CHPM Management Certification

CHPM - Certified Healthcare Practice Manager

The Certified Healthcare Practice Manager (CHPM) exam is administered an by Medical Coding & Healthcare Compliance. By passing the CHPM certification examination, you are designated as a health care professional in auditing.

Being a Certified Healthcare Practice Manager (CHPM) demonstrates to employers, colleagues, and clients that an individual has the knowledge, skills, and experience to effectively manage a healthcare practice. A CHPM certification is a credential that verifies that the individual has met certain education and experience requirements and has passed a rigorous exam.

There are several benefits to being a Certified Healthcare Practice Manager. One of the main benefits is that it can lead to increased job opportunities and higher earning potential. Employers often prefer to hire CHPMs because they know that these individuals have the knowledge and skills required to effectively manage a healthcare practice. Additionally, CHPMs may be eligible for higher salaries and better benefits than non-certified practice managers.

Another benefit of being a CHPM is that it can help to increase the overall efficiency and effectiveness of a healthcare practice. CHPMs have a thorough understanding of the best practices and industry standards for managing a healthcare practice, which can lead to improved patient care and financial stability.

Certification can also lead to professional growth and development. CHPMs are required to earn continuing education units (CEUs) to maintain their certification, which ensures that they are staying up-to-date with the latest developments in the healthcare industry.

Registration Options:

Online Review & CHPM Certification: $499

Includes 60 day access to online review materials and one attempt at certification exam.

Additional attempt $75 Per section

CHPM Certification Exam: $199

Includes one attempt at certification. Additional attempt $75 Per section

Certification Eligibility:

Eligible candidates must meet one of the following requirements:

Education: complete at least 100 hours of online or classroom training for practice management and/or compliance
Experience: Minimum of two (2) years related auditing / compliance experience
Credential: Hold an active MCHC credential OR a credential from other certifying organization plus one (1) year of compliance and/or auditing experience.
Score 80% or higher overall between sections one and two. A section score must be 70% or higher.
- Scoring below 70% on a single section, but maintaining 80% overall requires the failing section to be successfully completed with 70% or higher to obtain certification.
Complete 14 Continuing Education Units (CEUs) annually surrounding practice management.

Active MCHC Membership required.

CHPM Certification Examination Details:

CHPM is a 4.5 hour timed exam. Section 1 is 3 hours and Section 2 is 1.5 hours.

Section 1: 100 Multiple Choice Questions

15 Compliance, 20 Medical Practice Operations, 10 Revenue Cycle Management, 5 Office Accounting, 4 Investigations and Penalties, 3 HIPAA, 4 Marketing & Advertising, 9 Office Policy & Procedures, 5 Human Resource Management, 3 Contracts and Negotiations, 5 Training and Development, Disciplinary / Corrective Action, 5 Budgeting, 2 Appointments / Scheduling, 2 Inventory Management, 2 Health and Safety, 2 Data Analytics, 2 Practice Growth

Section 2: Case Studies and Management Scenarios

This section requires written responses based on scenarios provided. Provide solutions as the Practice Manager and incorporate reference(s) when applicable.

Certification Renewal:

Eligible candidates must meet one of the following requirements:

Maintain active membership with MCHC, and be in good standing.
Obtain and submit 14 Continuing Education Units (CEU) annually related to compliance or management
- CEUs earned from sources other than MCHC require a detailed agenda to accompany the CEU
- CEUs must be obtained during the renewal period.
Significant changes in healthcare compliance may require completion of no-cost webinar.
Failure to renew your certification within the renewal period will result in loss of certification status. Loss of certification status indicates you may no longer use the credential in professional communications. Use of credential would need to indicate date obtained and date expired.

CHPM Certification Examination includes the following:

OIG Compliance Guidance for Individual and Small Group Practices, Hospitals and Third Party Billing Companies.
Healthcare Risk Areas such as: medical record documentation, conflict of interest, medical necessity, Gifts, Advance Beneficiary Notice, overpayments, billing of non-covered services, teaching physicians, joint ventures, gain-sharing arrangements, discounts / professional courtesy, rental of office space, and unlawful advertising
Laws and Regulations including: Fraud and Abuse, Stark Law, Physician self-referral law, HIPAA, False Claims Act, EMTALA, Anti-kickback Statute, Mail and wire fraud, RICO, OHSA, CLIA, and the PPACA
Inspections, Investigations and Audits including: Corporate Integrity Agreement, exclusions, CMS, the self-disclosure protocol, qui tam, seeking legal counsel, internal and external audits
Creating a compliance plan including: standards and procedures, compliance oversight structure, education and training, communications, monitoring and auditing, disciplinary action, and responding to detected offenses
How to perform an audit for coding, billing, reimbursement, compliance, etc.

CHPM - Certified Healthcare Practice Manager

Contact Us:

Questions about certification? Call 904-495-6141