.edu/guide/parking.html
Home to Palomar College and California
State University San Marcos, the City has
also become the heart of education in
San Diego North.
A dedication to parks and community
services is another priority for the City of
San Marcos. In addition to its rich recreational and cultural programs for children,
teens, adults and seniors, the City has
constructed and opened an additional five
new parks over the past
few years – bringing the
total number of parks in
San Marcos to 17.
Quality centers like
Creekside Marketplace,
Nordahl Center, Grand
Plaza and Old California Restaurant Row
have all become popular shopping and
dining destinations, and plans for thoughtful future developments like the
San Marcos Downtown Creek
District, Palomar Station and
University Village will quickly
put San Marcos on the map as a
regional shopping, dining and
entertainment destination.
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2011
Community theatre, music and fine arts
organizations are also alive and well in
San Marcos. The City’s own “Theatre
West” group presents outstanding
community theatre productions, while
the California Center for the Arts in
Escondido and the Performing Arts
Center at Palomar College both bring
entertainment of high acclaim to the
local area. For more about San Marcos,
visit http://www.ci.san-marcos.ca.us/
5
C A L I F O R N I A
M E D I C A L
A S S I S T A N T S
A S S O C I A T I O N ,
I N C .
Sacramento Region
Education Days
Recently, Sacramento Region has decided to
make some changes in their meetings.
We are now meeting quarterly,
on Saturdays, and having two speakers
to still meet our goal of 8 CEU’s a year.
We would like to invite the surrounding area regions
to join us for our FREE education days.
Please send an email to our
President Anne Conway at Anne_m_conway@hotmail.com
or Lisa Milosevich at lmiloccma@yahoo.com
so we will know how many people to expect
and can have enough refreshments and CEU’s printed.
We hope to see you there!
OUR FUTURE MEETING DATES ARE:
SEPTEMBER 17, 2011
2 Administrative CEU’s
NOVEMBER 19, 2011
2 Basic CEU’s
Education will start promptly at 9:30 am and be completed by 11:30 am.
We meet at National Career Education at
11080 White Rock Road, Suite 100, Rancho Cordova CA 95670.
You can get directions at www.nceschool.com or www.mapquest.com.
6
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2011
C E R T I F Y I N G
B O A R D
U P D A T E
Congratulations to the newly California Certified Medical Assistants
Certification Codes: A = Administrative C = Clinical AC = Administrative and Clinical
NAME
AL ASAD, MUWAFAQU
ALONZO, AMANDA
ALONZO, RANDI JEAN
ALVAREZ, JESSICA ZEPEDA
ANDREAZZI, SHARON
ANDREWS, DELAINA JO
ANGUIANO, GLORIA •
ARANDA, JUSTINE
AVILA, FRANCES G.
AVINA, MARIAH CHRISTINE
AZZAM, AMNA
BAIONI, RAMONA ANTONIA
BAKA, LYUDMILA
BAKER, REBECCA •
BALA, MONIKA JANINA
BARNES, CANDICE A.
BARRETT, JILLIAN
BARRETT, REBECCA ANNE
BELLUOMINI, SUSAN MARY
BLOCH, SARAH E.
BOGERT, MELANIE
BONILLA-DURAN, LORENA
BRAND, JULIANNE
BRAZENEC, MICHELLE LYNN
BROOKS, KARLIE
BROOKS, WHITNIE DANIELLE
BUCKLAND, BRITTANY
BUDNOVICH, JOY MARIE
BYLIN, JULIE
CALDWELL, SANDY
CANO, MARIA •
CARTER, CHARINA C.
CASTRO, LINDA
CHALLGREN, AMBER L.
CHENEY, TRACY LYNN •
CONTRERAS, CHRISTINA
CONWELL, RHONDA •
COOK, LINDA N.
CORTES, ELLIZON MARLON S.
CORTES, LETICIA ELIZABETH
CRUZ, ANABEL
CURRY, KIMBERLY
DA VAULT, MELISSA
DALLA VALLE, JENNIFER
DANIELS, CYNTHIA •
DARNELL, SUSAN
DASSOW, NATASHA L.
DAWSON, SANDRA D.
DELA CRUZ, LIDUVINA L.
DENTINO, GRACE MARIE
DORST, PAMELA M.
DREWS, CIDNE E.
DUERRE-MULLANY, SHERI D.
