Commission on Certification for Health Informatics and Information Management (CCHIIM) - Ahima
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Commission on Certification for Health Informatics and Information Management (CCHIIM) Candidate Guide Registered Health Information Administrator (RHIA®) Registered Health Information Technician (RHIT®) Certified Coding Associate (CCA®) Certified Coding Specialist (CCS®) Certified Coding Specialist—Physician-based(CCS-P®) Certified Health Data Analyst (CHDA®) Certified in Healthcare Privacy and Security (CHPS®) Certified Documentation Improvement Practitioner (CDIP®) Certified Healthcare Technology Specialist (CHTS) Certified Professional in Health Informatics (CPHI) Gill Sans (Font) Updated May 28, 2019 ahima.org Updated May 28, 2019
CONTACT INFORMATION AHIMA Customer Relations Phone: (800) 335-5535 Fax: (312) 233-1500 Submit Exam Applications and Fees: Certification Examinations If paying with a check please submit this application with the appropriate fee to: Attn: Coding Exams, AHIMA Dept. 77-2735 Chicago, IL 60678-2735 Submit Official Associate, Bachelor or Master HIM Transcript: Candidates submitting official transcripts from a CAHIIM-accredited program, please mail official transcripts (unopened/sealed in a school envelope) separately to: AHIMA Attn: Certification Transcripts 233 N. Michigan Ave., 21st Fl. Chicago, IL 60601 Official transcripts must contain the degree along with the conferred/awarded graduation date. Transcripts sent via USPS mail in an opened official school envelope is considered unofficial and will not be processed. Appeals and Ethics Complaints: Commission on Certification Appeals AHIMA 233 N. Michigan Ave., 21st Fl. Chicago, IL 60601 Pearson VUE Exam Scheduling: (888) 524-4622 Updated May 28, 2019
TABLE OF CONTENTS ABOUT THE CANDIDATE GUIDE ON EXAMINATION DAY Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Examination Procedures. . . . . . . . . . . . . . . . . . . . . . . . 12 About CCHIIM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Identification Requirements . . . . . . . . . . . . . . . . . . . . . 12 About AHIMA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Test Center Restrictions. . . . . . . . . . . . . . . . . . . . . . . . . 13 Security. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 VALUE OF CERTIFICATION Misconduct. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 AHIMA-Certified Professionals Deliver the Results Cancellation Due to Bad Weather or Your Organization Needs . . . . . . . . . . . . . . . . . . . . . . . . 3 Other Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Professional Certification through AHIMA. . . . . . . . . 3 Medical or Personal Emergency. . . . . . . . . . . . . . . . . . 14 ABOUT CERTIFICATION . . . . . . . . . . . . . . . . . . . . 4 AFTER THE EXAMINATION ABOUT AHIMA CREDENTIALS Notification of Examination Results. . . . . . . . . . . . . . 14 Confidentiality Procedures. . . . . . . . . . . . . . . . . . . . . . 14 Registered Health Information Validation of Scores. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Administrator (RHIA) . . . . . . . . . . . . . . . . . . . . . . . . . 4 Release of Information. . . . . . . . . . . . . . . . . . . . . . . . . . 14 Registered Health Information Technician (RHIT) . . 5 Certificates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Certified Coding Associate (CCA). . . . . . . . . . . . . . . . . 5 Examination Complaints. . . . . . . . . . . . . . . . . . . . . . . . 14 Certified Coding Specialist (CCS). . . . . . . . . . . . . . . . . 6 Re-taking the Examination and Process. . . . . . . . . . . 14 Certified Coding Specialist— Use of the Credential. . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Physician-based (CCS-P). . . . . . . . . . . . . . . . . . . . . . . . 6 Registry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Certified Health Data Analyst (CHDA) . . . . . . . . . . . . 6 Credential Verification. . . . . . . . . . . . . . . . . . . . . . . . . . 15 Certified in Healthcare Privacy and Security (CHPS). . . 7 AHIMA Membership. . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Certified Documention Improvement Practitioner (CDIP). . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 APPENDICES APPLYING FOR THE EXAM Appendix A: AHIMA Membership Application. 16–17 Appendix B: Authorization to Test Letter . . . . . . 18–19 Submitting an Application. . . . . . . . . . . . . . . . . . . . . . . . 8 Appendix C: Professional and Regulatory Candidate Submitting Official Transcripts . . . . . . . . . . . . . . . . . . . 8 Rules Agreement. . . . . . . . . . . . . . . . . . . . . . . . . . . 20–21 Official Transcript Estimated Processing Appendix D: Sample Pass Score Report. . . . . . . . . 22–23 Time Frame. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Appendix E: AHIMA Accommodations under the Incomplete Applications. . . . . . . . . . . . . . . . . . . . . . . . . . 8 Americans with Disabilities Act (ADA) Policies and Independent Testing Agency. . . . . . . . . . . . . . . . . . . . 8–9 Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 TEST TAKERS’ RIGHTS AND RESPONSIBILITIES. . . 9 Appendix F: Registered Health Information Administrator (RHIA) Examination Content Outline . . . . . . . . . 25–27 AHIMA EXAM APPLICATION CHECKLIST. . . . . . . 9 Appendix G: Registered Health Information Technician (RHIT) Examination SCHEDULING THE EXAMINATION Content Outline. . . . . . . . . . . . . . . . . . . . . . . . . . . 28–29 Authorization to Test (ATT) Letters . . . . . . . . . . . . . . 10 Appendix H: Certified Coding Associate (CCA) Scheduling an Appointment to Test. . . . . . . . . . . . . . . 10 Examination Content Outline. . . . . . . . . . . . . . . 30–31 Test Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Appendix I: Certified Coding Specialist (CCS) Examination Content Outline. . . . . . . . . . . . . . . 32–33 APPOINTMENT CHANGES Appendix J: Certified Coding Specialist— Policy on Cancelling or Rescheduling. . . . . . . . . . . . . 11 Physician-Based (CCS-P) Examination Refund Policy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Content Outline. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Appendix K: Certified Health Data Analyst Penalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 (CHDA) Examination Content Outline. . . . . . . . . . 35 ELIGIBILITY EXTENSION FEE AND POLICY. . . . . 11 Appendix L: Certified in Healthcare Privacy and Security (CHPS) Examination PREPARING FOR THE EXAM Content Outline. . . . . . . . . . . . . . . . . . . . . . . . . . . 36–37 Tips for Success. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Appendix M: Certified Documentation Improvement Practitioner (CDIP) Examination Content Outline. . . . . . . . . . . . . . . . . . . . . . . . . . . 38–39 AHIMA CERTIFICATION CANDIDATE GUIDE Updated May 28, 2019 1
