Training and Certification
CONTINUING EDUCATIONAL COURSES
*CTAP Option requires minimum attendance of 10 employees. Travel expenses not included.
We want to include YOU among our satisfied clients who fight for patient and provider rights! Our organization has teamed up with highly reputable law firms and associations to provide invaluable training opportunities dealing with the business of medicine.
Here’s What You’ll Get:
1. 8-30 powerful and dynamic hours of instruction from healthcare’s premier training authority, Ed Norwood and/or an ERN expert consultant
2. Hundreds of pages of informational and practical instructional materials
3. Sample Letters, Affidavits and Case Study Examples
4. CCRA/ERN administered CEUs
5. 1 Free Online Practice Assessment
6. A Certificate of Completion (Hang it on your wall and add it to your resume or CV)
In addition, most expenses of continuing education (fees, travel, meals, lodging) undertaken to maintain and improve professional skills are tax deductible. (Treas. Reg. 1-162-5, Coughlin vs. Commissioner, 203F 2d 307; Consult your Accountant for more information).
To book your course, click below or call (714) 995-6900:
PROFESSIONAL CLAIMS COMPLIANCE CERTIFICATION EXAM
The Professional Claims Compliance Certification Exam was developed by ERN Enterprises, Inc. and the California Council of Reimbursement Advocacy to increase knowledge of, and proficiency in Knox Keene Compliance laws and California regulations designed to protect a patient’s timely access to care. A common emphasis on statutory and case law will be an integral part of this program, as participants learn to address issues and situations that affect a provider’s ability to render medically appropriate health care to patients, such as untimely reimbursement, improper denials and negligent utilization review.
ERN and CCRA recognize that professionals working with healthcare accounts face daunting challenges with non-compliant private and government payers, denial management, revenue cycle, and complex billing and claims processing regulations. This exam is recognition of the knowledge and skills necessary to succeed in the health care financial management field and is also offered for ERISA and Workers’ Compensation Professionals.
Why Get Certified?
California citizens need a group of individuals who are willing to walk through brick walls for them and defend the public policy of this state pursuant to CA Business and Professions Code § 510 (b):
“… It is the public policy of the State of California that a health care practitioner be encouraged to advocate for appropriate health care for his or her patients. For purposes of this section, "to advocate for appropriate health care" means to appeal a payer's decision to deny payment for a service pursuant to the reasonable grievance or appeal procedure established by a medical group, independent practice association, preferred provider organization, foundation, hospital medical staff and governing body, or payer, or to protest a decision, policy, or practice that the health care practitioner, consistent with that degree of learning and skill ordinarily possessed by reputable health care practitioners with the same license or certification and practicing according to the applicable legal standard of care, reasonably believes impairs the health care practitioner's ability to provide appropriate health care to his or her patients.”
Combating unfair payment practices is more complex than tracer letters and resubmitting medical bills. Succeeding at appeals takes a cooperative ongoing educational effort within the industry. Improving patient care and cash flow demands a fresh and new training approach to help healthcare financial professionals ascertain the will of the legislature in enacting public policy laws. Over the past few years, court rulings have increasingly defined and shaped California regulations that govern health plans and insurance carriers. Each round of statutory and regulatory change produces more issues and questions, many of which end up before the courts.
Its no secret that the increased complexity of healthcare reform makes it imperative that those responsible for defending patients and claims stay on the cutting edge of healthcare administrative and case law. As the healthcare industry becomes more litigious, providers are becoming increasingly concerned with billing and collection compliance issues.
Certification through the Professional Claims Compliance Program assures clients or your employer that you are familiar with the public policy laws that clearly define terms related to claim settlement and reimbursement, and provides procedures for plans and providers to prevent unreasonable delays in payment of provider claims.
We’re ready to prove everything we claim. Our certification programs promise the foresight and powerful and practical insights during the uncertain times of our nation’s healthcare crisis. If you are a leader in management or aspiring to be in leadership, certification under this organization will begin to breathe new life and destiny to your personal and professional life.
What an opportunity! In many instances certification can get you the job or promotion you really want. In addition, certification indicates the passion, dedication to and knowledge of your field.
Examination & Application
The exam is only available through The California Council of Reimbursement Advocacy (a division of ERN Enterprises, Inc.) The exam requires a working knowledge of the following areas:
1. California Knox Keene Laws
2. California Insurance Codes
3. California Code of Regulations Title 28
4. California Labor Codes
5. California Code of Regulations Title 8
6. California Business and Professions Codes
7. ERISA Regulations
8. The Applicability of Case Law
9. Revenue Cycle and Denial Management
10. Appeal Letter Writing
ERN & CCRA FREQUENTLY ASKED QUESTIONS
Q: What is Professional Claims Compliance certification?
A: Professional Claims Compliance certification is an extensive written exam covering all aspects of Claims Compliance Auditing and Revenue Cycle. CCRA offers two types of Claims Compliance certification: CMCCC (Certified Managed Care Claims Compliance), CECC (Certified ERISA Claims Compliance) and CWCCC (Certified Workers Compensation Claims Compliance).
Q: Who is eligible?
A: CCRA certification is available only to Alumni members who have completed the applicable course and testing with ERN Enterprises and have a minimum of four years health care experience, or two years health care experience and a two-year college or university associates degree.
Q: When is the exam given?
A: The exam is once a year (October) at privately disclosed locations or can be arranged onsite, if you have the appropriate training facilities . The test months for onsite administration of the exam are: January, April and August. If administered onsite, there will be an additional staffing fee ($300.00) to ensure the integrity of the examination on exam day. Travel expenses, if any, are not included.
Q: How much does it cost?
A: The cost of taking a full exam is $199.00. If you need to re-take a section the cost is $49 for each section retake. Please make all checks/money orders payable to "CCRA" and send them to CCRA's Headquarter Office Attn: Educational Chair 4552 Lincoln Ave. Ste. 105, Cypress, CA 90630. You can also pay by AMEX through the mail, or fax 714-995-6901.
Q: What prep/study courses are available?
A: ERN and CCRA offer prep courses and materials to help assist you in preparing for the exam. The book costs $129 for Alumni members. Prep courses are held several times per year. The tuition is $299.00 per person and includes the prep book referenced above. Check with CCRA for more details.
Q: Is there an application deadline?
A: All applications must be received at the Headquarters Office sixty (60) days prior to the exam.
Q: By what method do you take the exam?
A: The examination is proctored and given online.
Q: What if I don't pass all of the sections?
A: If you do not pass at least 2 of the 4 sections of the exam you will have to retake the entire exam. You must then pass the final section(s) within 9 months of your original test date. Otherwise you will have to retake the entire exam.
Q: Can I cancel my test date?
A: Yes. If for any reason you find that you cannot sit for the examination, notification must be received by the CCRA office (in writing or via fax) four (4) weeks prior to the test date in order to receive a refund. Please fax your requests to Anu Gima at 714-995-6901. Please specify the reason for cancellation or postponement.
Q: When will examinees be notified if they have passed the exam?
A: Written notification of test results will be forwarded to you no later than 60 days from the date the exam is taken. Certificates will be mailed 30 days after the results are released.
Q: Once you are certified, what is the process for re-certification?
A: Re-certification begins the calendar year following the year the examination is passed. To retain certification, the member must have attained and forwarded 32 hours of continuing education units (CEUs) to the CCRA Re-Certification Board by January 31st, at the end of a designated two-year period. Twenty (20) of these units must be from attendance at a CCRA or ERN related educational program and/or council meeting.
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