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AHIP certification is a prestigious credential that sets you apart in the healthcare industry. It's a mark of excellence that shows you have the knowledge and skills to navigate the complexities of health insurance.
To become AHIP certified, you need to pass a rigorous exam that tests your understanding of health insurance concepts, including medical billing, coding, and claims processing. This exam is designed to ensure that you have the expertise to handle the intricacies of health insurance.
Getting AHIP certified can open doors to new career opportunities and advancement in your current role. It's a way to demonstrate your commitment to excellence and stay up-to-date with industry developments.
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What is AHIP Certification?
AHIP certification is a big deal in the Medicare industry. It means someone has completed AHIP's Medicare and FWA training.
To be AHIP certified, one must know and understand all CMS rules for selling Medicare Advantage and Part D plans. This includes the rules for the current and/or upcoming plan year.
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AHIP certification qualifies someone to sell Medicare Advantage and Part D plans. It's a requirement for anyone who wants to sell these plans.
AHIP certification is a sign of expertise and knowledge in the Medicare industry. It shows that someone has taken the time to learn and understand the rules and regulations.
To be AHIP certified, one must have completed AHIP's training program. This program covers Medicare and FWA training.
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Getting Certified
Getting AHIP certified is a straightforward process. You can purchase and take the certification course directly through AHIP.org, or you can find specific links through Ritter's Certification Center.
The certification consists of two courses: Medicare and FWA. These courses cover the basics of eligibility and benefits, different types of Medicare Advantage and Part D prescription drug plans, and compliance with marketing guidelines and proper enrollment procedure.
Preparation for the AHIP certification test may take 10-15 hours, and it's completed in 5 modules with a quiz at the end of each section. The final test consists of 50 questions and requires a score of 90% or higher.
Here's a breakdown of what you can expect:
Allowed to retake the test
Getting Certified
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Getting certified is a crucial step in becoming a successful Medicare agent. The AHIP certification process starts on June 24, 2024, and agents can purchase and take the certification course directly through AHIP.org.
To become AHIP certified, agents must complete two courses: Medicare and FWA. The AHIP Medicare training covers the basics of eligibility and benefits, along with the different types of Medicare Advantage and Part D prescription drug plans.
The certification process consists of completing training modules and passing a timed, 50-question test with a score of 90 percent or higher. This test can be challenging, but preparation is key.
On average, preparation for the AHIP certification test may take 10-15 hours. To help you prepare, here are the key topics covered in the AHIP training:
- The basics of Medicare fee-for-service eligibility and benefits
- Different types of Medicare Advantage and Part D prescription drug plans
- Eligibility and coverage
- Nondiscrimination training
- Marketing and enrollment under the Medicare Advantage and Part D program requirements
- How to identify Fraud, Waste, and Abuse (FWA)
- An overview of the industry efforts in detecting fraud
- Legal tools to combat FWA
- Understand both the human and financial costs of FWA
- Review Medicare Parts C and D Fraud, Waste, and Abuse and General Compliance requirements
- Who commits FWA
- Reporting FWA; loopholes and obligations
You're allowed to take the final test three times per calendar year. Make sure to use your attempts wisely and don't hesitate to reach out for help if you need it.
Price
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Getting certified can be a significant investment, but it doesn't have to break the bank. For only $100, you can access NABIP's PY2024 Medicare, Medicare Advantage, and Compliance Requirements Certification training through their Online Learning Institute.
This affordable price includes a range of valuable benefits, such as free CE credits, which can be a huge perk for professionals looking to advance their careers. Up to 8 credits are awarded, which can be a significant advantage.
You'll also have access to a private online library that's available 24/7, making it easy to fit in some learning whenever you have a spare moment. The library is easy to navigate, so you can quickly find what you need.
If you have any questions or need help with the training, NABIP's Live Student Services Help Desk is just a phone call away at (844) 257-0990 or you can email them at [email protected].
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Certification Process
The certification process for AHIP is relatively straightforward. You can purchase and take the certification course directly through AHIP.org.
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To become AHIP certified, you'll need to complete two courses: Medicare and FWA. The AHIP Medicare training covers the basics of eligibility and benefits, along with the different types of Medicare Advantage and Part D prescription drug plans.
The certification consists of a timed, 50-question test that requires a score of 90 percent or higher. You'll have to pass this test after completing the training modules.
Preparation for the AHIP certification test typically takes around 10-15 hours. The test is available exclusively online and is completed in 5 modules with a quiz at the end of each section.
Here's a breakdown of the test format:
- 50 questions
- Requires a score of 90% or higher
- Completed in 5 modules with a quiz at the end of each section
- Available exclusively online
- Preparation time: 10-15 hours
You're allowed 3 attempts to take the test per calendar year, so don't worry if you don't get it right on the first try.
Frequently Asked Questions
How long does AHIP take?
The AHIP test typically takes 2 hours to complete, with 50 questions to be answered within that timeframe. You'll have 2-2.5 minutes to answer each question.
What are the levels of AHIP?
The Academy of Health Information Professionals (AHIP) offers four membership levels: Provisional, Member, Senior, and Distinguished. These levels are determined by a combination of academic preparation and professional experience.
Sources
- https://ritterim.com/blog/what-is-ahip-certification-and-how-do-i-get-it/
- https://www.cms.gov/training-education/medicare-learning-network/web-based-training
- https://www.pttfinancial.com/seven-ways-to-ace-your-ahip-certification/
- https://nccagent.com/resources/faqs/ahip-certification-faqs/
- https://thebrokerageinc.com/ahip-certification/
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