An NCRA-accredited Formal Education Program
The Cancer Registry Management program is a series of online courses designed for individuals interested in entering the cancer registry profession. Cancer registrars possess the clinical and technical knowledge and skills necessary to maintain components of the disease-related data collection systems consistent with medical, administrative, ethical, legal, and accreditation requirements of the health care delivery system.
In all types of facilities, and in various locations within a facility, cancer registrars manage and analyze clinical cancer information for the purpose of processing, maintaining, compiling and reporting health information. This information is used for research, quality management and improvement, facility planning and marketing, monitoring patient outcomes, cancer program development, cancer prevention and surveillance, survival data, compliance of reporting standards, evaluation of the results of treatment, and national accreditation standards.
The American Health Information Management Association (AHIMA) developed the Cancer Registry Management Program in a collaborative partnership with the National Cancer Registrars Association (NCRA) to enhance learning opportunities for burgeoning cancer registrars, and to help students become eligible to sit for NCRA's Cancer Tumor Registrar (CTR) certification exam under Route A Eligibility.
The full program consists of six specialty courses. The online classes in this program are open enrollment, can be started at any time, and are self-paced. In addition to the specialty courses, there are also four prerequisite courses as below:
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Prerequisite Courses
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Specialty Courses
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- Human Anatomy and Physiology (A&P)
- Computer Basics in Healthcare
- Medical Terminology
- Pathophysiology/Pharmacology
Students can submit transcripts to satisfy the prerequisite course requirement. See the Prerequisites tab for additional information.
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Specialty Cluster 1
- Cancer Registry Structure and Management
- Cancer Registry Operations
- Cancer Disease Coding and Staging
Specialty Cluster 2
- Oncology Treatment and Coding
- Abstracting Methods
- Follow-up, Data Quality, and Utilization
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Certified Tumor Registrar Certification Candidates
The three requirements under Eligibility Route A are:
- Cancer Registry Education: Successful completion of an NCRA-accredited Cancer Registry Management Formal Education Program
- College Education: Successful completion of a minimum of an Associate ’s degree or equivalent (60+ college-level credits)
- Experience: Successful completion of 160 hours of work practicum in a CTR-staffed Cancer Registry
For a list of NCRA-accredited formal education programs, including this program, visit www.ncra-usa.org/education/formal.htm.
For complete information on the NCRA's CTR exam, and to obtain the CTR brochure and Exam Candidate's Handbook and Application, visit www.ctrexam.org. Be sure to take note of any upcoming changes in exam eligibility requirements.
For those students already working in the Cancer Registry field, Route B requires two semesters of Anatomy and Physiology (A&P). AHIMA’s A&P course satisfies the semester 1 requirements, while our Pathophysiology and Pharmacology course satisfies the semester 2 requirement.
For the benefit of our Cancer Registry Management students, AHIMA Online Education participates in the American Council on Education's (ACE) Transcript Service. The ACE Transcript Service offers a lifelong record for students who have successfully completed the courses that have been reviewed by ACE CREDIT. This service enables adult learners to present a nationally recognized transcript to the college or university of their choice for the potential award of academic credit.
Students may register with ACE any Cancer Registry Management specialty courses completed, as well as the prerequisite courses. Courses must be successfully completed February 1, 2012, or later, to qualify. All of a student's ACE-evaluated courses are shown on one transcript with easy-to-read descriptions, credit recommendations, and suggested transfer areas. Upon request, the transcript can be released at any time to a college of the student's choice. To join the ACE Transcript Service, students must pay a one-time set-up fee of $40. Each release of a transcript request incurs a $15 fee.
Transfer of credit is determined by the receiving institution.
Step 1: Review Program Information
Thoroughly review all of the Cancer Registry Management program information to ensure student understanding of the prerequisites, requirements, scope of the program, and how the program works. If your questions are not addressed here, review the Frequently Asked Questions for this program.
