Wednesday, February 21, 2007

Certified Medical Reimbursement Specialist/CMRS

Awarded by the certifying board of the American Medical Billing Association, the Certified Medical Reimbursement Specialist exam is a voluntary, (not a requirement by the federal government for a medical biller to be certified in order to practice medical billing) national credential for the medical billing profession.

Skilled and certified in facilitating the claims paying process from the time the service is rendered until the bill is actually paid, the CMRS is knowledgeable in the following:

International Classification of Diseases Clinical Modification (ICD-9-CM) is used to code and classify morbidity data from the inpatient and outpatient records, physician offices, and most National Center for Health Statistics (NCHS) surveys. Review list of current ICD-9_CM Codes


CPT4 - CPT (Current Procedural Terminology) is a the standard list of codes and descriptions by which patients are treated and billed by their physicians. See list of commonly used CPT4 Codes


HCPCS Coding - Healthcare Common procedure Coding System

HIPAA - Health Insurance Portability and Accountability Act

OIG Compliance - Office of the Attorney General

The role of the medical biller is crucial to the health care provider's daily business operations. Other proficiencies acquired by the medical billing specialist include: medical terminology, insurance claims and billing, appeals and denials, fraud and abuse, information and web technology, reimbursement, and much more.
To find out more about becoming a Certified Medical Reimbursement Specialist, please click here