SPECIALTY
AC
AC
AC
C
AC
AC
A
C
AC
AC
C
C
AC
C
C
C
C
AC
C
AC
C
C
AC
AC
C
AC
C
C
AC
AC
C
C
AC
AC
AC
C
AC
AC
C
C
C
AC
AC
AC
A
A
AC
C
AC
AC
AC
AC
AC
HOMETOWN
NAME
CAMPBELL, CA
AROMAS, CA
MEADOW VISTA, CA
STOCKTON, CA
ROCKLIN, CA
UKIAH, CA
HAYWARD, CA
VALLEJO, CA
DOWNEY, CA
MIDDLETOWN, CA
DALY CITY, CA
SOUTH SAN FRANCISCO, CA
CITRUS HEIGHTS, CA
WATERFORD, CA
GLEN ELLEN, CA
SANTA CLARA, CA
REDDING, CA
ROHNERT PARK, CA
SAN BRUNO, CA
PLACERVILLE, CA
BRENTWOOD, CA
STOCKTON, CA
WESTMINSTER, CA
REDWOOD CITY, CA
RIVERDALE, CA
MURRIETA, CA
SAN JOSE, CA
LAKE ELSINORE, CA
SACRAMENTO, CA
PLACERVILLE, CA
WATSONVILLE, CA
ANAHEIM, CA
VINA, CA
HUNTINGTON BEACH, CA
PETALUMA, CA
BAKERSFIELD, CA
SELMER, TN
FORESTHILL, CA
DALY CITY, CA
SAN FRANCISCO, CA
LOS GATOS, CA
PLACERVILLE, CA
VALLEY SPRINGS, CA
UKIAH, CA
VACAVILLE, CA
SAN CARLOS, CA
SAN DIEGO, CA
PLACERVILLE, CA
SAN DIEGO, CA
PASO ROBLES, CA
MT. SHASTA, CA
EUREKA, CA
CERES, CA
ECKERMAN, NANCY A.
ELLENBARGER, KRYSTAL A.
ELU, KATHLEEN
EVANGELISTA, CRISPIN
FELDMAN, LISA
FELIPE, ANGELA
FIELD, BRITTANY C.
FLORENCE, CRYSTAL G.
FRAME, KAREN LYNNE
FREEMAN, WENDY LEE
GALDAMEZ, JEANETTE D.
GALE, SUZANN •
GALEANA, MICHELLE A.
GAMBOA, MELISA
GANNON, ROBERTA •
GARCIA, LAURIE R.
GARCIA, ANGELICA
GARCIA-RODRIGUEZ, FELICIA •
GARNER, JUDY L.
GHIPRIEL, HANAN
GONZALEZ, CELIA
GONZALEZ, SANDRA T.
GONZALEZ-MARTINEZ, KARLA PATRICIA
GREEN, TANIA C.
GREEN-GIOCALONE, BETTY-JO
GUDINO, FRANCISCO •
GUILFORD, ALLYSON
GUNSKI, ARLEEN JOY
GUTIERREZ LOPEZ, ERIKA
HA, CU
HACKETT, MONIQUE
HARKER, ALEXANDRIA
HARMON, BRENDA J.
HARPER, CORAL A.
HARRIGAN, AMANDA CHRISTINE
HARSTAD, EVE
HARVILLE, SOPHIA L.
HASHEM, OMAR AMIR
HASLAM, DEBRA
HAWK, JAIME •
HELZER, SAMANTHA KAY
HELZER, JESSICA RAY
HERNANDEZ, TANYA M.
HERNANDEZ-SOTO, CINDY NALELLY
HERR, MICHELLE ANN
HERRING, BRENDA SUE
JEAR, KAREN L.
JEPSON, LARAE •
JOHNSON, MISTYONNA L.