Step 2: Complete the CRM Prerequisite Form
All prospective students in the CRM program must complete a CRM Prerequisite Form online. This form provides AHIMA with important information on how you previously completed the program prerequisites or how you plan to complete them. Submitting this form also establishes your record in our CRM Prerequisite Database, where we match incoming transcripts and track prerequisite completions. You need to complete this form only once, after which you will receive an e-mail confirmation with additional details and instructions. This form is submitted at no cost or further obligation.
Step 3: Send proof of prerequisite completion
Prerequisites can be waived in one of three ways:
- If you previously completed some or all of your prerequisites at the college level with grades of "C" or better, then you should contact the school(s) to arrange to have official transcripts sent directly to AHIMA.
- Provide a copy of your physician or nursing license to waive all prerequisities except Computer Basics in Healthcare.
- If you hold an RHIA or an RHIT credential, no transcript or license submission in required.
Specific instructions on how to submit prerequisite proof will be sent to you via e-mail immediately after you complete the CRM Prerequisite Form.
Step 4: Register for outstanding prerequisites
If you have not completed all four prerequisites at the college level with grades of "C" or better, you may start the AHIMA CRM program by registering for the prerequisites.
Step 5: Register for specialty courses
After you complete the prerequisites, register online for the specialty courses.
The Cancer Registry Management program requires the completion of four prerequisite courses, which must be completed prior to enrolling in the Cancer Registry Management specialty courses.
The four prerequisite courses can be taken with AHIMA, or students can submit transcripts from other programs to meet this requirement. Human Anatomy and Physiology is offered as an independent course only, while the other three prerequisite courses can be purchased as a bundle with a cost savings of $125.
Human Anatomy and Physiology
This course familiarizes the student with basic concepts of human anatomy and physiology. At the conclusion of this course, the student will demonstrate a basic knowledge of the structure and function of the various parts of the body, as well as the terminology for identifying cells, tissues, organ systems and body parts.
Topics include the language of medicine, organization of the body, cellular foundations, and tissues and membranes. The body systems covered include skeletal, muscular, integumentary, cardiovascular, lymphatic and immune, respiratory, nervous, sensory, endocrine, gastrointestinal, urinary, and reproductive.
Registration Fee: $225 AHIMA members and nonmembers
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Cluster Registration: Three Prerequisite Courses
- Computer Basics in Healthcare
- Medical Terminology
- Pathophysiology/Pharmacology
Save $125 when you register for the 3-course cluster!
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Individual Course Registration
Computer Basics in Healthcare
This course offers a general overview of computers and the Internet and the role each has played in healthcare and will play in the future. Students will learn the basics of hardware and software and will gain a general understanding of the most commonly used applications. Online tools used by AHIMA, such as the Communities of Practice and the Body of Knowledge, will be explored, as well as the various applications used in the teaching of online courses. Click here for required books.
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Medical Terminology
This course teaches students how to break medical terms into prefixes, suffixes and roots, and become familiar with the spelling and definition of common medical terms related to major disease processes, diagnostic procedures, laboratory tests, abbreviations, drugs, and treatment modalities. Click here for required books.
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Pathophysiology/Pharmacology
This course emphasizes the disease processes affecting the human body via an integrated approach to specific disease entities including the study of causes, diagnosis and treatment of disease, and an understanding of the basic principles of pharmacology. Click here for required books.
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Please review the steps located in the overview to ensure a postive experience.
AHIMA’s Cancer Registry Management program consists of six (6) specialty courses - the first three of the 6 specialty courses are grouped under Specialty Cluster 1 and the last three courses are grouped under Specialty Cluster 2 - described below.
Once a student activates a course, it is open to the student for a limited period of time (the 15-week ‘valid period’). Students can access the course 24 hours per day during that time. Courses require at least 8 to 10 hours of study time per week.
Registration Options:
Register for courses separately, or receive a discount by registering for a full cluster at once. Required textbooks must be purchased separately.
