– Earning certification validates your advanced knowledge in outpatient claims processing.
– You’ll gain a thorough understanding of the revenue cycle and how to improve it.
– You’ll learn collection strategies, tips, and receive problem-solving guidance.
– Your certification lays the foundation for career advancement.
*Source: AAPC. Job salary will vary on years of experience, location, practice, and # of certifications.
Registered students can access the recordings online for up to one year after the original recording date.
PMI’s Exam Coordinator schedules the exam in a testing center near the candidate’s location. A score of 70% or better is required to earn the CMIS certification. If the candidate does not achieve a passing grade on the first attempt, he/she may re-test for an additional fee.
Roles and Responsibilities
Basics of Health Insurance
Reasons why an insurance company may decide to perform an external audit
The Paper Claim: CMS-1500
Electronic Data Interchange: Transactions and Security
Receiving Payments and Insurance Problem-Solving
Office and Insurance Collection Strategies
Managed Care Plans
Medicaid and other State Programs
Disability Income Insurance and Disability Benefit Programs
Linda is a medical practice management consultant who helps providers and their staff improve business processes such as reimbursement, documentation guidelines, procedural and diagnostic coding, financial management, human resources, medical office management, compliance, OSHA, and HIPAA. She has also served as an Independent Review Organization (IRO) for the Office of the Inspector General and consulted for the Texas Medical and Dental Boards.
Linda has more than 30 years of experience and has managed cardiology, cardiothoracic, vascular surgery, physical therapy, orthopedics, pediatric orthopedics, gynecology and reproductive endocrinology, and large multispecialty group practices. She has maintained broad responsibilities in business and clinical operations, financial management, governance and organizational dynamics, human resource management, marketing, customer service, compliance, information system management, mergers and acquisitions, and risk management.
CMIS candidates with less than a year of coding experience should complete the PMI Basics: Introduction to Medical Coding Self-Paced course prior to enrollment.
Current editions of CPT®, HCPCS, ICD-10-CM, and a medical dictionary are required for use during this course.