JOHNSTON, NATALIE
JONES, LAVETTA DENISE
JUCKNO, CARRIE
KINCAID, ANGELA
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2011
• RECERT
SPECIALTY
AC
AC
C
AC
AC
C
C
C
AC
C
C
AC
AC
A
C
AC
C
AC
C
AC
C
C
C
C
C
C
AC
AC
C
C
C
A
AC
C
AC
C
AC
C
C
C
AC
C
C
AC
AC
AC
AC
A
C
AC
AC
AC
C
HOMETOWN
MORRO BAY, CA
MODESTO, CA
SAN MATEO, CA
SARATOGA, CA
SHINGLE SPRINGS, CA
VENTURA, CA
SAN JOSE, CA
FREMONT, CA
POLLOCK PINES, CA
BANNING, CA
SAN FRANCISCO, CA
OAKDALE, CA
ANTIOCH, CA
LANCASTER, CA
SEBASTOPOL, CA
LANCASTER, CA
SANTA CRUZ, CA
WATSONVILLE, CA
OCCIDENTAL, CA
MURRIETA, CA
CUPERTINO, CA
COUPLAND, TX
DESERT HOT SPRINGS, CA
STOCKTON, CA
FRESNO, CA
CORNING, CA
ACTON, CA
POLLOCK PINES, CA
FRESNO, CA
SAN JOSE, CA
SAN JOSE, CA
LIVERMORE, CA
BAKERSFIELD, CA
OCEANSIDE, CA
CONCORD, CA
SANTA ROSA, CA
PALMDALE, CA
VACAVILLE, CA
SAN MATEO, CA
LAKE HAVASU CITY, AZ
OLIVEHURST, CA
OLIVEHURST, CA
SANTA CLARA, CA
HEMET, CA
PORT HUENEME, CA
RAMONA, CA
SAN JOSE, CA
YUCAIPA, CA
SACRAMENTO, CA
EL DORADO HILLS, CA
PERRIS, CA
FRESNO, CA
REDDING, CA
continued on page 8
7
C E R T I F Y I N G
B O A R D
U P D A T E
– continued from page 7 –
Certification Codes: A = Administrative C = Clinical AC = Administrative and Clinical
NAME
SPECIALTY
KLEIN, MARY L.
KNAULS, DIONNE R.
KUWAMURA, MAILE ELIZABETH
LAMAS, OLGA •
LAW, AMY •
LAWHON, JENNA
LAWRENCE, BARBARA JEAN •
LAYTON, PATRICIA CHRISTINE MARIE
LEE, JENNIFER KAY
LEWIS, KIMBERLY •
LIRA, EMMA G.
LIVINGSTON, KAREN •
LOPEZ, CAROLLYNN ABULENCIA
LOPEZ, LAURA
LUNA III, TOMAS C.
MACAN, NICOLE
MAHONY, MARY TERESA
MANZANARES, YENI
MANZANO, GUADALUPE
MARASIGAN, AMANDA E.
MARASIGAN, MARIA ELMINA G.
MARES, BERTHA A.
MARISCAL, HEATHER
MARTINEZ, ARIANA
MARTINEZ, JOELLA C.
MARTINEZ, KRISTI ANN
MATHEWS, KRISTEN
MC GEE, LILIAN A.
McBRIDE, COURTNEY ALINA
MCNALLY-KLUTH, RHONDA L.
MEDINA, ANA CLARIBEL
MEDRANO DIAZ, PATRICIA E.
MEJIA, ELIZABETH R.
MERTELL, TIFFANY N.
MEYERS, ESPERANZA
MILLER, DEBORAH ANN
MINCHACA, COURTNIE
MITCHELL, DANIELLE
MONICE, LEITHA O.
MONTANO, ANTHONY LEE
MOORE, GRACIELA GONZALEZ
MORALES, ALEXANDRA
MOSCOSO-CORNEJO, ROXANA E.
MULLEN, CHER •
NACARELLI, CRYSTAL
NALLEY, DARLENE M.
NAVARRO, KRYSHA KAYE CELI
NEAL, NAILA R. •
NEAL, NAILA •
NGUYEN, DUNG THANH
NOCEDA, MARY JOAN SALVADOR
OGAS, HANNAH
OGLE, MELISSA E.
8
C
AC
AC
C
AC
AC
C
C
C
C
AC
AC
C
C
C
A
C
AC
C
C
AC
C
C
C
C
AC
C
C
AC
AC
C
C
C
C
AC
C
C
C
AC
C
C
AC
C
AC
AC
C
AC
AC
AC
C
C
AC
C
HOMETOWN
NAME
LEMOORE, CA
CYPRESS, CA
WATSONVILLE, CA
CORONA, CA
LANCASTER, CA
POWAY, CA
SAN JOSE, CA
FREMONT, CA
SAN DIEGO, CA
DUBLIN, CA
SAN JOSE, CA
SANTA ROSA, CA
DALY CITY, CA
SAN JOSE, CA
COACHELLA, CA
EUREKA, CA
PETALUMA, CA
SANTA ROSA, CA
MANTECA, CA
VALLEJO, CA
SUNNYVALE, CA
WHITTIER, CA
PENN VALLEY, CA
SAN JOSE, CA
INDIO, CA
MODESTO, CA
PENN VALLEY, CA
MANTECA, CA
VENTURA, CA
REDDING, CA
CALIFORNIA CITY, CA
LANCASTER, CA
GILROY, CA
ANTELOPE, CA
APPLEGATE, CA
GROVER BEACH, CA
NEWARK, CA
ATASCADERO, CA
SACRAMENTO, CA
VALLEJO, CA
SOQUEL, CA
VENTURA, CA
CUDAHY, CA
SAN MATEO, CA
PLUMAS LAKE, CA
CHICO, CA
LANCASTER, CA
SAN LEANDRO, CA
SAN LEANDRO, CA
SAN JOSE, CA
OCEANSIDE, CA
SAN JOSE, CA
ROHNERT PARK, CA
ORTEGA, MARTA MARIA
OVIEDO, LORENA
PAGET, CANDACE M.
