AMCA MAAC study plan

Define the core HIPAA Privacy Rule concepts, including covered entities, business associates, and permitted uses and disclosures

Distinguish the Privacy Rule, Security Rule, Breach Notification Rule, and Transactions Rule from one another

List the patient rights HIPAA grants and identify the administrative requirements for handling each

Identify common compliance violations and the safeguards that prevent them

Apply HIPAA minimum-necessary and authorization rules to realistic front-desk scenarios

Describe the release-of-information workflow and when a signed authorization is required

Identify major insurance plan types (HMO, PPO, POS, EPO, HDHP) and their referral and network rules

Explain how coordination of benefits and primary/secondary payer determination work

Compare Medicare Parts A, B, C, and D and Medicaid in terms of eligibility and coverage

Trace the life cycle of a claim from eligibility verification through remittance advice

Define copay, coinsurance, deductible, allowed amount, and out-of-pocket maximum and calculate each

Identify common claim rejection and denial reasons and the appropriate corrective action

Distinguish ICD-10-CM, CPT, and HCPCS Level II and state the purpose of each code set

Apply modifiers correctly in at least five coding scenarios

Explain the difference between coding for diagnosis versus coding for procedure

Identify fraud-and-abuse red flags such as upcoding, unbundling, and billing for undocumented services

Describe scheduling methods including wave, modified wave, streaming, and open-access scheduling

Handle scheduling scenarios such as no-shows, cancellations, overbooking, and provider template changes

Explain medical record ownership, retention requirements, and legal release procedures

Apply documentation standards including timeliness, authentication, and correction of errors

Break down the major body systems and their primary organs and functions

Define and correctly use at least 60 common medical prefixes, suffixes, and root words

Interpret common abbreviations and symbols found in medical records and orders

Match directional and anatomical terms to their plain-language meanings

Sequence the steps of CPR and basic life support for adults, children, and infants

Identify signs of choking, stroke, shock, and anaphylaxis and the immediate response for each

Describe infection control practices including hand hygiene and standard precautions

Outline other administrative duties such as supply inventory, staff scheduling, and patient communication protocols

Review missed items from all prior weeks and re-test weak areas

Complete two full-length timed practice exams under test conditions

Analyze practice-exam results by domain and prioritize the two weakest domains for final review

Rehearse compliance, insurance, and coding facts using spaced-repetition flashcards