This designation affirms that the designee is thoroughly accomplished in  all aspects of the ICD 10 CM Code set.

Essential competencies are:

• ICD History and Adoption in the U.S.
• Official Guidelines for Coding and Reporting
• Chapters 1-22
• Table of Neoplasms
• Table of Drugs and Chemicals
• Index to External Causes of Illness and Injury
• AHA Coding Clinic

The exam is 200 questions with a 5 hour time limit.

Passing score is 80%

The core competency for Medical Coding and Reimbursement for the most numerous types of medical service locations and providers, this designation is rigorous demonstration that the designee is expertly skilled in the abstraction of medical encounter documentation and complete and accurate assignment of recorded services. A thorough understanding of healthcare payment and policy concepts as well as dependent processes and stakeholders reliant on Medical Coding.

Essential competencies are:

• Procedure coding  HCPCS Level i, II, and III
• Proficiency in:
• Evaluation and Management of Patients in healthcare encounters
• Anesthesia Services
• Surgical Services by Organ System
• Radiology Services
• Laboratory and Pathology Services
• Other Medical Diagnostic, Therapeutic, Prophylactic, and Rehabilitative services.
• Modifiers
• Service Types and Locations
• Coding Compliance
• Compliance in healthcare

The exam consists of 200 questions with a 6 hour time allowance. This is administered in 2 sessions of 3 hours each.

Passing score is 80% 

The axis of any business is its revenue. Among business types, healthcare organizations operate in a complex system of claims billing. The Master Medical Billing reflects the expert comprehension and application of the intricacies of Medical Billing.

Essential Competencies are:

• Healthcare Revenue Cycle
• Billing Environments
• Claim Forms 1500 and UB 04
• Payer Types
• Plan Types
• Methods of Reimbursement
• Electronic Claims Structure and Concepts
• A/R Management and Follow Up
• Denial Management
• Appeals Processes
• Regulatory and Compliance
• Medical Coding Concepts

The Exam is 200 questions with a 5 hour time allowance.

Passing score is 80%

For decades the finance of healthcare benefits has been factored by the predicted cost each insured is expected to represent. All 3 major payer categories utilize Risk Adjustment and every Medical Provider has the potential to impact the accuracy of this system. The Master of Risk Adjustment demonstrates the highest level of understanding and application of Risk Adjustment and its processes.

Essential Competencies are:

Risk Adjustment Theory

Risk Adjustment Models

Risk Score Calculation

Financial implications of Risk Scores

Documentation Requirements

Guidelines in Risk Adjustment

Audit and Compliance

Coding for Risk Adustment

The exam requires a prerequisite of the MCD Conferment. The MRA exam consists of 100 questions and 4 hours are allowed.

Passing score of 80 % is required.

Verification of data is a tool that every stakeholder utilizes. From the government to commercial payers, data is consistently analyzed for accuracy and appropriateness. The Master of Medical Auditing is an expert in the analysis and validation of healthcare data in all forms and through a spectrum of audit types and processes.

The utmost importance of documentation in healthcare cannot be oversstated. From the establishment or medical necessity and the foundation for reimbursement to providing a legal record of the events in patients medical history, documentation is at the core. The Master of Clinical Documentation is the foremost authority on assessing medical documentation for clarity, completeness, and accuracy.

The resources and value of Inpatient Admissions this coding specialty critical to facilities. Thorough understanding and application of reimbursement methodologies as well as compliance for Inpatient admissions set this highly specialized Professional apart. Included in this credential is mastery of ICD-10 PCS. Uniquely used for the classification of procedures performed during Inpatient Admissions, the mastery of PCS demonstrates authoritative command in the knowledge of the ICD 10 PCS code set.

Medical Providers face a consistent flow of new or changing requirements in areas from Documentation and Coding, Reimbursement, Quality, Compliance, and more. The Master of Provider Education is an expert facilitator of change and knowledge. This highly skilled professional is an amalgamation of expertise in industry requirements and communication.

Measuring effectiveness and quality in the healthcare delivery process has been steadily evolving as  a primary objective with significant changes in the last decade. Stated goals as well as the implementation of a broad scope of initiatives and regulation. The Master of Quality Measures is the steward of the industry from shaping to ensuring quality in healhcare.

Few fields are more regulated and associated with higher stakes than the healthcare industry. The Master of Compliance is the undisputed authority in navigating the complex and extensive regulatory system. From ensuring compliance through proactive education and awareness and the design of programs to assure effective safeguards, reporting mechanisms, and the legion of governing bodies or parties of responsibility, the Master of Compliance is expertly prepared to be the sentinel for all of healthcare.