ABOUT THE CANDIDATE GUIDE Introduction as knowledge, skills, and abilities). The subject matter (also referred to as a body of knowledge, or BoK for short) Congratulations on your decision to earn an American represented by these competencies is further segmented Health Information Management Association (AHIMA) across specific roles and disciplines throughout the HIIM credential. We commend your commitment to your career profession as a whole by the requisite levels of depth, and the health informatics and information management breadth, and experiences necessary for successful job (HIIM) profession. performance, as exemplified by each respective AHIMA This guide includes information about: certification. • Eligibility qualifications About CCHIIM Exam Development • Guidelines for applying for and scheduling the Committees (EDC) examination CCHIIM EDCs are composed of experienced, credential- • What to expect at the test center specific subject matter experts, representing HIIM leaders, • What to expect after completing the examination practitioners, and other relevant stakeholders. EDCs are responsible for the specific oversight and performance of About the Commission on Certification their respective credential’s certification examination. EDC responsibilities are codified in the CCHIIM operating code for Health Informatics and Information and typically include recurring review of content relevancy, Management (CCHIIM) both item-level and examination-level performance data Purpose and expertise with respect to establishing the cut score for their respective certification examinations. CCHIIM serves the public by establishing, implementing, and enforcing standards and procedures for certification Job Analysis and recertification of HIIM professionals. The job analysis process ensures quality control of the CCHIIM Mission relevancy, currency, and validity of the competencies assessed by each certification examination. CCHIIM Through certification, the CCHIIM ensures the compe- plans for and conducts comprehensive job analyses tency of professionals practicing health informatics and according to the rate and amount of changes taking information management (HIIM) worldwide. place within a given certification examination. CCHIIM Vision Consistent with best practices, the task of job analysis is overseen by a diverse and representative sample of Professional excellence in health informatics and stakeholders, including recently certified professionals information (HIIM) through certification. and employers/supervisors. These stakeholders assess the CCHIIM Values criticality of current workplace practices, skills, tasks, • The application of evidence-based best practices for and responsibilities, with respect to the importance and certification; frequency of performance. The results of the job analysis influence to what extent the competencies are revised for • The validation of workforce competence through each certification examination. professional certification; • The commitment to ongoing professional development, Examination Blueprints and Specifications lifelong learning, and workforce excellence; and The job analysis serves as the foundation for the examination • The recognition of CCHIIM-certified professionals’ blueprint. First, the individual competencies are grouped into role in maintaining and enhancing quality health domains that represent specific and similar areas of content. information for the safety of the public and the Next, the percentage weighting of each content domain is improvement of healthcare determined, in part, through the individual competency statement criticality scores, considered collectively, within CCHIIM Exam Development Process: each domain. This weighting of domains relative to one An Overview for Stakeholders another allows the EDCs to determine how much, or to what AHIMA/CCHIIM certification exams are valid, reliable, extent, each domain is assessed (both by the number and and legally defensible assessment instruments that measure difficulty of test items), relative to the other domains. For the competency of potential certificants against a codified example, domains with competencies with higher criticality and relevant body of HIIM competencies (also referred to scores (that is more important and/or more frequently 2 Updated May 28, 2019 AHIMA CERTIFICATION CANDIDATE GUIDE
performed) typically represent a larger percentage of test AHIMA currently sponsors the following certification items than those domains with lower criticality scores for examinations: their respective competencies. Registered Health Information Administrator (RHIA) The examination specifications are typically established or Registered Health Information Technician (RHIT) revised at the same time as the development of the exami- Certified Coding Associate (CCA) nation blueprint. The specifications usually include the total number of test items (both scored and non-scored), Certified Coding Specialist (CCS) test item type(s), such as multiple-choice or other, total test Certified Coding Specialist—Physician-based (CCS-P) duration, and scoring methodology. Certified Health Data Analyst (CHDA) For additional information on CCHIIM, please visit Certified in Healthcare Privacy and Security (CHPS) ahima.org/certification/cchiim. Certified Documentation Improvement Practitioner (CDIP) About AHIMA AHIMA is a professional association composed of 52 component state associations and more than 103,000 health information professionals who work in various healthcare settings. Since 1932, AHIMA has certified HIIM profes- sionals through its rigorous testing standard. VALUE OF CERTIFICATION AHIMA-Certified Professionals Deliver Certified for Success the Results Your Organization Needs Organizations that employ credentialed HIIM professionals can expect the highest levels of competency. Setting the standard since 1932 as the leader in The ability to adhere to industry standards and regulations HIIM certification is demonstrated through attaining credentials. Certified The AHIMA Commission on Certification is nationally professionals are leaders in healthcare, displaying a recognized as the most respected HIIM credentialing commitment to the industry, their colleagues, and agency. AHIMA certifications provide validation of consumers. professional competency to employers. Healthcare quality, financial performance, and operational efficiency are Leverage the Benefits and Anticipate Results strengthened by hiring AHIMA-credentialed professionals. Credentialed professionals offer employers a broad range of benefits that can be leveraged for immediate application to HIIM and other operations functions. Because they Professional Certification through have pursued certification, credentialed professionals are AHIMA ready to apply their skills and require less training than Excellence in Operations and Healthcare Delivery noncredentialed peers. Their expertise reduces exposure to fraud and abuse charges through precise, ethical AHIMA establishes professional standards of excellence. management of health information. The accuracy of health Credentials are issued in HIIM, compliance and data data is increased, making it more meaningful and positively quality, coding, privacy and security, and health data affecting the revenue cycle. analysis, responding to the demands of the rapidly changing healthcare environment. These key factors influence the success of healthcare organizations through improved delivery of quality Dedication Required, Competency Ensured healthcare and enhanced operational efficiency, producing Credentials are earned through a combination of education, results that impact the bottom line. experience, and performance on certification exams. Following initial certification, credentials must be main- tained through rigorous continuing education, ensuring the highest level of competency for employers and consumers. AHIMA CERTIFICATION CANDIDATE GUIDE Updated May 28, 2019 3
