Become a Nationally Certified Medical Biller through AMBA
Information for medical billing certification
of the CMRS Exam
The purpose of this certification is to promote ethical and
professional medical billing through certification of qualified individuals.
This voluntary credential formally recognizes a medical biller’s competency and
proficiency, encourages continued professional and personal best development,
and provides a national standard assessment based on industry knowledge.
Created in 2000, it is the longest standing and most
thorough exam for professional medical billers. Other exams offered to medical
billers are newly released, offer a fraction of the questions, are sometimes
more expensive, and are offered by associations that primarily focus on medical
coding, a separate industry from medical billing.
The CMRS designation is awarded by the Certifying Board of the American Medical
Billing Association (CBAMBA). Currently, no state or Federal requirements exist
stating a medical biller must be certified to practice medical billing.
However, most providers are requiring their billers be certified. Your
certification demonstrates to physicians and employers that you are proactive
in advancing your education and skills.
Certified Medical Reimbursement Specialists (CMRS) facilitate the claims paying
process, from the time a service is rendered by a health care provider, until
the balance is paid. CMRS Billers play a critical role in a health care
provider's daily business operations.
Certification provides knowledge and
credibility to the biller, potential health care providers, and employers. It
demonstrates your commitment and dedication in providing the highest standards
possible in Claims Management and Medical Billing. Certification presents solid
confirmation of your desire to offer qualified services in an industry that is
complex and demands specialized training. Certification provides verification
of competency and assurance of continued education to maintain the credential.
CMRS testing is provided on a global level. Our credential allows billers to
empower themselves by taking steps to improve confidence and enhance value to
the industry and the doctors they work with.
Physicians and other healthcare providers are looking for certified
professionals that understand regulatory and business issues that affect their
practices. CMRS's have the knowledge, skills, and confidence to be more
effective in increasing revenue, preventing fraud and abuse, and researching and
finding information that helps practices succeed in today's environment and
The exam has 16 sections (see list
below), requires 710 answers, and a cumulative score of 85% to pass and earn
the CMRS credential designation.
- 85% of the exam is covered in the CMRS Study Guide
- 10% covers coding and can be found in your current
year’s ICD-10, CPT, and HCPCs Coding books or a subscription to AMBACode.
- 5% can be found online
Anatomy and Physiology
Information Technology and
Web and Information Technology
EDI Transactions and
CMS 1500 Claim Form
Acronyms and Terms in Common
Compliance and HIPAA
Fraud and Abuse
How The Exam Works
The CMRS Exam is taken online
through our secure Learning Management System. We are not concerned with a
student retaining every detail in their memory. A biller must be able to
utilize all of their resources to find solutions, and we expect the same
utilization during the testing process. For example, a biller must know how to
search the OIG’s exclusion list to answer why a person/company is excluded from
Medicare and Medicaid programs. Also, a biller should be able to research an
insurance carrier’s website for policy provisions and payment information. Our
exam covers both of these topics, and a multitude of others, that a biller will
have to face on the job.
You'll have 45 days access to complete the exam and it is
Passing The Exam
Each section can be reviewed before
submission. Upon submission, a grade for that section will be provided. Once
you have completed the exam, your final score is available immediately. CMRS
Certificates are mailed upon completion and arrive in about 3 to 4 weeks. They
are valid for one year from the date you complete the exam. A new certificate
is sent each year to the credential holder after the recertification process is
Three free retakes are allowed with a mandatory 30 day waiting period between
retakes (but not more than 60 days).
Requirements & Required Materials
- In order to take the exam, you must be a member of
- You must have access to the current year’s HCPCS, CPT,
and ICD-10 codes. You can get these codes on of two ways:
- Subscription to AMBACode. AMBACode includes all three
sets of codes plus more. Get a 28 day free trial. Using this software
would replace the need for you to purchase code books.
- Purchasing the current year's HCPCS, CPT, and ICD-10
Code Books. 10% of the exam material can be found in the coding manuals
or with a subscription to AMBACODE ICD-10-CM, CPT, and HCPCS.
- You should have experience in billing or have a good
foundation of knowledge in medical billing to successfully pass the exam.
You are required to have a high school diploma or the equivalent in order
to sit for this exam.
The CMRS Study Guide is optionally available through the AMBA in .pdf format
that will assist you in taking the exam. The study guide is $199 and is
available through our online store. This is
an automatic download. The Study Guide follows the exam layout listed above and
covers about 85% of the questions on the exam. It also includes actual test
questions after each section to give you an overview of how our exam is laid
out and the questions that are included. This guide can be searched easily to
assist you while you are taking our exam.
Colleges, Universities, & Technical Schools
Schools and teaching facilities that
would like to make our exam available to their students can be set to easily
administer the exam from our secure management system. Special discounted
package rates are available that include the exam, study guide and a year
membership to AMBA. Contact Larry Weston firstname.lastname@example.org 580-369-2700 for
In order to take the exam, you must
be a member of AMBA. You will be required to maintain an annual membership to
AMBA. The cost of membership is $99, annually. You will also be required to
obtain 15 continuing education units (CEUs) each year. Fifty percent of your
annual CEUs should come through the association. You can earn all 15 for FREE
by completing AMBA Webinars.
If you need directions on how to complete FREE CEUs please call us.
If you have a product you would like
to submit to AMBA for prior CEU approval consideration or know of one please
let us know.
To apply for the CMRS Exam, complete
the Registration Form and mail or fax it to our office along with your payment,
or purchase the exam and membership online at www.ambastore.net
We are a member of IACET. IACET is dedicated to quality in continuing education
and training. Members of the organization are educational professionals and
organizations that strive to provide the highest quality in continuing
education and training.
of the American Education Research Association