Commission on Certification for Health Informatics and Information Management (CCHIIM)
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
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 August 4, 2020 Updated August 4, 2020
CONTACT INFORMATION AHIMA Customer Relations Phone: (800) 335-5535 Fax: (312) 233-1500 Submit Exam Applications and Fees: Certification examinations must be completed and purchased online through your my.ahima.org account. Please visit the direct link below. https://my.ahima.org/certification/getcertified 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 are 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 August 4, 2020
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: Authorization to Test Letter . . . . . . 16–17 Appendix B: Professional and Regulatory Candidate Submitting an Application. . . . . . . . . . . . . . . . . . . . . . . . 8 Rules Agreement. . . . . . . . . . . . . . . . . . . . . . . . . . . 18–19 Submitting Official Transcripts . . . . . . . . . . . . . . . . . . . 8 Appendix C: Sample Pass Score Report. . . . . . . . . 20–21 Official Transcript Estimated Processing Appendix D: AHIMA Accommodations under the Time Frame. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Americans with Disabilities Act (ADA) Policies and Incomplete Applications. . . . . . . . . . . . . . . . . . . . . . . . . . 8 Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Independent Testing Agency. . . . . . . . . . . . . . . . . . . . . . 8 Appendix E: Registered Health Information Administrator (RHIA) Examination Content Outline . . . . . . . . . 23–25 TEST TAKERS’ RIGHTS AND RESPONSIBILITIES. . 9 Appendix F: Registered Health Information AHIMA EXAM APPLICATION CHECKLIST. . . . . 10 Technician (RHIT) Examination Content Outline. . . . . . . . . . . . . . . . . . . . . . . . . . . 26–27 SCHEDULING THE EXAMINATION Appendix G: Certified Coding Associate (CCA) Authorization to Test (ATT) Letters . . . . . . . . . . . . . . 10 Examination Content Outline. . . . . . . . . . . . . . . 28–29 Scheduling an Appointment to Test. . . . . . . . . . . . . . . 10 Appendix H: Certified Coding Specialist (CCS) Examination Content Outline. . . . . . . . . . . . . . . 30–31 Test Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Appendix I: Certified Coding Specialist— APPOINTMENT CHANGES Physician-Based (CCS-P) Examination Policy on Cancelling or Rescheduling. . . . . . . . . . . . . 11 Content Outline. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Refund Policy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Appendix J: Certified Health Data Analyst (CHDA) Examination Content Outline. . . . . . . . . . 33 Penalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Appendix K: Certified in Healthcare Privacy ELIGIBILITY EXTENSION FEE AND POLICY. . . 11 and Security (CHPS) Examination Content Outline. . . . . . . . . . . . . . . . . . . . . . . . . . . 34–35 PREPARING FOR THE EXAM Appendix L: Certified Documentation Improvement Tips for Success. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Practitioner (CDIP) Examination Content Outline. . . . . . . . . . . . . . . . . . . . . . . . . . . 36–37 AHIMA CERTIFICATION CANDIDATE GUIDE Updated August 4, 2020 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 their respective credential’s certification examination. EDC About the Commission on Certification 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 and expertise with respect to establishing the cut score for Purpose 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 relevancy, currency, and validity of the competencies CCHIIM Mission 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 August 4, 2020 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 August 4, 2020 3
ABOUT CERTIFICATION Certification is a means for showing that a certified Other benefits include: professional possesses the knowledge and skills necessary for • Credentialed professionals receive better compensation optimal performance of his or her job. Through from their employers credentialing, the practitioner’s employer, peers, and the public are reassured the certified individual is both • Employers know they’ve hired productive and competent and well-informed in the daily and accurate knowledgeable individuals 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 professional standards. Whatever the reason, credentialing • Certification gives greater insight on potential makes a professional a likelier candidate for gainful employees during the hiring process employment and career advancement. • Consumers are protected from the threat of The NCCA’s definition of continuing competence is, incompetent or unfit practitioners “demonstrating specified levels of knowledge, skills, or • A certified professional’s work reflects the best practices ability not only at the time of initial certification but and high professional standards of his or her field throughout an individual’s professional career.” ABOUT AHIMA CREDENTIALS Registered Health Information companies, software 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 RHIA applicants must meet one of the following eligibility information and medical records, administering computer requirements: information systems, collecting and analyzing patient data, • Successfully complete the academic requirements at the and using classification systems and medical terminologies. baccalaureate level of an HIM program accredited by the Underlying this expertise is a comprehensive knowledge of medical, Commission on Accreditation of Health