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Specialty Cluster 1
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Specialty Cluster 2
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- Cancer Registry Structure and Management
- Cancer Registry Operations
- Cancer Disease Coding and Staging
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- Oncology Treatment and Coding
- Abstracting Methods
- Follow-up, Data Quality, and Utilization
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Note: Required textbooks are not included with course registration, and must be purchased separately.
Cluster Registration: Three Specialty Cluster 1 Courses
Save $125 when you register for the 3-course cluster!
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Cancer Registry Structure and Management
This course familiarizes the student with the basic concepts of the structure and management of cancer registries. At the conclusion of the course, the student will have a basic knowledge of the types and purpose of cancer registries, confidentiality issues, and the role of standard setting organizations in cancer data management.
View course outline, objectives, and content developer biography
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Cancer Registry Operations
This course gives students an in-depth depiction of the systematic processes used in the daily operations of a cancer registry, including those to identify code, maintain quality, and provide lifetime follow-up on cases. Detailed guidelines on how to determine which cases meet eligibility requirements of state and national standards are reviewed. Insight will be give as to the role the standards play in providing comparable data for analysis. The standards necessary for registry operations, both state and national, as well as the voluntary standards for approved cancer programs of the Commission on Cancer, will be explored in detail.
View course outline, objectives, and content developer biography
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Cancer Disease, Coding and Staging
This course will define cancer, how it develops and spreads to infect the body and ultimately causes death. Students will learn about the hundreds of different types of cancer and benign tumors and how to classify these tumors utilizing globally recognized codes. Classification helps distinguish where the cancer initiated, the type of cancer, and how aggressive it may be. This course focuses on data collection processes. Students will become familiar with the components of a medical record, the principles of abstracting and coding, and cancer staging principles.
Two major staging systems will be reviewed extensively: the American Joint Committee on Cancer (AJCC) tumor-node-metastasis (TNM) and the Collaborative Stage. Historical staging systems will be explored, such as the General Summary Staging, and Extent of Disease (EOD) will be explored, as well.
View course outline, objectives, and content developer biography
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Cluster Registration: Three Specialty Cluster 2 Courses
Save $125 when you register for the 3-course cluster!
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Individual Course Registration
Oncology Treatment and Coding
This course gives an in-depth overview of available cancer treatment options, how treatment works to destroy or eliminate cancer, and how to code each. There will be a comprehensive review of surgery, chemotherapy, radiation therapy, immunotherapy, hormonal therapy, and other less frequently used treatment modalities. Treatment modalities will be linked to the types of cancer they are used against. In addition, clinical pathways will be utilized to help students determine what types of treatment he/she should expect to find in medical records based on site, extent, and type of cancer.
Upon review of case summaries, treatment identification and coding will occur. First line of treatment will be defined and identified. For each treatment modality, a detailed overview of coding references will take place, and appropriate codes will be assigned. After case summaries have been coded, students will be able to determine if the treatment for the case is complete or if the case requires further research.
Information and resource documents for the professional practice experience requirement (160 hours) are also provided in this course.
View course outline, objectives, and content developer biography.
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Abstracting Methods
This course will take a systematic look at the source documents for data. Identification of cases that are eligible for inclusion in the cancer registry database and methods of documenting pertinent clinical information according to established standards will be discussed. Independent abstracting of complete cancer registry abstracts will be conducted. To complete the lessons and exercises in this course, the student should first successfully complete the Cancer Disease, Coding and Staging course offered through this program.
Information and resource documents for the professional practice experience requirement (160 hours) are also provided in this course.
View course outline, objectives, and content developer biography
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Follow-up, Data Quality and Utilization
This course provides best practices for obtaining life-long follow-up on appropriate cases. It demonstrates the need for data quality and methods to ensure consistent, accurate data and outcomes. Statistics and epidemiology as it applies to the cancer registry will be explained. The structure and management of the database will be explored.
Information and resource documents for the professional practice experience requirement (160 hours) are also provided in this course.
View course outline, objectives, and content developer biography
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Required textbooks must be purchased separately by the student, and are not included in the price of the course. Required textbooks should be available prior to starting the associated course(s), and can be purchased wherever available. Be sure to purchase books with the exact ISBN numbers listed.
