Spring Bundle Sale - Expires June 15, 2023
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CMRR Certification - Get 90 Day 24/7 Access to All Lessons + Bonus Workbook and Sample Medical Records.
The Certified Medical Record Collector (CMRC™) is self-study, online certification. The CMRC™ credential have demonstrated the expertise in medical record retrieval and proven competence in communicating with healthcare and law professionals.
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Certified Medical Record Reviewer (CMRR™) credential have demonstrated the knowledge in medical record reviewer and auditing patients' records for compliance.
By the end of this course, you’ll have a working knowledge of the different types of chart reviews to excel as a Certified Medical Record Collector™ (CMRC™) and knolwedge as Certified Medical Record Reviewer (CMRR™).
CMRC + CMRR (Spring Bundle Sale)
Certified Medical Record Reviewer (CMRR™)
Chapter 1
The Industry of Medical Record Review
• The Role of a Medical Record Reviewer
• What’s In a Medical Record
• Healthcare Providers
• Electronic Medical/Health Records (EMR)/(EHR)
• Introduction to Medical Informatic
• Types of Chart ReviewsChapter 2
Patient’s Rights & Insurance Products
• Health Insurance Portability & Accountability Act (HIPAA)
• What is PHI?
• Health Maintenance Organization (HMO)
• Medicare
• Medicaid
• Tricare
• Health Care Reform BillChapter 3
Chart Review for Legal Purposes
• How to Collect Medical Records for Legal Purposes
• What is a Legal Document Review?
• How to Review and Summarize Medical Records in Personal Injury Cases
• Sample Record Review for Legal Purposes
• Scenario 1
• Scenario 2Chapter 4
Risk Adjustment Models for Coding – Chronic Diseases
• What is Risk Adjustment?
• What is Chronic Illness and Disability (CDPS) Model
• What is Hierarchical Condition Category (HCC) Model
• Sample Record Review for Risk Adjustment CodingChapter 5
Employee Benefits and Disability Claims Review
• Employee Benefits and Disability Claim
• Sample Review for Disability ClaimChapter 6
Utilization Review
• What is Utilization Management and Utilization Review
• Sample Record Review for Utilization ReviewChapter 7
Quality of Care Initiative
• Introduction to NCQA
• Center for Medicare & Medicaid Services (CMS) STAR Ratings
• How is HEDIS® Data Used?
• Components of HEDIS®
• Data Collection Methods
• Cervical Cancer
• STAR Hybrid Sample Record
Chapter 8
How to Request Medical Records
• Telephone Voice Etiquette Techniques & Best Practices
• On-Site Visits
• Chart Pull List
• What is a Call Script?
• What is a Chart Chase?
• Receiving Medical Records for STAR Ratings ProjectCertified Medical Record Collector (CMRC™)
Chapter 1
The Industry of Medical Record Review
-
What is a Medical Record Collector?
-
What’s In a Medical Record
-
Healthcare Providers
-
Electronic Medical/Health Records (EMR)/(HER)
-
Introduction to Medical Informatic
-
Types of Chart Reviews
-
What is Utilization Management or Utilization Review
Chapter 2
Patient’s Rights & Insurance Products
-
Health Insurance Portability & Accountability Act (HIPAA)
-
What is PHI?
-
Health Maintenance Organization (HMO)
-
Medicare
-
Medicaid
-
Tricare
-
Health Care Reform Bill
Chapter 3
Quality of Care Initiative
-
Introduction to NCQA
-
Center for Medicare & Medicaid Services (CMS) STAR Ratings?
-
How is HEDIS® Data Used?
-
Components of HEDIS®
-
Data Collections Methods
Chapter 4
How to Collect Records for Hybrid STAR Project
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Medical Records Retrieval Process for STARS Hybrid Project
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Sample Medical Request Letter
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Chart Pull List
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On-Site Visits
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How to Prepare for a Site Visit
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HEDIS® Call Script?
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What is a Chart Chase?
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Receiving Medical Records For STAR Ratings Project
Chapter 5
How to Collect Medical Records for Legal Purposes
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Requesting Medical Records For Legal Purposes
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The Fundamentals
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Requesting Medical Records From a Doctor
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Special Rules for Hospitals
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Wrongful Death
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What Is The Fastest Way To Request Medical Records?
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Should Medical Record Collectors Put The Doctor's Name Or The Name Of Their Practice On The HIPAA Authorization Form?
Chapter 6
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Copy Service / Third Party Vendors
Chapter 7
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Telephone Voice Etiquette Techniques & Best Practices
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