Workshops Class Schedule 2017/2018

CPMA® 2-Day Intensive Training

Prerequisite  /  Tuition  /  Orientation/Registration  /  Course Description  /  Class Size  /  Online Availability  /  Enroll



November 2, 2017 Class
Instructor Classes
Beth Schleeper Thursday 11/2/2017 - Friday 11/3/2017
8:00am - 5:00pm MST
Location
Central Phoenix Location
2929 N 44th Street
Suite 202
Phoenix,AZ 85018

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Prerequisite
Recommended: Minimum of two years coding experience and coding certification strongly recommended.
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Tuition

Tuition $895.00

(Certificate of Completion will be issued.)

Included Reading Material: Medical Auditing Training: CPMA® 2014; AAPC; AAPC publisher

Additional Required Code Books (Not Included):
CPT® Professional Edition (current year), AMA publisher
ICD-10-CM Volumes 1 & 2 (current year), any publisher
HCPCS Level II (current year), any publisher
Required code books may be purchased through AAPC or any major bookseller.

Please be sure to bring a pen, pencil and highlighter, as well as a calculator.

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CPMA® 2-Day Intensive Training

The student will learn principles of medical auditing. In addition, there will be discussion of key areas of regulations, CIAs, medical record documentation and chart abstraction. This course is recommended for anyone who is preparing for a career in medical auditing and strongly recommended for anyone who is preparing for the AAPC CPMA certification examination.

Course Objectives

  • Define fraud and abuse and explain regulatory guidelines for key regulations
  • Explain the impact of the OIG Work Plan and Corporate Integrity Agreements (CIAs)
  • List the elements of compliance plans and identify potential compliance risk areas
  • Identify National Correct Coding Initiative (NCCI) and Medically Unlikely Edit (MUE) risk areas
  • Identify the purpose of recovery audit contractors and how to prepare for potential RAC audits
  • Explain the HIPAA privacy rule, including details on protected health information, minimum necessary, sharing of information, and enforcement
  • Identify medical record documentation standards and record retention standards
  • Identify common errors found in documentation for evaluation and management, anesthesia, surgery, radiology, pathology and laboratory, and medicine services
  • Explain the types of audits and the resources required for audits
  • Define steps of the audit process and identify statistical sampling types and factors
  • Explain aggregate analysis and when it is useful
  • Explain the importance of discussing audit findings with the provider
  • Provide practical application of auditing operative reports and evaluation and management services

Course Content
Compliance and Regulatory Guidelines including:
  • Fraud and abuse
  • Federal False Claims Act
  • Anti-Kickback Law
  • Stark Law
  • Exclusion Statute
  • Civil Monetary Penalties Law
  • Office of Inspector General (OIG)
  • Centers for Medicare and Medicaid Services (CMS)
Medical Record Documentation Standards
  • HIPAA Privacy Regulations
  • Types and components of medical records
  • Accreditation standards
Coding and Reimbursement Concepts
  • CPT® Guidelines
  • Evaluation and Management
  • Anesthesia
  • Surgery
  • Radiology
  • Pathology and Laboratory
  • Medicine including chemotherapy, psychotherapy, physical therapy
  • Modifiers
  • Diagnosis coding and medical necessity
  • Physicians at Teaching Hospital (PATH) Guidelines
Auditing
  • Auditing process
  • Statistical sampling, utilization review, RAT-STATs
Risk Analysis and Communication
  • Validation of audit results
  • Analysis and report of audit findings
  • Communicating audit results
Practical Expertise
  • Practical audit skills utilizing cases for practical application
Final Exam

Class Size
The maximum number of students will be 20 per class. Class size is limited and is on a fist come, first served basis. Should there be a high demand for additional classes Advanced Coding Services will try to accommodate students by adding a class to schedule.
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Online Availability
This course is currently not offered online.


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