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Certified Medical Reimbursement Specialist (CMRS) is a voluntary national
credential that was created specifically for the
medical billing
Medical billing is a payment practice within the United States healthcare system. The process involves a healthcare provider obtaining insurance information from a patient and filing, following up on and appealing claims with health insurance co ...
professional. The
American Medical Billing Association (AMBA) has been providing this industry
certification and designation for nearly a decade.
The CMRS designation is awarded by the Certifying Board of the American Medical Billing Association (CBAMBA) after an exam. Although there is no state or federal requirement for a medical billing professional to become certified to practice medical billing, the goal is to provide a
professional certification that upholds a high ethical standard of knowledge that recognizes the competency of a certificant.
Composition of the exam
The exam is composed of 16 sections:
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Medical Terminology
#
Anatomy
Anatomy () is the branch of biology concerned with the study of the structure of organisms and their parts. Anatomy is a branch of natural science that deals with the structural organization of living things. It is an old science, having it ...
& Physiology
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Information Technology
Information technology (IT) is the use of computers to create, process, store, retrieve, and exchange all kinds of Data (computing), data . and information. IT forms part of information and communications technology (ICT). An information te ...
# Web & Information Technology
# ICD-10 Coding
# CPT-4 Coding
# Clearinghouses
# CMS 1500
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Insurance
Insurance is a means of protection from financial loss in which, in exchange for a fee, a party agrees to compensate another party in the event of a certain loss, damage, or injury. It is a form of risk management, primarily used to hedge ...
# Insurance Carriers
# Acronyms
# Compliance
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Fraud & Abuse
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Managed Care
# General
# Case Study
Rules and 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 unit
A continuing education unit (CEU) or continuing education credit (CEC) is a measure used in continuing education programs to assist the professional to maintain their license in their profession. Continuing education or professional development is ...
s (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.
[http://www.ambanet.net/ceu.pdf ]
Exam textbooks
The current year's HCPCS, CPT-4, and ICD-10 Code Books are needed to take the exam, or you can use a free trial of the AMBA'
coding software
The AMBA offers a CMRS
Study Guide. Purchasing the guide is optional but recommended because 80% of the exam is taken from the study guide.
A small portion (5%) of the answers to the CMRS exam can be found in the book ''Understanding Health Insurance''. There are 150 sample questions from the exam in the
Workbook
Workbooks are paperback textbooks
A textbook is a book containing a comprehensive compilation of content in a branch of study with the intention of explaining it. Textbooks are produced to meet the needs of educators, usually at educational i ...
, and the answers are in the Instructor's Manual (both sold separately).
References
{{Reflist
External links
AMBA Homepage
Professional titles and certifications