Informatics and administrative, ethical, and legal requirements and standards Information Management Education (CAHIIM)1 related to healthcare delivery and the privacy of protected patient information. RHIAs often manage people and operational units, OR participate in administrative committees, and prepare budgets. • Successfully complete the academic requirements, at RHIAs interact with all levels of an organization—clinical, financial, the master’s level, of an HIM program accredited by administrative, and information systems—that employ patient data CAHIIM and following a specific set of criteria in decision making and everyday operations. OR Job opportunities for RHIAs exist in a multitude of • Graduate from an HIM program approved by a foreign settings throughout the healthcare industry. These include the association with which AHIMA has a reciprocity agreement2 continuum of care delivery organizations, including hospitals, multi-specialty clinics and physician practices, long-term OR care, mental health, and other ambulatory care settings. The • Be an RHIT who meets the Proviso conditions approved profession has seen significant expansion in non-patient by the 2017 Commission on Certification for Health care settings, with careers in managed care and insurance Informatics and Information Management (CCHIIM)³ 1. Students in CAHIIM-accredited programs for 2. HIMA and the Canadian Health Information A 3. Registered Health Information Technicians RHIA, enrolled in their final term of study, Management Association (CHIMA); Korean (RHIT) who meet the following eligibility are now eligible to apply for and take their Medical Record Association (KMRA); and Health requirements will be eligible to sit for the respective certification exam early. Eligible Information Management Association of Australia RHIA examination during the timeframe of students include the following: (HIMAA) shall permit a graduate of a program July 1, 2017 through 2021: • Students currently enrolled and in their in HIM at the baccalaureate degree level to apply • Have at least a baccalaureate degree from last term of study to write the appropriate certification examination a regionally accredited institution or consistent with the academic level achieved and nationally recognized accreditor; and • Students who have completed their given independently by the aforementioned coursework but have not yet graduated • Have received their RHIT credential associations. The graduate must meet the • Graduates currently waiting for their on or before December 31, 2018; and educational competencies for certification as a official transcripts technician or administrator established by the • Have complied with the Standards for association to which the application is made. Maintenance of the RHIT credential. • RHIA only offered in the United States. 4 Updated August 4, 2020 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 with • Distinguish themselves from noncredentialed coders 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. • RHIT only offered in the United States. AHIMA CERTIFICATION CANDIDATE GUIDE Updated August 4, 2020 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 to coding system and familiarity with the ICD-10-CM and the government in the case of Medicare and Medicaid recipients HCPCS Level II coding systems. The CCS-P is also an expert 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 is the employment outlook for this coding specialty looks becoming an implicit industry standard. Accordingly, the CCS highly favorable. The CCS-P certification exam assesses credential demonstrates tested data quality and integrity skills mastery-level proficiency incoding rather than entry-level in a coding practitioner. The CCS certification exam assesses skills. Professionals performing coding in a doctor’s office, mastery proficiency in coding rather than entry-level skills. clinic, or similar setting should consider obtaining the CCS-P Professionals experienced in coding inpatient and outpatient certification to attest to their capabilities. 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: Complete courses in all the following • By Education: Complete courses in all the following topics: topics: anatomy & physiology, anatomy & physiology, pathophysiology, pathophysiology, pharmacology, pharmacology, medical terminology, medical terminology, reimbursement reimbursement methodology, intermediate/ methodology, intermediate/advanced advanced ICD diagnostic coding, and ICD diagnostic coding, and procedural procedural coding and medical services coding and medical services (CPT/ (CPT®/HCPCS) plus one (1) year of coding HCPCS) plus one (1) year of coding experience directly applying codes; experience directly applying codes; 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 certifying • Other: Coding credential from other organization plus one (1) year coding certifying organization plus one experience directly applying codes. (1) year coding experience directly • Offered to Domestic and Global for use with medical applying codes. information. • Offered to Domestic and Global for use with medical 6 Updated August 4, 2020 AHIMA CERTIFICATION CANDIDATE GUIDE
