AAHAM Certified Revenue Integrity Professional

Intended Audience

The Certified Revenue Integrity Professional (CRIP) exam is intended for anyone in the revenue cycle industry to help ensure that facilities effectively manage their charge master, and bill and document appropriately for all services rendered to a patient. This certification requires an in-depth, working knowledge of various revenue cycle areas and proper skill sets needed to increase revenue and reimbursement for facilities. It also ensures that proper charging takes place to maintain compliance within the insurance payer programs.

Exam Overview

The CRIP is a four hour online proctored exam that measures basic competencies in healthcare compliance.

CRIP Exam Focus Areas

  1. Overall Review of Charge Capture
  2. Ancillary Services
  3. Surgical Services and Procedures
  4. Recurring Outpatients and Clinical Services

Exam Format

The exam is comprised of four (4) sections that contain multiple-choice and true/false questions. Examinees must initially sit for all four (4) sections of the exam. Each section is graded separately, and each of the four (4) sections must be passed with a score of 70% or greater in order to earn the certification designation. If one (1) or two (2) sections are failed, a retake of those sections is permitted. If three (3) or more sections are failed, a retake of the entire exam is required.

Exam Retakes

Failed exams can be retaken as soon as the next exam cycle but must be retaken within twelve (12) months of the initial exam date.

Exam Refunds and Postponements

CRIP applications are non-refundable, and non-transferable. There are no postponements allowed.

Eligibility

The CRIP exam is only available to national AAHAM members, in good standing.

Exam Frequency/Schedule

The exams are held three times a year; March, July and November.

Exam Preparation

AAHAM certification examinations require hands on working knowledge of patient account management as it relates to national governmental regulations and policies that govern revenue cycle registration, billing and collection procedures. Working experience is not sufficient; candidates will need to enhance and refresh their knowledge through independent and group study programs. Participation in study opportunities provided by your local chapter and/or the national organization is highly recommended.

Study opportunities include:

  • Training and coaching opportunities are offered by local AAHAM chapters.
Professional Study Sessions will be conducted by Leanna Marshall (434/293-8891), Virginia Chapter Certification Chair.  Leanna is available to hold study sessions in person, at the University of Virginia Medical Center, Department of Patient Financial Services building located at 4105 Lewis & Clark Dr. Charlottesville, VA 22911, or via telephone conference.

Recertification

To see detailed information on recertification reporting and requirements, click here.