After passing the Revenue Cycle Management Specialist (RCMS)™ certification exam, you will become a Certified Revenue Cycle Management Specialist. Adding this credential to your name proves to employers you have the specific job skills and knowledge needed to be successful in revenue cycle management settings within the Saudi Arabia healthcare market.
Our RCMS program has been developed specifically around the Saudi Arabia coding and billing standards as specified by each of the key regulatory bodies, including the Ministry of Health (MOH), Saudi Health Council (SHC), Saudi Commission for Health Specialties (SCFHS), Saudi Central Board for Accreditation of Healthcare Institution (CBAHI), Council of Health Insurance (CHI), and (Saudi Food and Drug Authority (SFDA).
Your RCMS credential will show that you thoroughly understand the ins and outs of a patient's visit — from their arrival at the front desk to their discharge/check out from the facility. This includes an understanding of claims submissions using insurance protocols, billing regulations, and medical codes.
Exam format
135 multiple-choice questions and 15 case studies (case analysis of various RCM stages)
Online exam options
The exam is only available online. It can be taken remotely or at a central exam center location in Riyadh.
Time allowed
Exams are administered in one sitting, with four hours to complete the exam.
Equipment required for exam
You will need access to a computer with an external camera and reliable high-speed internet.
Approved code books
No code books are allowed while taking the exam.
Maintaining your certification
To maintain your credential, you must maintain your AAPC annual membership, and earn 16 continuing education units (CEUs) every two years.
Pricing
The exam must be purchased as part of a bundle with the RCMS training course. The cost of this bundle is 6,300 SAR ($1,680 USD) and includes the following:
RCMS training course
Exam voucher
AAPC membership
Of note: Students who train with AAPC are three times more likely to pass the certification exam. And, 80% of AAPC students pass on the first exam attempt.
Competencies proven with RCMS credential include
Accurately apply and justify coding and billing conventions when processing the claims
Strong understanding of key fields in the KSA insurance data for CHI to carry out any investigations and analysis to meet its requirements
Knowledge of the standards for minimum data specifications for claims, enrolled data, codes, admission, and discharge specialty reference codes (CHI)
Identify the key focus for data points required for investigation and data analysis and Ministry of Health minimum data specifications (MOH-MDS)
Knowledge of specific health records requirements as per CBAHI
Identify the significance of proper coding, policies and protocols on reimbursements, and patient quality of care
An overview of the KSA billing regulations
Understand how to apply the insurance protocols
Summarize the Saudi health insurance system and regulatory requirements
Understand and apply best practices of reimbursement and collections processes within the RCM
Ability to interpret the case analysis for denied claims
Understanding of compliance issues for submitting a claim as per KSA
Understand the significance of clean claim submissions in quality improvement
About the RCMS exam
The RCMS examination consists of questions regarding the correct application of ICD-10-AM, SBS, and AR-DRG codes used to meet the Saudi Arabia coding and billing standards.