Certified Professional In Healthcare Insurance (CPHIN)

Approved from American institute for healthcare.

CME hours approved

 

CPHIN  is  the  essential certification course you  need when preparing for a career in medical insurance. CPHIN  course  is  fully-updated with the latest code sets and guidelines, and covers important topics in the field like managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans,  legislation that  affects healthcare, ICD-10-CM coding, implementing the electronic health record, the Medical Integrity Program (MIP),  and  medical review process.

WHO SHOULD CONSIDER CERTIFICATION

·​Physicians

·Nurses​ ·Pharmacists​
·Patient Safety Professionals​ ·Quality and Risk Management Professionals​ ·Health Care Executives​
· Non-Clinical Health Care Professionals​

· All other health care professionals with the requisite background​

TOPICS INCLUDE:

  • Healthcare Insurance – Overview
  • Managed Healthcare
  • Healthcare Documentation
  • Electronic Health Records (EHR)
  • Processing of Insurance Claim
  • ICD-10-CM Coding
  • CPT Coding
  • CMS Reimbursement
  • BlueCross BlueShield
  • Medicare & Medicaid
  • TriCare
  • Health Insurance Specialist
  • Learning and Education
  • Worker’s Compensation
  • Legal and Regulatory Issues
  • HIPAA
  • Risk Management