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How Phlebotomists Determine Blood Type

As students work their way through to becoming a Medical Assistant, they will study a number of different aspects to the trade–EKG technology, patient care technology and billing and coding can all be crucially important aspects of the curriculum. However, many will leave our courses, and move onto an internship or career where drawing blood is part of standard patient care. Phlebotomy and blood work are a vital fundamental in the medical field. However, as different blood types pulse through the veins of different patients, we wanted to examine how blood type is determined.


What’s blood made of?

Blood is made of four parts: Red blood cells, white blood cells, platelets, and plasma. Blood types are determined by referring to different combinations of certain molecules or antigens that are on the surface of the red blood cells. The antigens cause the blood to behave differently, including clotting or interacting with different compounds in a unique way.

There are eight different blood types, A positive or negative, AB positive or negative, B positive or negative, and O positive or negative. Each of these represents a different combination of antigens on the surface of the red blood cells, and antibodies in the blood plasma. Since your blood type stays the same throughout your life, you usually need to test for your type just once; but for those that want to know how blood type is determined, we wanted to walk you through the test itself.

How Do they Determine Blood Types?

In order to determine blood type, medical assistants or phlebotomists need to find out which antigens are on the surface of each red blood cell and which antibodies exist within the plasma. To do so, phlebotomists will need to prepare tubes with reagents with the A, B, and Rh antibodies. Then, a sample of the blood goes into each tube where reactions are monitored and tested to determine blood type.

Phlebotomists then measure how the blood has reacted to each specific mixture of regents. Typically, these bloodwork professionals need to look for agglutination–instances where the blood may clot or coagulate when coming into contact with a particular reagent. If the blood clots, it indicates that the blood has reacted with a certain antibody within the plasma, and is therefore not compatible with blood containing that particular antibody.

Based on this study at, we can then use the Rh test tube and A/B test tubes to decode each blood type.

“No agglutination in test tube A, indicates that the patient’s red blood cells do not have A antigens.

Agglutination in the tube containing B antibodies indicates that the patients’ red blood cells have got B antigens, thus belongs to blood group B.”

Rh antigents are tested the same way, allowing phlebotomists to append the corresponding positive or negative to each blood type.

Phlebotomists are required to pay close attention to blood type. Blood type is a crucially important consideration for a host of different medical procedures, including transfusions, blood donations, and much more. To learn more about how you can start your new career as a Medical Assistant specializing in phlebotomy, contact us today.

A Year On: Obamacare and Its Effect on Medical Office Specialists and Medical Billing & Coding Staff in New Jersey

We look at how the Affordable Care Act has impacted a few different practices around the state and what this means for the medical industry as a whole. 

With the health care policies being bandied about Capitol Hill, it can be a little overwhelming to try to get a sense of how new legislation on health is affecting the medical field as a whole. While decision-makers, diplomats, and policy writers debate on the merits of a more affordable insurance system or a more robust pathway to health care for most Americans, it can get a little challenging to pick apart what this means for the career landscape as a whole. Let’s take a look at how the Affordable Care Act and other health legislation is impacting the immediate medical office environment in New Jersey.

ACI Blog 2.2.2015


Newly Insured Patients Lead the Road to the Doctor’s Office

While Obama’s Affordable Care Act has certainly influenced the shape of the healthcare industry over the past year, it primarily assisted in ensuring that there were paths to acquire insurance for people who had lived without medical attention for so long. In an article on, many medical offices report that the newly insured, or those who have lived without insurance for a long time, led the list of patients that were treated under policies that had arisen from changes in legislation. The reaction from the medical profession was one of delight, mitigated ever so slightly by how increasing demand is going to be met.

“The good news is that people do have insurance, so they are coming to see the doctor. I am seeing people who have not been to the doctor in a long time,” says Saradarian. “A lot of people don’t seem to understand that you (could come to a doctor without insurance).”

While other practices also saw increases, in some cases, they were not nearly as pronounced. In the same piece, the author speaks to another medical office who did see an uptick in the amount of patients seeking care, but a minimal one at best. However, they were planning on increased activity over the coming years, and were continuing to hire doctors and staff to accommodate.

For those working in the medical office, a big emphasis for these new patients will be a conversation surrounding expectations, and helping to mediate the process and procedure of dealing with an insurance agent, and what that means for health care costs. It seems likely that with more insured people seeking medical care for the first time in years, the amount of doctors to treat those patients will need to increase, but so too, will the support staff.