Required Books for CRM Prerequisite Courses
Anatomy & Physiology:
Anatomy & Physiology for Health Professions: An Interactive Journey, 2nd Ed.
Computer Basics in Healthcare:
Introduction to Computer Systems for HIT
Medical Terminology:
Mastering Healthcare Terminology, 4th Edition
Dorland’s Illustrated Medical Dictionary, 32nd Edition (Optional)
Pathophysiology and Pharmacology:
Pathophysiology for the Health Professions, 4e
Introduction to Pharmacology, 12th Edition
The Merck Manual of Diagnosis and therapy, 19th Edition (Optional)
Required Books for CRM Specialty Courses
(Listed in the sequence in which the courses should be completed)
There are three required textbooks used in the Cancer Registry Management Specialty courses (clusters 2 and 3)
Required textbooks by corresponding course:
Cancer Registry Management: Principles & Practice for Hospitals and Central Registries, Third Edition
Editors: Herman R. Menck, et al.
Publisher: Kendall/Hunt Publishing Company
ISBN: 978-0-7575-69005
Click here to order from Kendell/Hunt Publishing Company
Click here to order from Amazon.com
ICD-O-3 (International Classification of Diseases for Oncology, Third Illustrated Edition
Editors: April Fritz, et al.
Publisher: World Health Organization
ISBN: 9789241545341
Click here to order this book from Amazon.com
Click here to order from the publisher, the World Health Organization
American Joint Committee on Cancer (AJCC) Cancer Staging Manual, Seventh Edition
Editors: Frederick L. Greene, et al.
Publisher: Springer-Verlag
ISBN: 978-038788-440-0
Click here to order this book from Amazon.com.
Which courses use each book:
Course
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Textbook:
Cancer Reg. Mgmt: Principles and Practice
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Textbook:
ICD-O-3
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Textbook:
AJCC Cancer Staging Manual
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Cancer Registry Structure and Management
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Cancer Registry Operations
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Cancer Disease Coding and Staging
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Oncology Treatment and Coding
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Abstracting Methods
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Follow-up, Data Quality, and Utilization
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All Coding Basics finals must be taken under the supervision of a proctor. Students must ask a manager, supervisor, human resources personnel, or HIM coworker to be in the same room as exams are completed. If taking the courses outside of work, students may ask a friend to be the proctor. Spouses or family members cannot serve as proctors.
Proctoring is necessary for the Coding Basics courses to be accepted for credit. Detailed proctoring instructions and forms can be viewed here:
There will be additional free downloads required for each course. A complete listing of all required materials will be provided to students enrolled in the course.
Course Completion Sequence
Prerequisite requirements must be satisfied before starting Cancer Registry Management specialty courses.
Many of the cancer registry management concepts and principles are cumulative, which means the knowledge gained in one course will be needed to successfully complete the next course. For that reason, it is strongly recommended that students complete the specialty courses in the exact sequence as described on the Specialty Courses tab.
Course Activation/Classes Begin
This open-enrollment program consists of online, self-paced courses. Once registration is processed, verification is sent to students via e-mail. Registrations received online and paid with a major credit card are immediately processed. Registrations paid by check or purchase order are processed upon receipt of full payment.
- All specialty course registrations are subject to prerequisite verification.
- After registering, students need to log in to their course or cluster, and "Request Course Activation."
- Students then must wait up to 3 business days for their course or cluster to be activated. Once we send activation approval, students can activate individual courses within a cluster at their own pace.
Cluster Timing
Students enrolled in a three-course cluster will have a 15-week period in which to activate all three courses — known as the course activation period. When an individual course is activated, it must be completed within 15 weeks* — known as the course valid period. Students who register for full clusters should activate their courses one at a time, staggering the start dates in order to begin each course during the 15-week activation period. See the course activation example below.
*Note: These are self-paced courses; therefore, each individual course may be completed in fewer than 15 weeks.