ABOUT CERTIFICATION Certification is a means for showing that a certified Other benefits include: professional possesses the knowledge and skills necessary • Credentialed professionals receive better compensation for optimal performance of his or her job. Through from their employers credentialing, the practitioner’s employer, peers, and the • Employers know they’ve hired productive and public are reassured the certified individual is both knowledgeable individuals competent and well-informed in the daily and accurate administration of his or her professional duties. Certain • Certification marks a professional as an exceptional professions (for example, doctors, lawyers, technicians, individual in his or her field and others) require that the individuals performing their • Greater chance for advancement in one’s chosen career duties be certified, owing to legal or safety reasons or high • Certification gives greater insight on potential professional standards. Whatever the reason, credentialing employees during the hiring process makes a professional a likelier candidate for gainful employment and career advancement. • Consumers are protected from the threat of incompetent or unfit practitioners • A certified professional’s work reflects the best practices and high professional standards of his or her field ABOUT AHIMA CREDENTIALS Registered Health Information vendors, consulting services, government agencies, education, and pharmaceutical companies. Administrator (RHIA) Working as a critical link between care providers, payers, and Eligibility Requirements patients, the RHIA is an expert in managing patient health infor- RHIA applicants must meet one of the following eligibility mation and medical records, administering computer information requirements: systems, collecting and analyzing patient data, and using classifica- tion systems and medical terminologies. Underlying this expertise • Successfully complete the academic requirements at the is a comprehensive knowledge of medical, administrative, ethical, baccalaureate level of an HIM program accredited by and legal requirements and standards related to healthcare delivery the Commission on Accreditation of Health Informatics and the privacy of protected patient information. RHIAs often and Information Management Education (CAHIIM)1 manage people and operational units, participate in administrative OR committees, and prepare budgets. RHIAs interact with all levels of • Successfully complete the academic requirements, at an organization—clinical, financial, administrative, and informa- the master’s level, of an HIM program accredited by tion systems—that employ patient data in decision making and CAHIIM and following a specific set of criteria everyday operations. OR Job opportunities for RHIAs exist in a multitude of settings throughout the healthcare industry. These include the • Graduate from an HIM program approved by a foreign continuum of care delivery organizations, including hospitals, association with which AHIMA has a reciprocity agreement2 multi-specialty clinics and physician practices, long-term care, OR mental health, and other ambulatory care settings. The profes- • Be an RHIT who meets the Proviso conditions approved sion has seen significant expansion in non-patient care settings, by the 2017 Commission on Certification for Health with careers in managed care and insurance companies, software Informatics and Information Management (CCHIIM)³ 1. Students in CAHIIM-accredited programs 2. HIMA and the Canadian Health Information A 3. Registered Health Information Technicians for RHIA, enrolled in their final term of Management Association (CHIMA); Korean (RHIT) who meet the following eligibility study, are now eligible to apply for and take Medical Record Association (KMRA); and requirements will be eligible to sit for the their respective certification exam early. Health Information Management Association of RHIA examination during the timeframe of Eligible students include the following: Australia (HIMAA) shall permit a graduate of a July 1, 2017 through 2021: • Students currently enrolled and in their program in HIM at the baccalaureate degree level • Have at least a baccalaureate degree from last term of study to apply to write the appropriate certification a regionally accredited institution or examination consistent with the academic level nationally recognized accreditor; and • Students who have completed their course- achieved and given independently by the afore- work but have not yet graduated mentioned associations. The graduate must meet • Have received their RHIT credential • Graduates currently waiting for their the educational competencies for certification as on or before December 31, 2018; and official transcripts a technician or administrator established by the • Have complied with the Standards for association to which the application is made. Maintenance of the RHIT credential. 4 Updated May 28, 2019 AHIMA CERTIFICATION CANDIDATE GUIDE
The academic qualifications of each candidate will be Students interested in obtaining a Post-Baccalaureate verified before a candidate is deemed eligible to take the Certificate, a Certificate of Completion, or Transfer of examination. All first-time applicants must submit an Credits information must contact the CAHIIM-accredit- official transcript from their college or university.1 ed program in which they wish to enroll regarding their institutional policies. Please visit the program directory Registered Health Information website at cahiim.org/accredpgms.asp to access the list of CAHIIM-accredited programs. Technician (RHIT) Professionals holding the RHIT credential are health information technicians who ensure the quality of Certified Coding medical records by verifying their completeness, Associate (CCA) accuracy, and proper entry into computer systems. The CCA credential distinguishes coders by exhibiting They may also use computer applications to assemble commitment and demonstrating coding competencies and analyze patient data for the purpose of improving across all settings, including both hospitals and patient care or controlling costs. RHITs often specialize physician practices. Becoming a CCA positions you as a in coding diagnoses and procedures in patient records leader in an exciting and growing market. CCAs also: for reimbursement and research. An additional role for • Exhibit a level of commitment, competency, and RHITs is cancer registrars—compiling and maintaining professional capability that attracts employers data on cancer