PALOMARES-PARRA, SUSANA
PARRISH, REBECCA A.
PARRY, AMANDA ANNSELLA
PARSONS, BRITTANY LA RAY
PAUL, MONYA D.
PEDRAZA, AIRAM C.
PEREZ, SERGIO
PEYREFITTE, JENNIFER
PHAN, MINH CHAU THI •
POERTNER, RACHEL GILSON
PURVIS, JENNIFER MARY
PURYEAR, KATIE ANNE
QUINTERO, TATIANA
RABITO, JEANETTE L.
RABY, VERGIE P.
RAI, HARMIT K.
RAMIREZ, CANDELARIA
RAMIREZ, CASSANDRA
RAMOS, NATIVIDAD
RICHEY, REBECCA M.
RIVERA, FABIAN JESUS JOSE
ROCHA, MONICA L.
ROCHA, CAROLINA •
RODRIGUEZ, KAREN K.
RODRIGUEZ, DENNISE RAQUEL
RODRIGUEZ, VANESSA
ROMO, SHAUNA BROOKE
ROSAS Q., JOSE MARTIN
ROSE, ONICA
ROXAS, REBEKAH JOY M.
RUBIO-PALMAS, LOLA
RUIZ, ANGIE DORALEE
RUNYAN, LORI J.
RUSSELL, LESA
RYGG, JUTTA MAYER
SAAGA-PALEGA, RAROTONGA
SALAS, JAIME CHRISTOPHER
SALAZAR, EVELIA
SAMIETZ, SHERI LYNN
SAMUELS, SUSIE I.
SANCHEZ, CONCEPCION G.
SANCHEZ, SONIA
SANCHEZ, MARIA G.
SANCHEZ, ELVA
SANCHEZ SANTOYO, KARLA
SANDIFER, LAURA
SCRIVNER, SHEENA
SHAH, YAMINI •
SHINGLER, TARA G.
SIDDIQUI, GULNAZBANU R.
• RECERT
SPECIALTY
C
AC
C
C
C
AC
C
AC
C
C
C
C
AC
C
AC
A
A
AC
C
C
AC
C
AC
C
C
AC
AC
AC
C
C
C
C
C
AC
C
AC
AC
AC
AC
C
AC
C
AC
AC
AC
C
C
C
C
AC
AC
C
C
HOMETOWN
VALLEJO, CA
SANTA MARIA, CA
CORONA, CA
ARVIN, CA
PASO ROBLES, CA
SANTA ROSA, CA
ANTELOPE, CA
SACRAMENTO, CA
WATSONVILLE, CA
JACKSONVILLE, NC
IMPERIAL BEACH, CA
MISSION VIEJO, CA
MISSION VIEJO, CA
NEVADA CITY, CA
RED BLUFF, CA
TURLOCK, CA
MORENO VALLEY, CA
REDWOOD VALLEY, CA
SACRAMENTO, CA
SANTA CLARA, CA
SUNNYVALE, CA
MURRIETA, CA
UKIAH, CA
BAKERSFIELD, CA
HEBER, CA
WATSONVILLE, CA
ROSEVILLE, CA
SUNNYVALE, CA
SILT, CO
NEWCASTLE, CA
LOS ANGELES, CA
SANTA ROSA, CA
SAN LORENZO, CA
LANCASTER, CA
BAKERSFIELD, CA
EL DORADO HILLS, CA
STOCKTON, CA
CARMICHAEL, CA
SAN FRANCISCO, CA
BANNING, CA
LAKEWOOD, CA
SAN MATEO, CA
PALMDALE, CA
SOUTH GATE, CA
LANCASTER, CA
SAN JOSE, CA
RAMONA, CA
PALMDALE, CA
CASTRO VALLEY, CA
ATASCADERO, CA
SAN DIEGO, CA
PALMDALE, CA
FAIRFIELD,CA
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2011
C E R T I F Y I N G
B O A R D
U P D A T E
– continued from page 8 –
Certification Codes: A = Administrative C = Clinical AC = Administrative and Clinical
NAME
SPECIALTY
SILILAYTHONG, SANDY NONG
SILVA, ELIZABETH I.
