Exam Content
The CHBME exam was restructured in 2018 to include updated content to further reflect changes in our field. The updated content ensure the knowledge and skills evaluated in the exam fully align with the competencies revenue cycle management professionals need to perform their jobs responsibilities.
The CHBME exam reviews six domains of competencies and must be taken in person. The exam is offered at the HBMA Healthcare Revenue Cycle Conference and can also be taken throughout the year using peer proctoring. Click here for peer proctoring guidelines.
Understand the exam requirements when preparing for the exam. All exam participants must be enrolled in the CHBME program and complete 60 credit hours before sitting for the exam. The exam is administered in a single two-hour time frame and candidates must register to take the test no later than two weeks prior to the testing date.
Domain 1: Strategic Planning
Strategic Planning
I. Competency: Define the elements of and the process for building a strategic plan
II. Competency: Explain the steps for determining how and when to add new products and services into the business
Succession Planning
I. Competency: Articulate succession planning options
II. Competency: Define elements of a thorough SWOT analysis
Disaster Planning
I. Competency: Define the elements of successful disaster plan
Domain 2: Financial Management
Accounting Principles
I. Competency: Define cash vs. accrual accounting
Reporting
I. Competency: Identify various payment models
II. Competency: Manage the RFP/procurement process for a business
III. Competency: Describe pricing models and identify how they affect the business structure
IV. Competency: Ability to read and interpret basic financial reports
Financial Decision Making
I. Competency: Explain key concepts of financial decision making including:
a. Retained earnings
b. Taxes
c. Asset Accounting and Depreciation
d. Lease v. Buy
II. Competency: Define the elements of successful cash management
Domain 3: Operations
Corporate Structure/Business Type
I. Competency: Define how various type of corporate structure affects the business model
Human Resources
I. Competency: Describe the necessary elements for managing a remote workforce
II. Competency: Define successful methods for managing off-shore employees
III. Competency: Identify components of a successful performance management process
KPIs
I. Competency: Articulate the concept of revenue per claim
II. Competency: Tips for establishing KPIs
Operational Workflow
I. Competency: Articulate the fundamental elements of revenue cycle management by function and client
II. Competency: Outline the steps in a successful denial management process
Coding
I. Competency: Outline the elements of the coding process and how that affects the revenue cycle
Practice Management
I. Competency: Define the payment models:
a. P4P payment model
b. ACOs
II. Competency: Outline the steps involved in Provider Enrollment including Managed Care and Contracting
Domain 4: Customer Relations
Sales Marketing
I. Competency: Tabulate ROI on various marketing efforts including print and electronic media and trade shows
Business Development
I. Competency: Define several options for business development and their cost to the company
Client Communication/Relationship Building
I. Competency: Identify methods of outreach via electronic media
Domain 5: Technology
Automation
I. Competency: Define the system requirement needs for:
a. Downloads and Interfaces
b. Integrated Scanning
c. Electronic Scanning
d. OCR
e. Coding Support Products
System Software
I. Competency: Define the necessary requirements for setting up a practice management software system.
System Security
I. Competency: Define the appropriate elements to keep your system secure
II. Competency: Outline the requirements for a HIPAA compliant system
III. Competency: Describe the necessary controls for voice mail, data systems, electronic media and remote access
IV. Competency: Define the necessary components to meet meaningful use requirements.
Domain 6: Compliance and Legal
Risk Management
I. Competency: Define how to integrate a risk management strategy into your corporate structure
Auditing
I. Competency: Define the types of audits and monitoring for compliance
a. Internal Control Audits
b. CERT/RAC/PQRS Audits
OIG Compliance Guidelines
I. Competency: Define the seven elements of OIG Compliance
General Operations
I. Competency: Articulate the Government and Commercial Payer Rules
a. Payments
b. Medicare/Secondary Payers
c. Pre-authorization
d. Balance Billing
e. Meaningful use/HER
f. Collecting unclaimed funds
Get Started Today!
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