patients. With experience, the RHIT credential holds solid potential for advancement to • Demonstrate a commitment to the coding profession management positions, especially when combined • Distinguish themselves from noncredentialed coders with a bachelor’s degree. Although most RHITs work in and those holding credentials from organizations less hospitals, they are also found in other healthcare settings demanding of the higher level of expertise required to including office-based physician practices, nursing homes, earn AHIMA certification home health agencies, mental health facilities, and public Based upon job analysis standards and state-of-the-art health agencies. In fact, employment opportunities exist test construction, the CCA designation has been a for RHITs in any organization that uses patient data or nationally accepted standard of achievement since 2002. health information, such as pharmaceutical companies, More than 8,000 people have attained the certification law and insurance firms, and health product vendors. since its inception. The CCA is the only HIIM credential Eligibility Requirements worldwide currently accredited by the National Commission for Certifying Agencies (NCCA). RHIT applicants must meet one of the following eligibility requirements: Eligibility Requirements • Successfully complete the academic requirements • High school diploma or equivalent at an associate’s degree level of an HIM program Training and Recommendations: accredited by the Commission on Accreditation of Health Informatics and Information Management • Six months coding experience directly applying codes; Education (CAHIIM)1 OR OR • Completion of an AHIMA-approved coding program (PCAP Program); • Graduate from an HIM program approved by a foreign association with which AHIMA has a OR reciprocity agreement 2 • Completion of other coding training program to The academic qualifications of each candidate will be include anatomy and physiology, medical terminology, verified before a candidate is deemed eligible to take the Basic ICD diagnostic/procedural and Basic CPT coding examination. All first-time applicants must submit an official transcript from their college or university. 1. Students in CAHIIM-accredited programs for RHIT, enrolled in their 2. A HIMA and the Canadian Health Information Management final term of study, are now eligible to apply for and take their respective Association (CHIMA) shall permit a graduate of a program in HIM certification exam early. Eligible students include the following: at the associate level to apply to write the appropriate certification • Students currently enrolled and in their last term of study examination consistent with the academic level achieved and given independently by the two associations. The graduate must meet • Students who have completed their coursework but have not yet graduated the educational competencies for certification as a technician • Graduates currently waiting for their official transcripts or administrator established by the association to which the application is made. AHIMA CERTIFICATION CANDIDATE GUIDE Updated May 28, 2019 5
Certified Coding Specialist (CCS) Certified Coding Specialist— CCSs are professionals skilled in classifying medical Physician-based (CCS-P) data from patient records, generally in the hospital setting. These The CCS-P is a coding practitioner with expertise in coding practitioners review patients’ records and assign numeric physician-based settings such as physician offices, group codes for each diagnosis and procedure. To perform this task, practices, multi-specialty clinics, and specialty centers. He they must possess expertise in the ICD-10-CM and CPT cod- or she reviews patients’ records and assigns numeric codes ing systems. In addition, the CCS is knowledgeable in medical for each diagnosis and procedure. To perform this task, the terminology, disease processes, and pharmacology. Hospitals and individual must possess in-depth knowledge of the CPT medical providers report coded data to insurance companies or coding system and familiarity with the ICD-10-CM and to the government in the case of Medicare and Medicaid recipi- HCPCS Level II coding systems. The CCS-P is also an expert ents for reimbursement of expenses. in health information documentation, data integrity, and quality. Because patients’ coded data is submitted to insurance Researchers and public health officials also use coded companies or the government for expense reimbursement, medical data to monitor patterns and explore new the CCS-P plays a critical role in the health provider’s interventions. Coding accuracy is thus highly important to business operation. With the growth of managed care and the healthcare organizations because of its impact on revenues movement of health services delivery beyond the hospital, and describing health outcomes, and in fact, certification the employment outlook for this coding specialty looks is becoming an implicit industry standard. Accordingly, the highly favorable. The CCS-P certification exam assesses CCS credential demonstrates tested data quality and integrity mastery-level proficiency incoding rather than entry-level skills in a coding practitioner. The CCS certification exam skills. Professionals performing coding in a doctor’s office, assesses mastery proficiency in coding rather than entry- clinic, or similar setting should consider obtaining the CCS-P level skills. Professionals experienced in coding inpatient and certification to attest to their capabilities. outpatient records should consider obtaining this certification. CCS Eligibility Requirements CCS-P Eligibility Requirements Candidates must meet one of the following eligibility Candidates must meet one of the following eligibility requirements: requirements: • By Credential: RHIA, RHIT, or CCS-P; • By Credential: RHIA, RHIT, or CCS; OR OR • By Education: Completion of a coding training • By Education: Completion of a coding training program program that includes anatomy that includes anatomy and physiology, and physiology, pathophysiology, pathophysiology, pharmacology, pharmacology, medical terminology, medical terminology, reimbursement reimbursement methodology, methodology, intermediate/advanced intermediate/advanced ICD diagnostic/ ICD diagnostic/procedural and medical procedural and CPT coding; services (CPT/HCPCS) coding; OR OR • By Experience: Minimum of two (2) years of related • By Experience: Minimum of two (2) years of related coding experience directly applying coding experience directly applying codes; codes; OR OR • By Credential • By Credential with Experience: CCA plus one (1) year of coding with Experience: CCA plus one (1) year of coding experience directly experience directly applying codes; applying codes; OR OR • Other: Coding credential from other • Other: Coding credential from other certifying organization plus one certifying organization plus one (1) year coding experience directly (1) year coding experience directly applying codes. Certified Health Data Analyst (CHDA) and transform data into accurate, consistent, and timely information, while balancing the “big picture” Individuals who earn the CHDA designation will achieve strategic vision with day-to-day details. CHDA-certified recognition of their expertise in health data analysis professionals will exhibit broad organizational knowledge and validation of their mastery of this domain. This and the ability to communicate with individuals and prestigious certification provides practitioners with groups at multiple levels, both internal and external. the knowledge to acquire, manage, analyze, interpret, 6 Updated May 28, 2019 AHIMA CERTIFICATION CANDIDATE GUIDE
