Certification

Certified Medical Insurance Specialist (CMIS)®

Learn the current guidelines and responsibilities to manage third-party provider reimbursement. The instructor will explain types of managed care plans and guidelines for working with third-party payers. Review documentation, diagnostic and procedural coding rules, and compliance. Participants will learn collection strategies, tips, and receive problem-solving guidance.

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Learn the current guidelines and responsibilities to manage third-party provider reimbursement. The instructor will explain types of managed care plans and guidelines for working with third-party payers. Review documentation, diagnostic and procedural coding rules, and compliance. Participants will learn collection strategies, tips, and receive problem-solving guidance.

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.

 

Required Self-Supplied Materials

The following coding resources are required to study for this course and for use during the exam: current editions of CPT®, HCPCS, ICD-10-CM, and a medical dictionary. The ICD-10-CM code set for 2019 will be effective October 1, 2018, through September 30, 2019. CPT and HCPCS code sets are effective for the calendar year period beginning January 1 and ending December 31.

Candidates that schedule their exam in the next calendar year should bring the updated coding books for the exam. Practice Management Institute (PMI) updates the course and exam annually using the current American Medical Association (AMA) published versions of the three coding manuals.* Use of these resources will minimize potential discrepancies in coding information provided.  The AMA publishes the only CPT® codebook with the official CPT guidelines. PMI does not sell medical coding books, but they are widely available for purchase or lease through a variety of nationwide publishers and retailers.

*Recommendation and use of AMA coding books does not indicate the endorsement of a particular brand by Practice Management Institute.

Learn the current guidelines and responsibilities to manage third-party provider reimbursement. The instructor will explain the types of managed care plans and guidelines for working with third-party payers. Review documentation, diagnostic and procedural coding rules, and compliance. Participants will learn collection strategies, tips, and receive problem-solving guidance.

The CMIS course will guide participants through the first claims pass and includes new reject/denial practice exercises from real cases to help solidify knowledge. Staff will return to the office with a keen understanding of their role and responsibility for protecting practice revenue.

Live Class

Attend instructor-led classroom sessions, hosted in select hospitals, healthcare organizations, medical societies and colleges across the U.S.

 

Live Certified Medical Insurance Specialist classroom format includes a full course manual, and timed four-hour proctored certification exam. A score of 70% or better is required to earn the CMIS certification. If a passing grade is not achieved on the first attempt, candidates may re-test for an additional fee.

Live Webinar

Participate in the Certified Medical Insurance Specialist course remotely with access to a series of ten live 90-minute instructor-led webinar sessions (limited availability).

 

This format also includes a full course manual and timed, four-hour proctored certification exam scheduled by PMI’s Exam Coordinator in a testing center near the candidate’s location. A score of 70% or better is required to earn the CMIS certification. If a passing grade is not achieved on the first attempt, candidates may re-test for an additional fee.

Online Training

Start the Certified Medical Insurance Specialist online training program anytime with access to ten pre-recorded 90-minute instructor-led sessions.

 

The Certified Medical Insurance Specialist on-demand format includes a full course manual and timed, four-hour proctored certification exam scheduled by PMI’s Exam Coordinator in a testing center near the candidate’s location. A score of 70% or better is required to earn the CMIS certification. If a passing grade is not achieved on the first attempt, candidates may re-test for an additional fee.

Request Exam

Experienced professionals may choose to challenge the Certified Medical Insurance Specialist certification exam for a $299 fee.

 

Exam challenge fee includes a basic exam guide and a timed, four-hour proctored certification exam scheduled by PMI’s Exam Coordinator in a testing center near the candidate’s location. A score of 70% or better is required to earn the CMIS certification. If a passing grade is not achieved on the first attempt, candidates may re-test for an additional fee.

Are your claim follow-up procedures effective?

Are ABNs and authorizations being correctly processed?

Has your ratio of outstanding claims decreased in the last 2 years?

Are your aging reports under control?

Every practice has room for improvement. Today more than ever, your team needs proper training 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

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