SIMS, TIANNA CHRISTINE
SINGH, TERESA
SMITH, NICOLE BRIANNE
SMITH-FIELDS, SHANNON
SOONTHORN, KRYSTLE
STAMATELAKY, NOELLE M.
STEWART, MARY J.
TAYAG, JANN CARLO
TIPTON, ROBYN A.
TUUPOINA, AMBER M.
TYLER, LORI ALICE
VALENTE-RUSSO, VIRGINIA
VAN GRIEKEN, GAIL •
VARA JR., ERIC JOHN
VARGAS, RIANE JAURIQUE
VARGAS ESCALERA, RIGO
VASQUEZ, LISANNE •
AC
C
C
C
C
AC
C
C
C
AC
AC
C
C
AC
C
C
AC
C
C
CALIFORNIA
HOMETOWN
NAME
SPECIALTY
MODESTO, CA
SANTA ROSA, CA
VALLEJO, CA
DALY CITY, CA
REDDING, CA
PINOLE, CA
SAN DIEGO, CA
SOUTH SAN FRANCISCO, CA
ROSEVILLE, CA
SAN DIEGO, CA
ROSAMOND, CA
SACRAMENTO, CA
SANTA ROSA, CA
SANTA ROSA, CA
MANTECA, CA
SAN BERNARDINO, CA
LAKE FOREST, CA
MADERA, CA
REDLANDS, CA
VAUGHN, LYNNE ELLEN
VELASCO, LISA
VERA-EMANI, MABEL •
VUONG, ADELE
WEST, SHAWNON L.
WHISLER, SHARI B.
WHISMAN, HEATHER
WHITTED, RACHELLE
WINCHESTER, SUSAN
YEUNG, TSANG FUNG
ZAMORA, JESSICA
AC
AC
C
AC
AC
AC
AC
AC
AC
C
C
HOMETOWN
AUBURN, CA
AUBURN, CA
LAKE ELSINORE, CA
SAN JOSE, CA
GRASS VALLEY, CA
PLACERVILLE, CA
SAN DIEGO, CA
CLOVIS, CA
PARADISE, CA
FREMONT, CA
SANTA CRUZ, CA
Congratulations to each of these
medical assistants.
From the California Certifying Board for Medical Assistants
• RECERT
MEDICAL
A S S I S TA N T S
A S S O C I AT I O N ,
INC.
CMAA WAYS AND MEANS
FALL CONFERENCE 2011
KNOWLED
GE
IS
H
●
EN
September 8 – 11, 2011
GT
C
M
A
A STR
WER
PO
California State University - San Marcos, CA
UNITY IS
We will be there with:
★ RAFFLES
★ PENS
★ MUGS
★ CMAA BAGS
★ LUGGAGE TAGS
★ BADGE HOLDERS
★ T-SHIRTS
★ SWEATSHIRTS
★ CMAA PINS
_________________
Thank you for your support for CMAA!
See you in San Marcos!
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2011
9
CONTINUING EDUCATION
NCCI - What It Is and Why It Matters
History
In 1994, the Health Care Financing
Administration, now called CMS (Centers for Medicare and Medicaid Services) awarded a contract to AdminaStar
Federal, the Indiana Medicare carrier,
to define correct coding practices that
would serve as the basis for Medicare
reimbursement. Based on their review of
AMA’s Current Procedural Terminology
(CPT) code descriptors, CPT coding
instructions, review of existing and national
coding edits and review of billing history,
two main concepts were developed:
• Comprehensive and component
code combinations;
• Mutually exclusive coding combinations that represent services or
procedures that would not or
could not be performed at the
same time based on the CPT
code description or standard medical practice.
Coding combinations that fell into these
two groups were distributed to physician specialty societies as well as
Medicare carrier medical directors for
review and comment. Based on the
responses, the coding combinations
were revised and a standard system, the
National Correct Coding Initiative Edits,
was adopted and implemented by CMS
in 1996 to promote correct coding
methodologies and to control improper
coding. In addition to Medicare, many
medical insurance carriers have adopted
the NCCI Edits as standard policy when
processing claims.
Medicare Administrative Contractors
(MAC) to process hospital outpatient
claims. The other set of NCCI edits are
used by Medicare carriers and MACs to
process professional claims. It is important to recognize these edits apply to
services performed by the same
provider on the same date of service to
the same patient.