Certified Health Data Analyst (CHDA) • Healthcare information management credential (RHIA) and minimum of two (2) years of experience in Individuals who earn the CHDA designation will achieve healthcare privacy or security management recognition of their expertise in health data analysis and validation of their mastery of this domain. This • Master’s or related degree (JD, MD, or PhD) and two (2) years prestigious certification provides practitioners with of experience in healthcare privacy or security management the knowledge to acquire, manage, analyze, interpret, and transform data into accurate, consistent, and Certified Documentation timely information, while balancing the “big picture” Improvement Practitioner (CDIP) strategic vision with day-to-day details. CHDA-certified The CDIP certification will confirm the commitment professionals will exhibit broad organizational knowledge of AHIMA to globally improve and maintain quality and the ability to communicate with individuals and information for those involved in healthcare and support groups at multiple levels, both internal and external. the integrity of the patient’s health record. Eligibility Requirements The certification will distinguish those professionals Effective February 1, 2016, candidates must meet one of the serving as clinical documentation specialists as following eligibility requirements for the Certified Health knowledgeable and competent to provide guidance Data Analyst examination: relative to clinical documentation in the patient’s health • Healthcare information management credential (RHIT®) and record, thus promoting the HIM profession overall. minimum of three (3) years of healthcare data experience Eligibility Requirements • Baccalaureate degree and a minimum of three (3) years • An RHIA, RHIT, CCS, CCS-P, RN, MD, or DO and two (2) of healthcare data experience years experience in clinical documentation improvement • Healthcare information management credential (RHIA®) • An associate’s degree or higher and three (3) years • Master’s in Health Information Management (HIM) or of experience in clinical documentation improvement Health Informatics from an accredited school (candidates must also have completed coursework in • Master’s or higher degree and one (1) year of healthcare Medical Terminology and Anatomy and Physiology) data experience AHIMA’s Commission on Certification reserves the right to verify the information supplied by, or on behalf of, a candidate. If selected for an audit, the candidate Certified in Healthcare Privacy and may be asked to submit additional documentation Security (CHPS) supporting eligibility. The CHPS credential denotes competence in designing, Taking the certification examination is voluntary. implementing, and administering comprehensive privacy AHIMA strictly adheres to the eligibility requirements and security protection programs in all types of healthcare for certification. It is the responsibility of the candidate organizations. Becoming certified in healthcare privacy to comply with all procedures and deadlines in order to and security demonstrates a choice to focus and advance by establish eligibility for the examination. For questions specializing in privacy and security dimensions of HIIM. about eligibility, please contact: Being distinguished with this special expertise signifies Attn: Certification Department a commitment to advancing privacy and security management AHIMA practices and lifelong learning and professional development. 233 N. Michigan Ave., 21st Fl. Eligibility Requirements Chicago, IL 60601 Telephone: (800) 335-5535 CHPS applicants must meet one of the following eligibility Web: ahima.org/contact 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 AHIMA CERTIFICATION CANDIDATE GUIDE Updated August 4, 2020 7
Applying for the Exam—Submitting an Application Before submitting an application, carefully review the Official transcripts must contain the degree along with the information contained in this guide. It is the candidate’s conferred/awarded graduation date. responsibility to ensure eligibility before submitting the Transcripts sent by USPS mail in an opened official school application. Applicants who are determined to be ineligible, envelope is considered unofficial and will not be processed. and submit an ineligible application or request withdrawal of their application, will receive a refund of the application fee minus a $75 processing fee. Official Transcript Estimated All applications will be submitted online via Processing Time Frame https://my.ahima.org/certification/getcertified Official transcripts estimated processing time frame can • Ensure the name on the application matches the name on take up to four weeks. the identification (ID) to be used for admission to the test Official transcripts sent by Fed Ex/UPS with overnight center (see section on Identification Requirements, p 12) shipping are processed within 48 business hours from the • Include the education program code (EPC) on the date they are received.” application (for RHIT and RHIT applicants only) • Submit verification of eligibility, if applicable. (Official Incomplete Applications transcript for RHIA and RHIT only) An application may be considered incomplete for the • Application Fees are listed online. The applicant will be following reasons: prompted to make the payment through the portal. • Insufficient fee included, declined credit card Any additional documentation may be scanned to certification@ahima.org • Missing official transcript • Missing Request for Accommodations form and Nondiscrimination Policy documentation form (if applicable) AHIMA and Pearson VUE do not discriminate against The NSF fee and the total amount due must be submitted any candidate on the basis of race, color, creed, age, gender, to AHIMA online to cover any declined transactions. national origin, religion, disability, marital status, parental status, ancestry, sexual