Jul 27, 2017
Credits Required: 18
The Medical Reimbursement Specialist Certificate, along with relevant work experience, prepares the student to take the certification examination offered by the American Medical Billing Association to become Certified Medical Reimbursement Specialist (CMRS).
Individuals skilled in medical reimbursement are employed in the billing departments of health care facilities; including hospitals, physician offices, outpatient clinics, etc.
Some of the courses may be applied to the Health Information Technology program if the student desires to progress in the future to become a Registered Health Information Technician (RHIT).
This certificate program prepares the student to work with medical financial teams, ensuring that maximum reimbursement is obtained through coding, billing and collection for all services rendered. Reimbursement professionals can also serve as resources to patients and families in understanding reimbursement coverage offered by insurance and/or managed care organizations.
Student Learning Outcomes:
- Demonstrate an understanding of the hospital billing process, including denied, pended, and paid claims and posting patient transactions.
- Apply the coding conventions and principles to actual coding of medical cases.
- Demonstrate an understanding of coding utilizing the HCPCS and ICD-9-CM Volume III Procedure coding systems.
- Demonstrate the ability to complete the CMS-1500 and CMS-1450 claim forms accurately for federal, state and private payer insurance contracts using current basic guidelines.
Apply for Certificate
Students registering for their final semester of course work must petition for certificate through their Ozone account. The Petition for Certificate can be found under Student Quick Links. Deadlines and fees apply; please visit www.owens.edu for petition deadline dates. For additional information, refer to Certificate Requirements Policy under Academic Policies and Procedures
Medical Reimbursement Specialist Certificate Program Information
Special Admission Requirements
- Program admission is selective and requires submission of a completed application file that includes a College application, high school transcripts or GED, college transcripts if applicable, GPA 2.0, evidence of high school algebra and chemistry with a “C” grade or better. Applicants who have not met the academic admission requirements for entrance into the program may take developmental and Arts and Sciences courses.
- The program accepts a maximum of 22 students once each year for Fall Semester. Students should submit all official applications, test scores and transcripts. Completed applications are reviewed bimonthly.
- All Medical Reimbursement Specialist Certificate courses must be completed within three years from initial entrance in the program.
- All students enrolled in the program must achieve a “C” or better in all courses required for this certificate program.
- Students who earn a “D” or “F” in a Medical Reimbursement (MRS) course will be dismissed from the program and may be readmitted only one time on a space available basis. (See Academic Readmission)
- Applicants who have been dismissed through disciplinary action/s from any other health program at Owens Community College are not eligible to apply.
- Students who leave the program for other than academic reasons may request readmission into the program. This may be granted if there is space available in the program and upon recommendation of the program chair.
- The Department Chair must be notified in writing of the student’s intention to return to the program at least four months prior to the start of the semester of re-admittance.
- If a student is not enrolled in the program for more than three years from the date of their initial enrollment in the program, medical reimbursement courses will need to be retaken upon readmission into the program.
A student requesting readmission after dismissal for academic reasons must complete the following before being reconsidered.
- The student must contact a Success Advisor in the Office of Student Development for assistance in the development of a written academic plan to resolve the academic problems.
- The following requirements must be included in the academic plan:
- A grade of “C” or better must be earned in all courses that apply to the student’s chosen major.
- The GPA must be a 2.5 or above.
- The Department Chair and the Dean must approve the academic plan.
- After completion of the above, the Department Chair will review the request for admission and the student may be readmitted if there is an opening the program.
- No second readmission will be considered.
All students should check for prerequisites for a class before registering.