NCCI edits define when two procedures may not be reported together
except under special circumstances and
are designed to:
• Prevent payments from being
made due to inappropriate CPT
and Healthcare Common Procedure Coding System (HCPCS)
code assignments;
• Eliminate unbundling of services;
• Detect incorrect or inappropriate
reporting of combinations of CPT
and HCPCS codes; and
• Curtail improper coding practices
that lead to inappropriate
increased payment.
The NCCI editor consists of two tables
of CPT and HCPCS codes containing
Comprehensive/Component Edits and
Mutually Exclusive Edits.
Comprehensive/Component Edits
In the Comprehensive/Component or
Column 1/Column 2 Coding Edits, the
code in Column 2 is considered an
integral part of the Column 1 codes
and therefore should not be reported or
paid separately. The Column 1 code
would be payable and the Column 2
code would be denied as bundled.
Mutually Exclusive Edits
The mutually exclusive table identifies
procedures that cannot be reasonably
performed on the same day. Many of
these edits are based upon the definition of the component that differentiates one code from the other. An example would be the billing of an “initial”
service and a “subsequent” service at
the same time.
A Word About Modifiers
NCCI edits also identify some modifiers
that may be appended to procedure
codes to bypass edits under appropriate
clinical circumstances. These modifiers,
when correctly used, will bypass specified column 1/column 2 procedure
code pairs and mutually exclusive code
pairs. The modifiers should never be
used to solely bypass NCCI edits. The
medical record documentation must
support the addition of a modifier to
bypass an edit.
How to Use the Code Pair Tables
Log onto the CMS Website at
www.cms.gov/NationalCorrectCodInitEd/
Select “NCCI Edits – Physicians” on the
left hand sidebar. Using 99214 as the
example, select the code range labeled
90000-99999. You will then have two
download choices.
Methodology
There are two sets of NCCI edits, one
set is utilized for hospital reporting and
the other set for physician reporting.
The first set is included in the Outpatient Code Editor (OCE) and is used by
Medicare fiscal intermediaries (FIs) and
10
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2011
CONTINUING EDUCATION
Both of the tables operate the same way. Start with Column1/Column2 and accept
the terms and conditions of the AMA copyright statement. A file download box will
open in a separate window, select “Open with” and then OK. The files are zipped
due to their size, which allows for faster download. They can be opened in Microsoft
Excel (the file ending in xlsx) or text file format. Select the Excel file for this example.
To find and sort for procedure
99214, highlight column A
(which is Column 1 of the Edits
table), hold down the Ctrl key
and hit F. When the Find box
pops up, enter 99214 and select
Find All.
➋
Column 1 indicates the payable
code.
➋ Column 2 contains the code that
is not payable with the particular
column 1 code unless a modifier is
permitted and submitted.
➌ The third column indicates if the
edit was in existence prior to
1996.
➍ The fourth column indicates the
The result below shows a portion of all Column 1/Column 2 pairs where 99214 is
the payable code and every code in Column 2 is not separately payable when billed
with 99214 (unless a modifier is allowed). It is important to understand the purpose
of each Excel column.
➊
➊
➌
➍
➎
effective date of the edit (year,
month, day).
➎ Column 5 indicates the termination date of the edit (year, month,
day).
➏
➏
The sixth column indicates if use
of a modifier is permitted. This
number is the modifier indicator
for the edit.
• Modifier indicator 0 means
there are no modifiers associated with the code pair under any
circumstances and the code in
Column 2 will never be paid on
the same day as the Column 1
code.
• Indicator 1 means a modifier
may be used with the Column 2
code to allow it to be unbundled
and therefore considered separately for payment if it is clinically appropriate and clearly
identified in the medical record
as separately identifiable.
• Indicator 9 means that an NCCI
edit does not apply to this code
pair and the edit was deleted
retroactively.
continued on page 12
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2011
11
CONTINUING EDUCATION
NCCI - What It Is and Why It Matters – continued from page 9
NCCI Updates
Exercise
NCCI edit updates are released quarterly by CMS. The edit tables are being
reviewed continually based on:
Mr. Smith presents to the office with
complaints of palpitations and sudden
lightheadedness. He also complains of a
warty lesion on his hand that catches
on his clothing and sometimes bleeds.
The subsequent insurance claim lists
procedures:
• AMA’s Current Procedural
Terminology manual
• CMS national and local policies
and edits
• Coding guidelines developed by
national societies
• Analysis of standard medical and
surgical practice
• Review of current coding practice
• 99213-25 – Established patient
office visit
• 93000 – Electrocardiogram,
routine ECG with at least 12
leads; with interpretation and
report
• 17110 – Destruction of benign
lesions (eg, laser surgery,
electrosurgery, cryosurgery,
surgical curettement) other than
skin tags or cutaneous vascular
proliferative lesions; up to 14
lesions
The claim is processed with procedures
99213-25 and 17110 being paid and
the EKG denied. The explanation of
benefits states the EKG is included with
other procedures performed the same
day.