Eligibility Requirements relative to clinical documentation in the patient’s health Effective February 1, 2016, candidates must meet one of the record, thus promoting the HIM profession overall. following eligibility requirements for the Certified Health Eligibility Requirements Data Analyst examination: • An RHIA, RHIT, CCS, CCS-P, RN, MD, or DO and two (2) • Healthcare information management credential (RHIT®) and years experience in clinical documentation improvement minimum of three (3) years of healthcare data experience • An associate’s degree or higher and three (3) years • Baccalaureate degree and a minimum of three (3) years of experience in clinical documentation improvement of healthcare data experience (candidates must also have completed coursework in • Healthcare information management credential (RHIA®) Medical Terminology and Anatomy and Physiology) • Master’s in Health Information Management (HIM) or AHIMA’s Commission on Certification reserves the Health Informatics from an accredited school right to verify the information supplied by, or on behalf • Master’s or higher degree and one (1) year of healthcare of, a candidate. If selected for an audit, the candidate data experience may be asked to submit additional documentation supporting eligibility. Certified in Healthcare Privacy and Taking the certification examination is voluntary. AHIMA strictly adheres to the eligibility requirements Security (CHPS) for certification. It is the responsibility of the candidate The CHPS credential denotes competence in designing, to comply with all procedures and deadlines in order to implementing, and administering comprehensive privacy establish eligibility for the examination. For questions and security protection programs in all types of healthcare about eligibility, please contact: organizations. Becoming certified in healthcare privacy Attn: Certification Department and security demonstrates a choice to focus and advance by AHIMA specializing in privacy and security dimensions of HIIM. 233 N. Michigan Ave., 21st Fl. Being distinguished with this special expertise signifies Chicago, IL 60601 a commitment to advancing privacy and security management Telephone: (800) 335-5535 practices and lifelong learning and professional development. Web: ahima.org/contact Eligibility Requirements CHPS applicants must meet one of the following eligibility requirements for the CHPS examination: • Associate’s degree and six (6) years experience in healthcare privacy or security management • Healthcare information management credential (RHIT) and minimum of four (4) years of experience in healthcare data experience • Baccalaureate degree and a minimum of four (4) years experience in healthcare privacy or security management • Healthcare information management credential (RHIA) and minimum of two (2) years of experience in healthcare privacy or security management • Master’s or related degree (JD, MD, or PhD) and two (2) years of experience in healthcare privacy or security management Certified Documentation Improvement Practitioner (CDIP) The CDIP certification will confirm the commitment of AHIMA to globally improve and maintain quality information for those involved in healthcare and support the integrity of the patient’s health record. The certification will distinguish those professionals serving as clinical documentation specialists as knowledgeable and competent to provide guidance AHIMA CERTIFICATION CANDIDATE GUIDE Updated May 28, 2019 7
Applying for the Exam—Submitting an Application Before submitting an application, carefully review the Candidates submitting official transcripts from a information contained in this guide. It is the candidate’s CAHIIM-accredited program, please mail official responsibility to ensure eligibility before submitting the transcripts (unopened/sealed in a school envelope) application. Applicants who are determined to be ineligible, separately to: and submit an ineligible application or request withdrawal AHIMA of their application, will receive a refund of the application Attn: Certification Transcripts fee minus a $75 processing fee. 233 N. Michigan Ave., 21st Fl. Chicago, IL 60601 Applicants may register online at myahima.org or by submitting a paper application, which can also be found at ahima.org/certification. Official transcripts must contain the degree along with the conferred/awarded graduation date. If completing a paper application be sure to: Transcripts sent via USPS mail in an opened official school • Ensure the name on the application matches the name on envelope is considered unofficial and will not be processed. the identification (ID) to be used for admission to the test center (see section on Identification Requirements, p 12) • Include the education program code (EPC) on the Official Transcript Estimated application (for RHIT and RHIT applicants only) Processing Time Frame • Submit verification of eligibility, if applicable. (Official Official transcripts estimated processing time frame can transcript for RHIA and RHIT only) take up to 4 weeks. • Sign and date the application in ink (if using a paper Official transcripts sent via Fed Ex/UPS with overnight application) shipping are processed within 48 business hours from the • Make copies for your records date it is received.” • Include the correct application fee by referring to the AHIMA website for current exam pricing Incomplete Applications • Paper applications can be submitted electronically to cer- tification@ahima.org or by mail if paying with a check: An application may be considered incomplete for the following reasons: Attn: Coding Exams, AHIMA Dept. 77-2735 • Insufficient fee included, declined credit card, or Chicago, IL 60678-2735 returned check • Application is not signed Nondiscrimination Policy • Missing official transcript AHIMA and Pearson VUE do not discriminate against any candidate on the basis of race, color, creed, age, gender, • Missing Request for Accommodations form and national origin, religion, disability, marital status, parental documentation form (if applicable) status, ancestry, sexual orientation, military discharge Checks for insufficient funds (NSF) will not be rede- status, or source of income. All examination applicants posited. If the bank does not clear your check, a fee will be judged solely on the criteria established by the of $25 will be incurred. Visa, MasterCard, American Commission on Certification. Express, or Discover transactions declined or not ap- proved will also be subject to a $25 handling fee. A cer- tified check or money order for the amount