Monday, May 23, 2005

Medical Assistant Scope of Practice

The Scope of Medical Assistant and non-licesed Medical Office Staff:

Although legal requirements addressing the Medical Assistant scope of practice vary by state, the Medical Assistant generally works under the license of their supervising physician or the managed care organization that employs them. To learn more about medical assisting scope of practice, contact Donald A. Balasa, Executive Director and Legal Counsel of the American Association of Medical Assistants, by e-mail at dbalasa@aama-ntl.org.

Below are some of the duties that a typical medical assistant may perform (it is important to check with local and state medical boards to determine what duties a medical assistant can legally perform. It is also important to remember that a medical assistant is not a physician, nurse, physican assistant or other licensed healh care provider, they must therefore always be supervised by the appropriate licensed health care provider, after all it is the medical practioner whos license is most at risk.) Always consult with a lawyer prior to letting your medical assistant do any new duties:

Typical Medical Assistant Duties:

Administrative

Work in reception

Answer telephone

Schedule appointments

Process medical billing

Keep financial records

File medical charts

Telephone prescriptions to
a pharmacy

Transcribe dictation

Send letters

Triage patients over the telephone using a protocol to determine the acuity of the visit and the visit-length for scheduling purposes.

CLINICAL (MAY VARY GREATLY- CHECK WITH A LAWYER):


Escort patient to exam room

Carry out patient history interviews

Take and record vital signs

Prepare patient for examination

Provide patient information/instructions

Assist with medical examinations/surgical procedures

Set up/clean patient rooms

Maintain inventory

Restock supplies in patient rooms

Perform venipuncture

Administer immunizations

Collect and prepare laboratory specimens

Remove sutures

Change dressings

Notify patients of laboratory results

Schedule patient appointments

Translate during medical interviews with non-English-speaking patients

Give prevention reminders

Instruct patients about medications or special diets

Perform basic laboratory tests

Prepare/administer oral/intramuscular medications as directed

Perform ECGs

Advanced duties

Place, initiate IV and administer IV medications with appropriate training and as permitted by state law

Develop educational materials

Help patients draft a durable power of attorney

Educate patients about procedures

Negotiate managed care contracts

Manage accounts payable

Process payroll

Document and maintain accounting and banking records

Develop and maintain fees schedules

Manage renewals of business and professional insurance policies

Manage personnel benefits and maintain records

Perform marketing, financial and strategic planning

Develop and maintain personnel, policy and procedure materials

Perform personnel management functions

Negotiate leases and prices for equipment and supply contracts