Questions 11 – 15 on the Quiz relate
to the above scenario. Using the steps
in the example above, access the CMS
website and the NCCI edits to determine if the EKG is eligible for separate
payment. Hint: Because the EKG is the
“included” code, search for 99213 and
17110 in Column 1. ❧
Why NCCI Is Important
NCCI can have a high impact on claims
payments and denials. It is Medicare’s
expectation that the responsibility to
supply the correct code on a Medicare
claim lies with the practitioner or the
provider. Bundled codes should never
be submitted separately and cannot be
billed to the patient. An understanding
of the principles for the correct coding
initiative will result in cleaner claims and
faster payment:
Read the Continuing Medical Education Article on pages 10-12
NCCI
What It Is
and Why It Matters
then complete the Self-Assessment Test
on page 14 for CME credit.
• The service represents the
standard of care in accomplishing
the overall procedure.
• The service is necessary to
successfully accomplish the
comprehensive procedure.
Failure to perform the service
may compromise the success of
the procedure.
• The service does not represent a
separately identifiable procedure
unrelated to the comprehensive
procedure planned.
12
References
How to Use the National Correct Coding Initiative (NCCI) Tools,
Center for Medicare and Medicaid Services, ICN 901345,
https://www.cms.gov/MLNProducts/downloads/How-To-Use-NCCI-Tools.pdf
2011 Spring Workshop Tour, Part B Workbook, Palmetto GBA, February 2011
J1 Medicare Advisory, June 2011, Palmetto GBA
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2011
HIPAA 5010?
Are You Ready for
TRICARE Management Activity, TriWest
Healthcare Alliance (TriWest) and Wisconsin
Physicians Service Insurance Corp. (WPS)
are taking action to comply with the Health
Insurance Portability and Accountability Act
of 1996 (HIPAA) version 5010 transaction
standards. HIPAA requires all covered entities in the health care industry to implement
and use mandated standards in the electronic transmission of health care transactions,
including claims, remittance, eligibility,
claims status requests, their related responses, and privacy and security standards.
As you prepare for the implementation of
HIPAA 5010, an important step to take will
be to contact your vendor, clearinghouse,
billing service or payer if they supply your
software. They will provide detailed information on what steps your office or facility
needs to take toward a smooth transition.
TriWest Provider Services
Here are some readiness questions that you should ask:
•
Will HIPAA 5010 and ICD-10 software upgrades or
changes be provided in one or multiple releases?
•
What will be the cost of upgrades or changes to my practice?
•
When will upgrades or changes be available for testing?
•
When can I begin testing each transaction (ex. 837
Claims, 835 Remittance Advice)?
•
Will I be required to test with each trading partner or payer?
•
What are the steps and timeframe for completing a testing cycle?
•
Can 4010 and 5010 transactions be processed concurrently?
•
How will I know my implementation has been
successfully completed?
•
What is your contingency plan if your systems are not
compliant on January 1, 2012?
For more information, WPS has prepared a 5010 Readiness Schedule at
http://www.wpsic.com/edi/5010-Readiness-Schedule.shtml and a 5010
Companion Guide at http://www.wpsic.com/edi/pdf/5010-TRICARECompanion.pdf. You can also refer to TriWest's EDI/ERA/EFT web page at
TriWest.com/provider.
“TRICARE” is a registered trademark of the TRICARE Management Activity. All rights reserved.
TriWest Healthcare Alliance provides access to quality health care for 2.9 million
members of America’s military family in the 21-state TRICARE West Region.
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2011
13
CONTINUING EDUCATION
NCCI - What It Is and Why It Matters – Self-Assessment Test
SELF-ASSESSMENT TEST
AVAILABLE FOR DOWNLOAD
SEPARATELY.
14
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2011
CONTINUING EDUCATION
CONTINUING EDUCATION CREDIT ARTICLES
Please indicate the articles you wish to order. One credit articles are $5 each or five articles for $20. Three credit articles are $15 each.