due, includ- Submitting Official Transcripts ing the NSF fee, must be submitted to AHIMA to cover • Electronically: returned checks or credit card transactions. Postdated If this option is available through your school, please checks are not an acceptable form of payment. contact your school for vendor information. Transcripts must be received directly from the vendor i.e. national Once an application is complete, the application will be processed student clearinghouse, parchment, etc., and sent and Pearson VUE will send an Authorization to Test (ATT) letter. electronically to: certificationtranscripts@ahima.org Official transcripts must contain the degree along with the Independent Testing Agency conferred/awarded graduation date. Official transcripts sent electronically from the candidate/ Pearson VUE has been contracted by AHIMA to help registrar are considered unofficial and will not be administer AHIMA’s certification examinations in the processed. United States and internationally. Pearson VUE delivers OR millions of high-stakes tests every year across the globe for • Mail: clients in the licensure, certification, academic admissions, regulatory, and government testing service markets. It boasts 8 Updated May 28, 2019 AHIMA CERTIFICATION CANDIDATE GUIDE
the world’s leading test center network, with more than was created specifically for high-stakes testing and offers a 5,000 test centers in 165 countries, 230 of which are fully carefully controlled, consistent testing environment. owned and operated Pearson Professional Centers. Pearson For more information about Pearson VUE, please visit Professional Centers utilize a patent-winning design, which pearsonvue.com/ahima. TEST TAKERS’ RIGHTS AND RESPONSIBILITIES As a test taker, you have the right to: As a test taker, you have the responsibility to: • Be informed of your rights and responsibilities as a test taker • Read or listen to your rights and responsibilities as a test taker. • Be treated with courtesy, respect, and impartiality, • Treat others with courtesy and respect during the regardless of your age, disability, ethnicity, gender, testing process national origin, religion, sexual orientation, or other • Ask questions prior to testing if you are uncertain about personal characteristics why the test is being given, how it will be given, what you • Be tested with measures that meet professional will be asked to do, and what will be done with the results standards and are appropriate, given the manner in • Read or listen to descriptive information in advance of which the test results will be used testing and listen carefully to all test instructions. You • Receive a written explanation prior to testing about the should inform AHIMA before scheduling your test if purpose(s) for testing, the kind(s) of tests to be used, if you wish to receive a testing accommodation or if you the results will be reported to you or to others, and the have a physical condition or illness that may interfere planned use(s) of the results. If you have a disability, you with your performance on the test have the right to inquire and receive information about • Know when and where the test will be given, pay for the testing accommodations test if required, appear on time with any required mate- • Know in advance of testing when the test will be rials (for example, valid identification and codebooks, if administered, if and when test results will be available to allowed), and be ready to be tested you, and if you are expected to pay a fee for testing services • Follow the test instructions you are given and represent • Have your test administered and your test results yourself honestly during the testing interpreted by appropriately trained individuals who • Be familiar with and accept the consequences of not follow a professional code of ethics taking the test, should you choose not to take the test • Know the consequences of taking or not taking the test, • Inform appropriate person(s) (as specified to you by the fully completing the test, or canceling the scores. You organization responsible for testing) if you believe that may need to ask questions to learn these consequences testing conditions affected your results • Receive a written explanation of your test results • Ask about the confidentiality of your test results, if this within a reasonable amount of time after testing and aspect concerns you in commonly understood terms • Present concerns, if you have any, about the testing • Have your test results kept confidential to the extent process or results immediately after the test allowed by law • Present concerns about the testing process or your Adopted from the American Psychological Association Test results, and receive information about procedures that Takers’ Rights and Responsibilities will be used to address such concerns AHIMA CERTIFICATION CANDIDATE GUIDE Updated May 28, 2019 9
AHIMA EXAM APPLICATION CHECKLIST Candidates must ensure that all items on this checklist are completed in order for their exam to be processed: ❑❑ Read the Candidate Guide Electronic (if this option is available, vendor information is provided by your school: ❑❑ Make sure the first and last name provided on CertificationTranscripts@ahima.org the application matches the name on the primary Identification OR Paper: ❑❑ Confirm meeting eligibility criteria Certification Transcripts ❑❑ Include payment (credit card, check, money order) 233 N. Michigan Ave., 21st Fl. ❑❑ Complete special accommodations form (American Chicago, IL 60601 with Disabilities Act), if applicable Confidentiality Procedures ❑❑ Sign Statement of Understanding AHIMA and Pearson VUE have adopted policies and For RHIA and RHIT candidates only: procedures to protect the confidentiality of examination ❑❑ For Early Testing candidates: Include completed candidates. application for early testing with exam application AHIMA and Pearson VUE staff members will not discuss ❑❑ For Certificate of Degree candidates: Send in veri- pending examination applications with anyone but the fication letter from Program Director with exam candidate) and will not report scores by telephone, e-mail, application or fax. ❑❑ For all other candidates: Send in official (sealed) AHIMA and Pearson VUE will not release exam results to transcripts separately to: educational institutions unless authorized by the candidate.” SCHEDULING THE EXAMINATION Authorization to Test (ATT) Letters For fast and easy scheduling, testing appointments may be After eligibility for the examination is approved, Pearson VUE scheduled by logging in at pearsonvue.com/ahima. You may will send the candidate an Authorization to Test (ATT) letter also call Pearson VUE’s customer service number at (888) by e-mail for those candidates with a valid e-mail address (see 5AHIMA2 (524-4622) (wait time may vary depending on Appendix B). Candidates with an approved application will candidate volume). When scheduling an exam, candidates receive the ATT letter within five (5) business days. The ATT should be prepared to provide the authorization number letter contains an authorization number, the eligibility period