Certifications

CERTIFICATIONS:

CCA – (Certified Coding Associate): the is a starting point certification for individuals entering a career as a coder

Exhibit a level of commitment, competency, and professional capability that employers are looking for

Demonstrate a commitment to the coding profession

Distinguish themselves from non-credentialed coders and those holding credentials from organizations less demanding of the higher level of expertise required to earn AHIMA certification

Requirements:

Completion of a medical billing and or coding certification program or equivalent

Experience in the medical administration field (6ms-1yr)

CAP-(CLAIMS ASSISTANCE PROFESSIONAL): this is a membership certification and requires no experience but allows members to prep and prepare for other certifications.

REQUIREMENTS:

Three letters of recommendation
Experience or history in the medical field
Doctor’s, consultant, or home-based business

CHRS-(certified healthcare reimbursement specialist): questions designed to test your knowledge about the various facets of the medical billing profession. It includes questions pertaining to Medicare rules and regulations, coding issues, medical terminology and an array of general healthcare reimbursement issues.

Requirements:

1yr experience in the field or completion of qualified course
Score of 85% or higher to pass exam

CMRS-(Certified Medical Reimbursement Specialist): voluntary national credential that was created specifically for the medical billing professional. American Medical Billing Association (AMBA) has been providing this industry certification and designation for nearly a decade.

REQUIREMENTS:

To take the exam and keep the CMRS credential up to date one has to be a member of the AMBA.

In most instances, exam enrollment will be granted the same day the exam is purchased.

One has a 45 day period to complete the exam once enrolled.

One must score 85% or higher overall to pass the exam.

Upon passing the exam, one is awarded the CMRS designation and mailed a certificate suitable for framing.

One is required to earn 15 continuing education units (CEUs) each year to maintain the CMRS certification along with a membership in AMBA. Fifty percent of the annual CEUs must come through the association


MEDICARE CERTS UPON GRADUATION:

In addition to the Laurus medical certification you will have obtained 5 additional certification through Medicare (federal certifications) of the following:

Acute Hospital Inpatient Prospective Payment System (IPPS) (July 2008) [Online] (30 minutes)

Certificate of Medical Necessity (June 2009) [Online] (60 minutes)

CMS Form 1500 (08/05) (July 2008) [Online] (60 minutes) ***

Diagnosis Coding Using the ICD-9-CM (May 2007) [Online] (75 minutes)

Front Office Medicare (Updated January 2008) [Online] (60 minutes)

Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Standards (March 2009) [Online] (60 minutes)

Medicare Fraud and Abuse (April 2007) [Online] (85 minutes) **

Medicare Preventive Services Series: Part 1 Adult Immunizations (September 2007) [Online] (60 minutes)

Medicare Preventive Services Series: Part 2 Women's Health (Oct 2007) [Online] (90 minutes)

Outpatient Code Editor (Updated April 2009) [Online] (60 minutes)

Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing Incentive Program (E-Prescribing) (September 2009) [Online] (60 minutes)

Skilled Nursing Facility Consolidated Billing (October 2008) [Online] (45 minutes)

Uniform Billing (UB)-04 - (July 2008) [Online] (114 minutes)

World of Medicare (September 2007) [Online] (60 minutes)


SOFTWARE KNOWLEDGE:

Medisoft V16 – (Functional Medical Practice Software) this software is used in medical, dental and veterinary medical billing.

Office Hours - (Scheduling software) software use in scheduling hospital rounds, surgery, appointments, conferences, and front offices functions. Also, used in other businesses as a scheduler for areas such as: mortgage, dental, health insurance deadlines, etc.