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Certified Medical Insurance Specialist (CMIS)®

Coding expertise is the foundation. But if you want to get paid, then you’ll need to know the rules. This certification program explores the current landscape of third party reimbursement. Certified Medical Insurance Specialist (CMIS)® is for those individuals seeking to master the complete reimbursement process, from information gathering, through coding, to challenging and prevailing in claim denial situations.

The preparatory program teaches participants how to effectively expedite claims and secure timely, correct reimbursement. Seasoned billing professionals will walk away from this program with an improved outlook, confidence, and ability to handle tough claims. Most importantly, the knowledge gained from this program will empower the CMIS to protect the financial interest of the practice.

Today more than ever, your team must be trained to focus on getting every dollar rightfully owed to the practice. This program will teach you how to master the entire process, better train those around you, and enhance your professional skills and value.

Benefits of this program include:

  • Getting aging reports under control
  • Establishing and following effective claims follow-up procedures
  • Correct processing of ABNs and authorizations
  • Decreasing the ratio of outstanding claims
  • Better understanding of complex situations such as billing for third-party subrogation or second-injury fund

View Printable Brochure | CMIS Learning Formats

Certified Professional Standards of Excellence

Practice Management Institute’s Certified Professional Standards of Excellence were developed to promote ethical requirements and standards for its Certified Professionals. These guidelines were established and approved by the Practice Management Institute® Advisory Board for Certification Programming.

Standards of Conduct describe the actions that would reasonably be expected of a PMI Certified Professional in the performance of his/her duties. Certified Professionals are held to the highest professional standards in the medical industry. PMI Certified Professionals must agree to follow appropriate and legal guidelines according to governmental and third party payer organizations and contracts. They will support the compliance efforts and reporting system of the medical practice. They will bill only for services that are actually rendered. Services will be coded accurately and only when documentation is provided for the service. They agree to continue to learn and abide by current standards in the ever-changing business of medicine.

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