Inside and Outside Dental Radiology

For those outside of the medical and dental fields, it can be surprising at just how much technology goes into our health and hygiene, and how desperately we have come to rely on this technology. While many think of dental radiology as a technological achievement that merely dictates whether or not you might have a cavity or broken tooth, dental radiology also helps dentists to scan the overall bone density of the teeth themselves and spot problems that may not be visible to the naked eye.

In some instances, it’s this very procedure that has been able to identify the depletion of bone density near the center of the tooth, something wholly invisible to the naked eye or those using the explorer. In fact, this technology has become so important and intrinsic to the way in which dental examinations occur, that the International Atomic Energy Association (IAEA) suggests that dental X-Rays account for about 21% of all X-Rays, becoming the most widespread use of radiologic exams. Today, we wanted to look at two very different sides to dental radiology by focusing on different locations for different types of common dental X-Rays.

Intraoral Dental Radiology

Intraoral dental radiology refers to dental X-Rays that occur within the mouth. Intraoral dental radiology is broken up into a few different categories:

  • Bitewing
  • Intraoral Apical Radiography
  • Intraoral Occlusal View
  • The Full Mouth Series

Intraoral dental radiology is created by putting the film or sensor within the mouth before taking the radiograph. The patient is protected by a lead apron or something similar in order to protect from the radiation, which is around 0.15 mSv, about the same as one would receive in a cross-country airplane flight. However, this radiation is concentrated to a small area and a very quick dose. Let’s look at how this radiation and the corresponding intraoral X-Rays are used to diagnose problems with teeth.

The Bitewing View

The Intraoral bitewing view is among the most common dental X-Ray procedures that occur nationwide. This view is used to evaluate the interproximal decay and bone loss of the posterior teeth. Bitewing X-Rays are often preferred by dentists, because they can accurately depict the bone levels more than other views of the mouth.

The Periapical View

The periapical view is a dental radiograph that is taken of both anterior and posterior teeth. Many suggest that this particular view is used to help the dentist get further information on the root of the tooth and its overall health, and allows doctors and dentists to view the teeth alongside the surrounding bone all in one exposure.

The Intraoral Occlusal View

This specialty X-Ray usually looks for certain anatomical abnormalities, and is taken from the bottom of the jaw under the chin, or angled down from the nose. This view is a unique view that looks at the floor of the mouth as well as the palate, and uses up to four times the size of the film that the other intraoral views typically use. The occlusal view is not included in the Full Mouth Series, and instead represents a unique X-Ray that serves a very specific purpose for dentists.

The Full Mouth Series

The full mouth series is exactly what it sounds like. This is a complete set of intraoral dental radiographs that help the doctor give insight on all of the patients’ teeth as well as any tissue nearby the bone and the root. This series is a series of up to eightteen different images, all taken the same day, that include both bitewings and periapicals.

Extraoral Radiographs


Panoramic radiography is taken with the film and exposure right in front of the mouth, and looks at the whole mouth and all teeth all at once. This was introduced in order to quickly get a view and understanding of a patient’s oral health, but was put into practice by the US Army and used to expedite the soldier’s recruiting process.

Unsurprisingly, when looking panoramic views, dentists can often see a quick assessment of the client’s oral health, but don’t offer a granular perception of bone loss or tooth decay on an individual level.

While we may only associate dental radiology with traditional intraoral bitewings, each of these views have a bespoke purpose, and help to further illuminate how technology and X-Rays continue to help enhance our oral health. For more about dental radiology, or to get started with your dental radiology certification, contact us today.


A Guide to New Jersey Career Schools

Are you interested in a career in one of the most exciting industries today? Many of the top career schools in New Jersey offer degrees in a wide range of prosperous fields, including science, technology and healthcare. Among those schools is Advanced Career Institute (ACI). As you begin the next chapter of your life at ACI, one of the very best New Jersey tech schools, or at another institution, it’s important to take into consideration a number of factors.

Will a career school education offer flexible scheduling that fits with my lifestyle?

Think about how you’d like to incorporate your education into your life. Some programs feature class schedules that meet up to five times a week for a more concentrated approach to learning, while others meet more sporadically that give students more flexibility and range to complete their education. Spend some time researching your chosen career school programs to find the right one for you.