orientation, military discharge Once an application is complete, the application will be processed status, or source of income. All examination applicants and Pearson VUE will send an Authorization to Test (ATT) letter. will be judged solely on the criteria established by the Commission on Certification. Independent Testing Agency Pearson VUE has been contracted by AHIMA to help Submitting Official Transcripts administer AHIMA’s certification examinations in the • Electronically: United States and internationally. Pearson VUE delivers If this option is available through your school, please millions of high-stakes tests every year across the globe for contact your school for vendor information. Transcripts clients in the licensure, certification, academic admissions, must be received directly from the vendor (i.e. national regulatory, and government testing service markets. It boasts student clearinghouse, parchment, etc.) and sent the world’s leading test center network, with more than electronically to: certificationtranscripts@ahima.org 5,000 test centers in 165 countries, 230 of which are fully Official transcripts must contain the degree along with the owned and operated Pearson Professional Centers. Pearson conferred/awarded graduation date. Professional Centers utilize a patent-winning design, which Official transcripts sent electronically from the candidate/ was created specifically for high-stakes testing and offers a registrar are considered unofficial and will not be carefully controlled, consistent testing environment. processed. OR For more information about Pearson VUE, please visit • Mail: pearsonvue.com/ahima. 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 8 Updated August 4, 2020 AHIMA CERTIFICATION CANDIDATE GUIDE
What is a Beta Exam? analyzed during the beta period is used to select the best exam questions, and to eliminate questions that are vague, A beta exam is a new version of a certification exam too difficult, or not useful in evaluating a candidate’s HIM consisting of new questions that have not yet undergone knowledge. During the beta period, you will not receive psychometric analysis for validity and reliability. The immediate results upon completion of your exam. There is a purpose of beta testing is to evaluate new exam questions waiting period (typically up to 24 weeks from the start of the by having them answered by actual credential candidates. beta period) after which results are provided to test takers. A new exam goes through the beta process before the exam is launched for the first time. This is one of the last steps during an exam development process. Data gathered and 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 August 4, 2020 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 credit card 233 N. Michigan Ave., 21st Fl. ❑ Complete special accommodations form (American Chicago, IL 60601 with Disabilities Act), if applicable Confidentiality Procedures For RHIA and RHIT candidates only: AHIMA and Pearson VUE have adopted policies and proce- ❑ For Early Testing candidates: Include completed dures to protect the confidentiality of examination candidates. application for early testing with exam application AHIMA and Pearson VUE staff members will not discuss ❑ For Certificate of Degree candidates: Send in verification pending examination applications with anyone but the candi- letter from Program Director with exam application date) and will not report scores by telephone, e-mail, or fax. ❑ For all other candidates: Send in official (sealed) AHIMA and Pearson VUE will not release exam results to transcripts separately to: SCHEDULING THE EXAMINATION Authorization to Test (ATT) Letters submit a name change request to AHIMA within 7 business days prior to your scheduled exam. If this is done outside of After eligibility for the examination is approved, Pearson VUE the 7 business days, your exam will be fortified and AHIMA is will send the candidate an Authorization to Test (ATT) letter not responsible. Be sure to include your AHIMA ID#/e-mail by e-mail for those candidates with a valid e-mail address (see address and a copy of your driver’s license, state ID, etc.. Appendix B). Candidates with an approved application will receive the ATT letter within five (5) business days. The ATT For fast and easy scheduling, testing appointments may be letter contains an authorization number, the eligibility period scheduled by logging in at pearsonvue.com/ahima. You may also for testing, and instructions for scheduling an appointment. call Pearson VUE’s customer service number at (888) 5AHIMA2 Candidates may only schedule their appointment within their (524-4622) (wait time may vary depending on candidate volume). eligibility window, which is 120 days. The eligibility start date When scheduling an exam, candidates should be prepared to pro- and end date are provided in the ATT letter. Candidates who vide the authorization number located in the ATT letter. After the are not approved will be contacted by AHIMA by e-mail. Once exam is scheduled, candidates will receive information about the your exam is approved it is expected you are ready to take your time and date of the exam, and a confirmation number. Candi- exam. The 120 eligibility window is put in place to allow you to dates should keep a copy of this information for future reference. schedule your exam at a testing center of your choice. We do not Directions to the testing center may be obtained by logging on to recommend using this time to prepare for the exam. pearsonvue.com. ATT letters are not required at the