BASIC CATEGORY
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B-22
B-23
Patient Confidentiality-Everybody’s Job
Patient Rights-Keep them in Focus
Conflict Resolution-A Win/Win Approach
Tuberculosis Awareness
Charting
Americans with Disabilities Act/ADA
Age-Specific Care
Service Excellence-A Time to Care
Customer Service-Difficult Customer Alert
Customer Service-The Royal Treatment
Hand Hygiene
Healthcare Service Excellence Glaucoma
Legal Peril-8 Management Pitfalls to Avoid
Dealing with Stress
Hepatitis C: Facts not Fear
Domestic Abuse: Recognizing & Reporting
Alzheimers Disease
Asthma
Cataracts: Recent Innovations
Chickenpox & Shingles
Constipation
Depression
Diabetes
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B-24
B-25
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B-27
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B-37
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Digestive Health-Inside Tract
Elder Abuse
Fibromyalgia-What is it?
Fire Emergency
Glaucoma – Early Detection
Hepatitis A
Lead Poisoning
Lyme Disease
Meningitis
Menopause & Osteoporosis
Middle Ear Infections
Making A Difference for Our Patients
Anatomy of a Migraine
MRI – What’s New
Chronic Pain Control
Preventing Heart Disease
Psoriasis
Raynaud’s Phenomenon
Risk Management for Medical Office Staff
Sexually Transmitted Diseases
Stress & Nutrition
The Good Samaritan Law
The Immune System
■
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B-47
B-48
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B-53
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B-57
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B-59
B-60
B-61
B-62
B-63
B-64
B-65
B-66
B-67
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Good Communication
The Respiratory System
The Skeletal System
Tuberculosis-Great White Plague
The Urinary System
Vision - A Special Sense
AIDS - Why Mosquitos Cannot Transmit
Winter Blues – Seasonal Affective Disorder
The Endocrine System
Managing Healthcare Stress
Sexual Harassment: New Perspectives
Ending Sexual Harassment
Recognizing Harassment
Mold Awareness
Biological Threats-Identify & Respond
Diversity - Food for Thought
Drug Free Workplace
Emergency Action Plan
Fire Extinguishers
Protecting Your Back
Obstetrics
SARS
The Following may be used in either Administrative or Basic Categories:
■ AB-01 HIPAA-Privacy Compliance
■ AB-02 HIPAA-Security Compliance
■ AB-03 HIPAA-Compliance Scenarios
ADMINISTRATIVE CATEGORY
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A-02
A-03
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A-05
Office Ergonomics-It’s Your Move
Diagnosis Coding (3 credits) $15
Patient Confidentiality/Privacy High Tech
Telephone Courtesy/Royal Connection
Medigap Insurance
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A-06
A-07
A-08
A-09
A-10
Check Your Knowledge of Checking
Correct Spelling
Diagnosis Coding #2 (3 credits) $15
Medical Records-Legal Documents
Patient Access to Medical Records
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A-14
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C-08
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Needlestick Prevention
Clinical Pharmacology
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Drug Administration: Factors
Drug Classifications (3 credits) $15
Evoked Potential Testing
First Aid
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C-16
C-17
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Medical Office Management-Personnel Policies
Legal & Effective Interviewing
Legal & Effective Performance Appraisals
Writing Business Letters
CLINICAL CATEGORY
■
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C-01
C-02
C-03
C-04
C-05
C-06
C-07
Bloodborne Pathogens
Drug Resistant Organisms
Latex Allergy: Stop the Reaction
Handwashing-It’s in Your Hands
Infection Control- Chain Reaction
Infection Control-Orientation
PPE-For Your Protection
Flawless Phlebotomy
Fecal Occult Blood Testing
Universal Precautions
Understanding Urinalysis
Material Safety Data Sheets/MSDS
HIV/AIDS
Mail this order form to: California Certifying Board for Medical Assistants, P.O. Box 462, Placerville, CA 95667-0462
Name _________________________________________________________________________ Credential ___________________________________
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My check (payable to CCBMA) for $____________is attached. Visa and MasterCard are now accepted. Call (866) 622-2262 with credit
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CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2011
15
California Medical Assistants Association, Inc.
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PAID
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P.O. BOX 5694 • PETALUMA, CA 94954-5694
★ DATED MATERIALS
2012 Coming Attractions
CMAA ANNUAL MEETING
MARCH 15 -18, 2012
H
●
GT
Modesto, CA 95350
C
M
A
A STR
WER
PO
1700 McHenry Ave Suite 60B
IS
Medical Foundation Education Center
KNOWLED
GE
EN
Memorial Medical Center and Sutter Gould
UNITY IS
In 2012 you will be:
“SOARING TO A HIGHER EDUCATION WITH CMAA”
**Meeting and hotel registration will be in the next edition of the CMAA publication.
16
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2011