How does one career school compare to another?

Many career schools in Monmouth county, including ACI, offer a range of programs in several particular fields of study. You can start by narrowing down your options and choosing the profession that best suits you. With so many options available, it’s important that students take the time to consider what kind of a career will provide them with enjoyable and rewarding work and a reliable form of income.

Can I afford to go to career school? 

While many New Jersey career schools offer classes with good rates, ACI prides itself on its low tuition costs. Research the costs for every school you hope to attend and learn about any financial aid programs or financial assistance programs that might be available at your chosen career school to see if you qualify. Most New Jersey tech schools offer private or federal loans to help students get the education they deserve. Take the time to compare the pros and cons of each career school so you can find the right program at the right price with the right outcomes.

Is career school the right choice for me?

Many potential students wonder if going to career school will provide them with the kind of training that they truly need. If you’re looking for great work experience, hands-on training and the professional skill to jump-start your career, then stop wondering. Whether it is medical assistant programs in NJ, a dental assistant program in NJ, or medical billing and coding program in NJ that you’re looking for, ACI offers students great programs with excellent opportunities to take their careers to the next level. A certification from ACI or another career school significantly increases a student’s ability to find a job in their chosen industry by building valuable skills and making connections. Discover your full potential with a certification from ACI and see how far you can go!

Should I Choose a Technical School or a State School?

ACI Tech School

Many people automatically think they will attend a four-year college after graduating high school. However, there are also many who not only consider going to a technical school instead, but happily choose to do so for anything from dental assistant with radiology to medical assistant programs or medical billing and coding. There are several reasons why you should consider a technical or trade school instead of the typical four-year college, and there are many benefits to enjoy for doing so.

  1. Cost: One of the biggest benefits to attending a technical school is the cost. A college degree from a typical four-year college costs an average of $127,000. The average technical school degree costs a fraction of that at $33,000. That’s a difference of $94,000! At Advantage Career Institute Medical and Dental School all costs are under $6,000 including all testing fees, books and supplies.
  2. Length of Study: A bachelor’s degree takes four years of study, which means people who enter a four-year college right out of high school won’t enter the workforce until they are 22 years old. With a technical or trade school, they would enter the workforce two years earlier. This not only means an additional two years of income, but it also means two more years without incurring tuition expenses. Advantage Career Institute Medical and Dental School can accomplish the credentials in 4 to 6 months.
  3. Dominate a Specialized Industry: Most of the jobs that people take after successfully completing a technical school program are very difficult to export to other countries. It would be difficult for a dental or physician’s office to outsource an assistant’s job to someone overseas, for example. When a person trains in dental assistant with radiology, medical assistant program or medical office specialist at a technical school, for example, chances are good they will always be able to find a job locally as a medical assistant. On the contrary, it is quite easy to export computer programming jobs, for example, to other countries.
  4. Compelling, Focused Career Paths: Technical schools offer very compelling career paths – instead of much time sitting in a lecture hall taking notes on how to do a procedure, tech school students are actually performing those procedures. There is study time involved with both paths, but with a tech school, you’ll focus on phlebotomy training and only phlebotomy training, if that is what you choose, instead of filling up your time and spending loan money on “elective courses” that won’t complement your occupation. 

There are many other reasons why attending a technical school instead of a state school or community college is a good idea. For more information on programs available at, contact us today!

New Jersey Tech Schools

Medical technicians are not only vital components to the industry, but they provide invaluable, sometimes life-saving services. Simply, their contributions have ensured the success of countless hospitals. We have made a name for ourselves as one of the best tech schools in New Jersey, and we take pride in the accomplishments of our graduates. 

What is the role of a technician?

Medical technicians (sometimes referred to as technologists) study, observe and analyze results of medical tests relating to blood and body fluids. They also operate complex medical equipment to gather information regarding a patient’s health. For example, a tech would be able to read the results of an electrocardiogram (EKG), which studies the electrical activity of the heart. These tests are important for determining the source problems—palpitations, angina, arrhythmias—that can potentially lead to cardiac arrest or heart attack.

The basics

It’s important to know the basics of any field you are entering, which is why new students in our New Jersey tech schools begin by learning the fundamentals of medicine. Overviews of the different body systems, chemistry, and the principals of human anatomy are just some of the important bases students are expected to cover. Even those who are looking for administrative jobs should have the basic skills needed to distinguish normal vs. abnormal vital signs, assist with physical exams, and understand electronic medical records.