located in the ATT letter. After the exam is scheduled, for testing, and instructions for scheduling an appointment. candidates will receive information about the time and date Candidates may only schedule their appointment within their of the exam, and a confirmation number. Candidates should four-month eligibility window. The eligibility start date and end keep a copy of this information for future reference. date are provided in the ATT letter. Candidates who are not Directions to the testing center may be obtained by logging approved will be contacted by AHIMA via e-mail. on to pearsonvue.com. ATT letters are not required at the testing center. Scheduling an Appointment to Test The testing appointment should be scheduled soon after receiving Test Centers the ATT letter. Scheduling an appointment early in the eligibility Test centers are available throughout the United States and period increases the likelihood that the candidate can sit for the internationally. A complete listing of test center locations in the exam at his or her optimal date and time. Space at the Pearson US, including addresses and driving directions may be found on VUE testing centers is limited and the availability of a testing Pearson VUE’s website: www.pearsonvue.com/ahima. “seat” is not guaranteed. Therefore, candidates who schedule their Before the day of the examination, please be sure the address exams in the latter part of their eligibility period run the risk of and directions to the test center are correct. If a candidate not sitting for the exam and forfeiting the exam fee. goes to the wrong test center on the day of the examination Before scheduling a testing appointment, be sure the name and cannot test, their exam fee will be forfeited and candi- on the eligibility letter is identical to the name on all forms of date must reapply and re-submit another application and fee. identification being used. In the event of any errors or a name There are test rules that each candidate must agree to fol- change, please submit your request in writing to info@ahima.org . low prior to exam entrance. See Appendix C for the profes- Be sure to include your AHIMA ID#/email address and a copy of sional regulatory candidate rules agreement. your driver’s license, state Id, etc.. 10 Updated May 28, 2019 AHIMA CERTIFICATION CANDIDATE GUIDE
APPOINTMENT CHANGES Policy on Cancelling or Rescheduling to fourteen (14) business days prior to their scheduled test date or eligibility end date. AHIMA’s policies about changing a testing appointment are as follows: All appointments must be canceled through Pearson VUE prior to the request for a refund. • Candidates may cancel and reschedule the examination up to 15 days prior to the scheduled examination date at There is a $75 processing fee for all refund requests. Refunds no charge will be credited back to the card that was used for payment. If payment was made with a check; a check will be issued and • Any candidate who reschedules or cancels his or her sent to the mailing address on file. appointment between 14 days and 24 hours prior to the Please allow two to four weeks for processing if paid with a exam date will be charged a penalty of $30 by Pearson credit card and up to 2 to 3 months if paid with a check. VUE. Rescheduling and payment must be completed using a valid credit card through pearsonvue.com/ Refunds will not be granted if requested after eligibility ahima or by calling the Pearson VUE Call Center at end date. (888) 524-4622 • Candidates may not reschedule the examination less Penalties than 24 hours prior to the examination appointment • Any candidate who does not bring the correct code • Candidates failing to appear for the scheduled books for CCA, CCS, & CCS-P exams to the testing appointment or who are over 15 minutes late will not site will not be allowed to test and the exam fee will be be allowed to test and will be considered a no-show forfeited and the exam will be forfeited. A new application • Any candidate who does not bring the proper identifica- and the full application fee must be submitted in tion to the testing site will not be allowed to test and the order to test exam fee will be forfeited Deadline Rescheduling Fee • Any candidate who has requested a refund but has not canceled his or her schedule appointment before the end Up to 15 business days before No charge of their eligibility end date will not be eligible for a refund exam date • Any candidate who shows up to the wrong testing Between 14 business days and $30 location will not be allowed to test and the exam fee 24 hours prior to exam date will be forfeited • Any candidate who forfeited his/her exam and is still Refund Policy seeking to test will have to submit a new exam application Candidates can request a refund for their exam application up along with payment ELIGIBILITY EXTENSION FEE AND POLICY Candidates may request an extension for their eligibility date or eligibility end date period by following the policy outlined below: 2. If you already scheduled your exam date with Pearson 1. First Request for an Extension–$75 VUE, you must contact Pearson VUE at (888) 524-4622 (valid for 45 days) directly and cancel your exam appointment prior to 2. Second and Final Request for an Extension–$150 requesting an extension (valid for an additional 30 days) 3. You will be notified via e-mail (e-mail address required Note: No additional extension will be authorized on form) once your request has been processed and Extensions are nonrefundable approved Steps for Requesting an Extension: 1. Complete and submit the Eligibility Extension Request Form (form available on ahima.org/certification) along with the required fee by fax (312) 233-1413 or scan to certification@ahima.org Note: Requests for an extension must be received no later than 14 business days prior to the scheduled exam AHIMA CERTIFICATION CANDIDATE GUIDE Updated May 28, 2019 11
PREPARING FOR THE EXAM Tips for Success • Know when and where the test will be given, appear on time with any required materials (for example, valid • Read through the entire candidate guide. identification and codebooks CCA, CCS, CCS-P), and • Visit AHIMA’s exam preparation page at be ready to be test ahima.org/certification. You will be able to: • Please ensure that both forms of your identification -- Review exam specifications meet the requirements posted on pearsonvue.com/ -- Review content outline ahima under “On Examination Day” -- Allow enough time to prepare for the exam. Consistent and thorough is strongly encouraged. ON EXAMINATION DAY Examination Procedures that carries two expiration dates) The Pearson VUE staff adheres to approved procedures to • US Dept of State driver’s license ensure the test center meets AHIMA’s testing criteria. Please • US learner’s permit (plastic card only with photo and review the following information prior to the testing date to signature) ensure familiarity with the procedures. • National/state/country identification card Plan to arrive at the test center 30 minutes before the • Passport scheduled appointment. Candidates arriving at the test center • Passport card 15 minutes