testing center. Scheduling an Appointment to Test Test Centers The testing appointment should be scheduled soon after receiving Test centers are available throughout the United States and the ATT letter. Scheduling an appointment early in the eligibility internationally. A complete listing of test center locations in the period increases the likelihood that the candidate can sit for the US, including addresses and driving directions may be found on exam at his or her optimal date and time. Space at the Pearson Pearson VUE’s website: www.pearsonvue.com/ahima. VUE testing centers is limited and the availability of a testing Before the day of the examination, please be sure the address “seat” is not guaranteed. Therefore, candidates who schedule their and directions to the test center are correct. If a candidate exams in the latter part of their eligibility period run the risk of goes to the wrong test center on the day of the examination not sitting for the exam and forfeiting the exam fee. and cannot test, their exam fee will be forfeited and candi- Before scheduling a testing appointment, be sure the name date must reapply and re-submit another application and fee. on the eligibility letter is identical to the name on all forms of 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. low prior to exam entrance. See Appendix C for the profes- org. If you schedule an exam with the incorrect name, you must sional regulatory candidate rules agreement. 10 Updated August 4, 2020 AHIMA CERTIFICATION CANDIDATE GUIDE
APPOINTMENT CHANGES Policy on Cancelling or Rescheduling or eligibility end date. AHIMA’s policies about changing a testing appointment are All appointments must be canceled through Pearson VUE as follows: prior to the request for a refund. • Candidates may cancel and reschedule the examination There is a $75 processing fee for all refund requests. Refunds up to 15 business days prior to the scheduled examina- will be credited back to the card that was used for payment. tion date at no charge If payment was made with a check; a check will be issued and sent to the mailing address on file. • Any candidate who reschedules or cancels his or her Please allow two to four weeks for processing if paid with a appointment 14 days prior to the exam date will be credit card and up to 2 to 3 months if paid with a check. charged a penalty of $30 by Pearson VUE. Reschedul- ing and payment must be completed using a valid credit Refunds will not be granted if requested after eligibility card through pearsonvue.com/ahima or by calling the end date. Pearson VUE Call Center at (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 14 business days prior to exam $30 location will not be allowed to test and the exam fee 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 to fourteen (14) business days prior to their scheduled test date ELIGIBILITY EXTENSION FEE AND POLICY Candidates may request an extension for their eligibility 2. A representative from the Certification department will period by following the policy outlined below: contact you within 48 business hours to collect payment. 1. First Request for an Extension–$75 If payment cannot be collected within 48 business hours (valid for an additional 45 days) your extension request will be closed and a new request will have to be submitted 2. Second and Final Request for an Extension–$150 (valid for an additional 30 days) 3. If you already scheduled your exam date with Pearson VUE, you must contact Pearson VUE at (888) 524-4622 Note: No additional extension will be authorized directly and cancel your exam appointment prior to Extensions are nonrefundable requesting an extension Steps for Requesting an Extension: 4. You will be notified via e-mail (e-mail address required 1. Complete and submit the Eligibility Extension Request on form) once your request has been processed and Form (form available on ahima.org/certification) and approved scan to certification@ahima.org Note: Requests for an extension must be received no later than 14 business days prior to the scheduled exam date or eligibility end date AHIMA CERTIFICATION CANDIDATE GUIDE Updated August 4, 2020 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 • US Dept of State driver’s license The Pearson VUE staff adheres to approved procedures to • US learner’s permit (plastic card only with photo and ensure the test center meets AHIMA’s testing criteria. Please signature) review the following information prior to the testing date to • National/state/country identification card ensure familiarity with the procedures. • Passport Plan to arrive at the test center 30 minutes before the • Passport card scheduled appointment. Candidates arriving at the test center • Military ID 15 minutes after the scheduled start time of the appointment • Military ID for spouses and dependents will not be allowed to test and will forfeit the testing fee. • Alien registration card When arriving at the test center, candidates will: (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 that carries two expiration dates) 12 Updated August 4, 2020 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 standardized testing environment. Candidates must adhere copyright violations will be investigated and, if warranted, to the following: prosecuted to the fullest extent of the law. It should be noted that 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 like), recording or photographic devices, weapons, Cancellation Due to Bad Weather or 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 August 4, 2020 13
You can also read