Phlebotomy programs 

Our New Jersey tech schools provide extensive training in the area of phlebotomy, which refers to knowledge of the process for obtaining blood specimens. Obtaining blood samples is perhaps the most effective skill for diagnosing and monitoring a person’s general health. We use information provided from blood samples to develop vaccines, monitor blood sugar and cholesterol, among other applications. Technicians skilled in this field contribute to well-being of healthy and happy bodies.

Students who successfully complete this program will have the ability to perform the basic tenants of venipuncture, the process of intravenous insertion of a needle for the purpose of obtaining blood. Our students are able to perform this procedure with the patient’s physical and emotional well-being in mind, thereby ensuring quality assurance in the outcome of tests.

The Real Reason Why You Need to Enroll in NJ Tech Schools

There are many fields in which you can excel, make a good living and enjoy rewarding work on a daily basis. By attending a tech school in NJ, you’ll be able to enhance your skills and prepare for a career in a growing industry, whether it be as a medical coding specialist, a dental hygienist, a medical assistant or a dental assistant with dental radiology. However, there is one key factor that really makes a great case as to why you should go into a field in the healthcare industry and specifically, for medical billing and coding in NJ.

The Big Reason to Attend NJ Tech Schools for Medical Billing and Coding

Technology has come a long way in the last century, the last decade and even just in the last year. More health care facilities are using electronic records and billing systems with each passing day, and this includes hospitals, long-term care facilities, dental practices, doctors’ offices, and more. What does this mean for you? The demand for qualified medical billing and coding specialists and professionals is not only at an all-time high, but is also increasing rapidly. This is creating new and exciting opportunities for those professionals who have the right skills and training from NJ tech schools!

In fact, the U.S. Bureau of Labor Statistics is predicting a 20% employment growth rate for medical records and health information technicians between 2008 and 2018 – this includes medical coders and billing professionals. If you’ve been on the fence about whether or not to enroll in a tech school in NJ, now is the time! Your credentials will augment your skills and get you ready for an exciting and rewarding career in a huge variety of professional settings.

What are Some of the Skills Learned with Medical Coding in NJ Programs?

Some of the skills you can acquire and excel at with an education from NJ tech schools include processing healthcare claims and medical records, using medical billing and coding software, demonstrating diagnosis and coding methods, procedures and protocol, developing communication and time management skills, accurately code medical and surgical procedures using proper terminology, and understanding the fundamentals of coding accuracy. The possibilities are expansive and continue to expand along with advances in technology.

Now is the time to enroll in our NJ tech school for medical billing and coding! With an industry expanding at the rate of technological advancement, you can be a part of the new and exciting opportunities that tech schools in NJ offer!

For more information on ACI and all that we have to offer byway of the very finest education in the field available, contact us today!

The Top Three Benefits of a Career in Dental Assisting with Radiology

blog-the-top-three-benefits-1If you’re considering going into the dentistry field as a career, whether it be as a dental hygienist or a dental assistant, you’ll be glad to know that there are several benefits that come with working in this rewarding career. If you’ve already begun the process of investigating requirements for attending dental career schools in NJ, you want to make sure that you don’t forget to research the perks of this field, too. Following are some of the best benefits professionals in the dentistry field have chosen of working in this industry:

  1. You’ll enjoy different activities every day, meet new people and have new experiences. This guarantees that you won’t get stuck in the “every day is like the last” doldrums of a job that is exactly the same, every day. The chances of becoming burned out and bored are greatly reduced. A career in dentistry is going to allow you to see a wide range of patients with unique problems and goals that you are going to be able to help resolve. In addition, you will be able to meet very different people from all walks of life, all kinds of interesting backgrounds, and many unique stories they will have to share. Part of your job as a dental assistant or hygienist is going to involve relating to your co-workers and your patients in ways that make them feel confident and comfortable.
  2. blog-the-top-three-benefits-2You can specialize your field of work according to what your interests are. The field of dentistry opens doors to many different career avenues, which means you can tailor your interests to match your career; this is very important in being successful as well as happy with your work. You might start out with an interest in focusing on cosmetic procedures to help your patients really look and feel their best. Perhaps you instead want to concentrate on oral pathology, helping those who need it with managing major diseases of the head, neck, face and jaw.

