Certification and the CMA (AAMA) Credential

Can LPNs Take the CMA (AAMA) Exam?

I field many questions from health professionals with a variety of educational and professional backgrounds about the eligibility requirements for the CMA (AAMA) Certification Examination. Many wonder, If I have this knowledge and experience, am I eligible to take the CMA (AAMA) Exam? If you are one such person, consider this question and response:

I am a licensed practical nurse (LPN). Would it be possible for me to take the CMA (AAMA) Certification Examination? Some employers in my area prefer to hire CMAs (AAMA) rather than LPNs.

This is my response:

Only graduates of CAAHEP- or ABHES-accredited medical assisting programs are eligible for the CMA (AAMA) Certification Examination. I suggest that you contact CAAHEP- and ABHES-accredited medical assisting programs in your areas and see whether they would accept some of the courses you took in your LPN program in lieu of similar courses in the medical assisting program.

delegation, Medicare, On the Job, Scope of Practice

Medical Assistants and the Medicare Annual Wellness Visit

There seems to be some confusion about what a medical assistant is permitted to do in connection with a Medicare Annual Wellness Visit (AWV). Let’s start with a description of a Medicare AWV from the May/June 2015 CMA Today article “Prioritizing Prevention: Medicare’s Annual Wellness Visit”:

The yearly wellness visit provides seniors with a general health-risk assessment that includes screenings for depression, cognitive impairment, and other health concerns. At the visit, health care providers review the patient’s medical and family history, docu­ment vital measurements, such as height, weight, and blood pressure, and update lists of current providers and prescriptions. At the conclusion of the visit, the patient is provided with a personal health plan, including a long-term schedule for future screenings and preventive services.

Note the following document from the Centers for Medicare & Medicaid Services (CMS), “The ABCs of the Annual Wellness Visit”:

Medicare Part B covers an AWV if performed by a:

  • Physician (a doctor of medicine or osteopathy)
  • Qualified non-physician practitioner (a physician assistant, nurse practitioner, or certified clinical nurse specialist)
  • Medical professional (including a health educator, registered dietitian, nutrition professional, or other licensed practitioner) or a team of medical professionals who are directly supervised by a physician (doctor of medicine or osteopathy)

It is my legal opinion that federal law permits medical assistants to assist licensed health care providers (e.g., MDs/DOs, nurse practitioners, physician assistants) in the performing of an AWV. However, medical assistants are not permitted to perform any part of the AWV that requires the medical assistant to make independent clinical judgments or to make clinical assessments or evaluations.

Certification and the CMA (AAMA) Credential, Scope of Practice

Can CMAs (AAMA) Be Ophthalmic Technicians, and Vice Versa?

Often the questions I receive from CMAs (AAMA) are as versatile as the health professionals asking them. Although some questions focus on an individual’s specific circumstance, they present a situation all CMAs (AAMA) with certification questions can learn something from. The following question is one such case:

I would like to know if a CMA (AAMA) is permitted to work at the office of an ophthalmologist as an ophthalmic technician and be able to continue to hold and recertify the CMA (AAMA) credential.

The answer to your question is yes. One of the many advantages of the CMA (AAMA) is the variety of professional opportunities that are available. CMAs (AAMA) work in the offices of ophthalmologists in various capacities.

The Certifying Board of the AAMA places no restrictions on the types of positions CMAs (AAMA) must hold in order to be eligible to recertify. You are permitted to work as an ophthalmic technician and recertify your CMA (AAMA) by continuing education or retesting.

delegation, Scope of Practice

The Relationship between Scope and Competence

Medical assistants are under a legal duty to not exceed the legal scope of practice in their state.  Medical assistants are also under a legal duty to perform all tasks competently.  It is important to understand the relationship between these two legal duties.

Even if a medical assistant performs a task competently, and meets or exceeds the standard of care that is required of a medical assistant, the medical assistant could face legal sanctions if the task is beyond the legal scope of practice for medical assistants in the state.

Similarly, if a medical assistant performs a task that is permitted under state law, the medical assistant (and, most likely, the medical assistant’s delegating provider) could be sued for negligence if the task is not performed competently.

Medical assistants must make sure they perform all tasks competently.  They must also make sure that the tasks they perform do not exceed the legal scope of practice in the state (or other American jurisdiction) in which they are working. Of course, the best way to do so is by remaining informed about the laws in your own state. To help health care professionals navigate this issue, the AAMA website has a large collection of documents relating to different states’ scope of practice laws. Any medical assisting scope of practice questions that are not covered by these materials can be emailed to me at dbalasa@aama-ntl.org.

medication aide, medication assistant, medication technician, Uncategorized

Medical Assistants and Medication Aides/Assistants/Technicians: Differences and Clarifications

Although I have written about the difference between medical assistants and medication aides/assistants/technicians in Public Affairs articles in CMA Today, I continue to receive questions about the topic. Here are the basics:

Medical assistants work in outpatient settings under direct provider supervision, and may be delegated clinical and administrative tasks. Medication aides/assistants/technicians work in inpatient settings, usually under registered nurse supervision. A primary task of medication aides is to pass medications as directed by the RN supervisor.

Medication aides do not exist under the laws of some states. The laws of other states refer to these health workers by a designation other than medication aide. In some states an individual must first meet the requirements and register with the state as a certified nursing assistant (CNA) in order to be eligible to receive additional training and become a medication aide.

Medical assistants do not work in a clinical capacity in inpatient settings as medical assistants per se. Medical assistants must meet the requirements and register with the state as a CNA and/or a medication aide in order to work in a clinical capacity in inpatient settings.

Some state laws refer to medication aides as “certified medication aides.” The initialism associated with this phrase can cause confusion between medical assistants and medication aides. To help minimize such confusion, the National Council of State Boards of Nursing refers to medication aides as “MA-Cs” and encourages states to use this initialism. This change was made at the request of the American Association of Medical Assistants.