In the effort to protect patients in Montana from substandard medical assisting services, the Montana Society of Medical Assistants (MSMA) and the American Association of Medical Assistants (AAMA) wrote to the Montana Board of Medical Examiners on the proposed New Rule I “Medical Assistant—Delegation and Supervision.” Read the comments as well as an excerpt from the proposed new rules in the latest Public Affairs article. Access “Comments to the Montana Board of Medical Examiners” in the September/October 2018 issue of CMA Today on the AAMA website.
I recently received the following question:
I was wondering whether medical assistants in my state are eligible to become overnight camp health officers and whether we are allowed to give intramuscular and subcutaneous injections as needed. No health care provider would be physically present. However, one or more providers (e.g., physicians, nurse practitioners, physician assistants) would be available by phone.
Under the laws of your state, medical assistants are not permitted to serve as camp health officers when no licensed health care provider is present and immediately available. This is because health professionals in a camping setting may be called upon to deal with situations that require the making of immediate clinical assessment and evaluations and the exercise of independent clinical judgments. Medical assistants are not taught the knowledge and skills necessary to function in this capacity.
Medical assistants are permitted to assist licensed health care providers in a camping environment, however.
The role of medical assistants—especially CMAs (AAMA)—in the Medicare Annual Wellness Visit (AWV) continues to be a topic of interest and inquiry for health care professionals. The latest Public Affairs article attempts to clarify what AWV tasks are and are not delegable to medical assistants. Read “The Role of Medical Assistants in the Medicare Annual Wellness Visit” in the July/August 2018 issue of CMA Today on the AAMA website.
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.
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.