Certification of a medical biller through AMBA is a process that recognizes the competency of a member that has met our high standards of proficiency through certification testing.
Certified Medical Reimbursement Specialists (CMRS) are skilled in facilitating the claims paying process from the time a service is rendered by a health care provider until the balance is paid. The CMRS is knowledgeable in ICD9, CPT4 and HCPCS Coding, Medical Terminology, Insurance claims and billing, appeals and denials, fraud and abuse, HIPAA, OIG Compliance, information and web technology, reimbursement, and much more. CMRS Billers play a critical role in a health care provider's daily business operations.
Certification provides knowledge and credibility to the biller and to potential health care providers as well as employers. It demonstrates your commitment and dedication in providing the highest standards possible in Claims Management and Medical Billing. Certification presents solid confirmation of your desire to offer qualified services in an industry that is complex and demands specialized training. Certification provides verification of competency and assurance of continued education. CMRS testing is provided on a national level.
Our idea of an exam meant that it would need to be thorough, complete and most of all -- credible. We wanted it to be reflective and representative of our industry which is why we cover 16 different sections from Medical Terminology to Compliance, requiring nearly 1,000 answers with a 85% accuracy rate in order to pass and earn the CMRS or Certified Medical Reimbursement Specialist designation.
Below is a list of the 16 section tests that comprise the entire exam:
- Medical Terminology
- Anatomy and Physiology
- Information Technology
- Web and Information Technology
- ICD-9-CM Coding
- CPT-4 Coding
- Clearinghouses
- CMS (HCFA) 1500 Form
- Insurance
- Insurance Carriers
- Acronyms
- Compliance
- Fraud and Abuse
- Managed Care
- General
Case Study
The CMRS Exam is taken online through our secure Learning Management System. You'll have 45 days access to complete the exam. Each section can be reviewed before submission. Upon submission, a grade for that section will be provided. Once you have completed the exam, your final score is available immediately. CMRS Certifications are mailed upon completion and arrive in about 2 weeks.
One retest will be allowed, after a 30 day waiting period (but not more than 60 days) absolutely FREE.
Schools and teaching facilities that would like to make our exam available to their students can be easily set up for secure administrative access and control. Contact Us for more information at (580) 622-2624.
Study materials are available through AMBA in eBook format that will assist you in preparing to take the exam. The study materials are priced at $199 and are available through our online store. The Study Guide follows the exam layout listed above.
We have no formal requirements to take the exam, however, you should have either experience in billing or have a good foundation of knowledge on medical billing and a high school diploma or equivalent. It is not recommended for new billers, and it won't be easy, but if you use the recommended study materials and books and you are resourceful, you can pass the exam.
You will need current ICD9, CPT4 and HCPCS Code Books as well as an email account and internet access -- and you must be an AMBA Member to take the certification exam.
Additionally, 5% of the answers on this exam can be found in the book "Understanding Health Insurance" by Jo Ann C. Rowell and Michelle A. Green. You can order this book from our medical bookstore.
You will be required to earn 15 continuing education credits each year to maintain your CMRS Certification.
This certification exam has prior approval by the American Academy of Professional Coders for 22 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
To apply for the CMRS Exam, complete the Application and mail or fax it to our office along with your payment. You may also purchas the exam through our online store.
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