after the scheduled start time of the appointment • Military ID will not be allowed to test and will forfeit the testing fee. • Military ID for spouses and dependents When arriving at the test center, candidates will: • Alien registration card (green card, permanent resident visa) • Receive the Professional Examination Rules Agreement • Government-issued local language ID • Submit two valid, correct forms of identification (ID) (plastic card with photo and signature) • Have their digital signature captured to verify that Acceptable forms of secondary ID must be valid and signatures match nonexpired, and feature the candidate’s signature. • Have their palm vein pattern captured These include: • Have a photograph taken • Social Security card • Store belongings • Debit/ATM card • Show reference materials for approval (when applicable) • Credit card (must have a visible expiration date) A dry erase board will be provided to all candidates for use • Any form of ID on the primary list during the examination. No scratch paper is allowed. The following are examples of unacceptable forms of ID: • Expired driver’s license or expired passport Identification Requirements • Library card To be allowed to test, candidates must present a primary form • Marriage certificate of ID containing their signature and picture, and a second • Voter’s registration card form of ID showing their signature. The name on the primary and secondary forms of ID must match the name appearing • Club membership card on the ATT letter. • Public aid card Acceptable forms of primary ID must be valid and • Temporary driver’s license without proper paperwork nonexpired, and feature the candidate’s photograph and and photo identification signature. These include: • Temporary Social Security card without signature • Government-issued driver’s license, including • Video club membership card temporary license with all required elements (refer to • Traffic citation (arrest ticket) “Unacceptable forms of Candidate Identification” for an • Fishing or hunting license exception when presented with a Texas driver’s license • AHIMA membership card 12 Updated May 28, 2019 AHIMA CERTIFICATION CANDIDATE GUIDE
Security Without acceptable forms of ID, candidates will not be allowed All proprietary rights in the examinations, including copyrights to test and will forfeit the application fee. Pearson VUE reserves and trade secrets, are held by AHIMA. In order to protect the the right to deny a candidate from taking the exam if there is a integrity of the examinations and to ensure the validity of the question in regards to the validity of the ID(s). scores reported, candidates must adhere to strict guidelines regarding proper conduct in handling copyrighted proprietary To review the list of acceptable primary and secondary forms examinations. Any attempt to reproduce all or part of the of identification, please refer to pearsonvue.com/ahima. examinations, including, but not limited to, removing materials from the examination room, aiding others by any means Test Center Restrictions in reconstructing any portion of the examinations, selling, To ensure examination results for all candidates are earned distributing, receiving or having unauthorized possession of any under comparable conditions, it is necessary to maintain a portion of the examinations, is strictly prohibited by law. Alleged copyright violations will be investigated and, if warranted, standardized testing environment. Candidates must adhere prosecuted to the fullest extent of the law. It should be noted that to the following: all examination scores may be invalidated in the event of this • For CCA, CCS, and CCS-P exams, candidates are type of suspected breach. required to bring codebooks as indicated on the list Candidates may not write on any examination materials of allowable code books. (The list of allowable code distributed by or belonging to AHIMA. book for the CCA, CCS, and CCS-P are located on the AHIMA website) A candidate can be disqualified from taking or continuing to sit http://www.ahima.org/certification/CCA for an examination, or from receiving examination results, http://www.ahima.org/certification/CCS or the candidate’s scores might be cancelled, if Pearson VUE http://www.ahima.org/certification/ccsp determines through proctor observation, statistical analysis, and other evidence that the candidate’s score may not be valid or • No reference or study materials may be brought into that the candidate was engaged in collaborative, disruptive, or the examination room other unacceptable behavior during the administration of the • Code books with handwritten notations, or comments examination. are allowed but must be free of any notes containing Test centers are continuously monitored by audio and video coding rules and guidelines from other reference surveillance equipment for security purposes. materials (for example, Coding Clinic, CPT Assistant, and similar materials) Misconduct • Code books with Post-It Notes and/or loose materials Individuals who engage in the following conduct may be will not be allowed. dismissed from the test center and their scores will not be • No handmade tabs will be allowed reported. Examples of misconduct include, but are not limited to: • Documents or notes of any kind may not be removed from • Using electronic devices such as calculators, pagers, cell the examination room. All computer screens, paper, and phones, and tablets written materials are the copyrighted property of Pearson • Giving or receiving help during the examination or VUE and may not be reproduced in any form being suspected of doing so • Candidates will not be allowed to take anything into • Attempting to take the examination for someone else the examination room other than those items given • Using notes, books, or other aids to them by the administrator and their identifica- • Removing or attempting to remove note paper from the tion documents. test center • Prohibited items will not be allowed in the examina- • Creating a disturbance or behaving in an abusive or tion room. Prohibited items include, but are not lim- otherwise uncooperative manner ited to, the following: calculators, pagers, cell phones, electronic digital devices (PDAs, watches, and the Cancellation Due to Bad Weather or like), recording or photographic devices, weapons, briefcases, computers or computer bags, and hand- Other Emergencies bags or purses. Candidates cannot bring in drinks or In the event of bad weather, a natural disaster, or another snacks of any kind emergency (for example, a test center power outage), Pearson VUE will determine whether circumstances • Eating, drinking, and smoking are prohibited in the warrant cancellation and rescheduling of examinations test center at a particular test center. • Questions regarding the content of the examination may not be asked of the test center administrator during Examinations will not be cancelled and rescheduled if the examination the test center administrator can open the test center. AHIMA CERTIFICATION CANDIDATE GUIDE Updated May 28, 2019 13
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