    In addition, it also means that at some point in time down the road, if you decide you might enjoy a different aspect of dentistry more than the one you’re currently practicing, you’ll be able to easily switch gears and enjoy experience in the field even when you take on other endeavors, specialties and interests within the field of dentistry.

  1. Not only will you be in a position to educate the public on the importance of good oral health and proper treatments and solutions to their oral issues, you’ll also have a high degree of freedom and flexibility. You can spread information and advice about maintaining good oral health not just as you work in the office, but also as you perhaps visit schools to speak to children about their teeth and gums or when you visit the elderly to confirm the importance of oral care for the elderly. There is a wide range of opportunities available in all kinds of settings and locations, from hospitals to private offices and more.

With so many opportunities to fine tune and customize your own career in dentistry as a dental hygienist or dental assistant, the outlook for a positive, rewarding path in this field is one of the biggest reasons why so many people enjoy the work they do with oral health. While your journey begins when you enroll in a dental assisting school in New Jersey, throughout your career you’ll enjoy many avenues to explore, so enjoy!

Technical schools in New Jersey provide career options

New Jersey tech schools got a boost from lawmakers last month as legislators passed a handful of bills aimed at establishing partnerships between county vocational schools, local schools and community colleges, at creating partnerships between high schools and community colleges and exempting some classes in off-site industrial areas from certain regulations, according to a recent report on

Career schools in New Jersey, like ACI, offer a wide variety of career education programs. From medical or dental assisting to dental radiology and phlebotomy programs, students in NJ technical schools get hands-on training and classroom instruction that will help them to be ready for careers in the medical field.

In a career readiness program from ACI, students can get to work in their chosen field in as little as six weeks or as many as 29 weeks, depending on the program chosen and the format that a student chooses. From daytime classes that meet five days per week or daytime classes with an internship to nighttime classes that meet twice each week or nighttime classes with internship, students can often find a program to suit their schedule and to get them working in their chosen health field. Students in the medical assistant programs at NJ tech schools even learn to properly give injections or obtain blood samples as phlebotomy technicians.

The programs offered by ACI include education in how to use state of the art equipment with patients, in programs like the patient care technician program or to manage a medical office and bill insurance companies accurately in the Medical Office Specialist with Electronic Health Records and Medical Billing and coding program.

Contact ACI today to learn about all of the options available at this New Jersey technical school, to request specific information or to enroll.

What to Expect of Schools for Medical Billing and Coding in NJ

It can be tough to evaluate your education options. A career in the medical billing and coding field gives you good job prospects with lots of opportunities. The ever-expanding health care field also includes an ever-expanding list of treatments, procedures, and medications that must be properly tracked so that patients get the right care they need.

Fortunately, there are a lot of programs that can help you get your foot in the door. Here’s a quick look at what you can expect from medical billing and coding schools in NJ.

Classes in Billing and Coding

Any school in New Jersey offering classes inmedical billing and coding is going to teach you up-to-date procedures for handling both paper and electronic documents. They’ll teach you the procedures for verifying the treatment that the patients received and help you find the proper codes that apply to each particular item of medication or procedure that the patient received. It’s up to you to keep medical records consistent and updated so that payments can be processed and medical care received by the people who need it. Medical coding and medical billing aren’t the same thing, either; for billing, you need to learn how a variety of different insurance plans work and how you can bill them properly.

Classes in Work Place Management

A good program goes well beyond the basic and fundamentals. You can expect schools for medical billing and coding in NJ to also offer office management courses that help you interact with coworkers, from nurses and doctors to accountants and office managers. You’ll have to work closely with a variety of employees across multiple departments to insure that no files are lost and patient records and billing history is kept up to date.

A Job in a Growth Industry

Jobs in the medical field are always in demand, and the administrative side of medical billing and coding is no exception. With a projected 21 percent growth rate in the next decade according to Medical Careers Reviews, you can expect that a school will put you in touch with doctor’s offices, hospitals, physical therapy centers, and more who employ Medical Coding and Billing staff to make their payment collections process as easy as possible for their patients.

While the economy is still slowing rebounding, the medical field has weathered the storm. But you don’t have to endure the type of expenses and lengthy education process that some medical professions go through. With medical coding and billing, not only will you find a stable job, but you’ll learn a skill that’s always in demand.

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