– 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.
Exam
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
Compliance
Basics of Health Insurance
Reasons why an insurance company may decide to perform an external audit
Procedural Coding
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
Medicare
Medicaid and other State Programs
Workers’ Compensation
Disability Income Insurance and Disability Benefit Programs
Lisa has been involved in the medical billing, management and consulting field since 1982. In 2006, she founded Gold Star Medical Business Services, an award winning company that provides remote billing services for physicians in small to medium sized individual and group practices. Prior to starting Gold Star Medical, she worked for one of the largest Practice Management consulting firms in the country.
Lisa has consulted with hundreds of doctors as a practice management coach, and has spoken at hundreds of seminars throughout the United States, both as a teacher and motivational speaker. She is PMI's Director of Business Development for the West Central Texas region, and an adjunct instructor with the Angelo State University Small Business Development Center, and teaches a variety of business classes to new and prospective business owners.
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.
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