Author Archives: Donald A. Balasa

About Donald A. Balasa

Donald A. Balasa, JD, MBA, chief executive officer and legal counsel for the American Association of Medical Assistants, keeps his eye on what is happening in the profession.

Massachusetts Law Outlines Delegation of Immunizations

In 2016 the Massachusetts legislature passed legislation that permits primary care providers to delegate the administration of immunizations to a medical assistant who is the following: …is a graduate of a post-secondary medical assisting education program accredited by the Committee … Continue reading

Posted in delegation, medication administration, On the Job, Scope of Practice | Tagged , , , , , | 2 Comments

Congressional Action on the ACA

As our government transitions to a new administration, the following question has become increasingly common: Would amendments to or repeal of the Affordable Care Act (ACA) affect medical assistants’ scope of practice? The answer? Almost certainly not.  The scope of … Continue reading

Posted in Affordable Care Act (ACA), EHR Incentive Programs, Meaningful Use, Medicaid, Medicare, Scope of Practice | Tagged , , , , , | Leave a comment

Medication Reconciliation and Scope of Practice

Recently I have been receiving a number of questions about whether the process of medication reconciliation falls within medical assistants’ scope of practice. This is an important issue worthy of discussion. The following is my position on the issue: The … Continue reading

Posted in medication reconciliation, On the Job, Scope of Practice | Tagged , , , | 4 Comments

MACRA and Order Entry Requirements

The Medicare Access and CHIP (Children’s Health Insurance Program) Reauthorization Act of 2015 (MACRA) mandated that the Medicare Electronic Health Record (EHR) Incentive Program come to an end on December 31, 2016. One of the new payment mechanisms for Medicare … Continue reading

Posted in Centers for Medicare & Medicaid Services, Computerized Provider Order Entry (CPOE), EHR Incentive Programs, On the Job | Tagged , , , , , , , | 9 Comments

Physician Delegation: Standing Orders

Under the laws of most states, physicians are permitted to delegate by means of standing orders to knowledgeable and competent medical assistants as long as the following conditions are met: The standing order is understood by the medical assistant The … Continue reading

Posted in delegation, On the Job, Scope of Practice, Uncategorized | Tagged , | 7 Comments