Certified Professional Medical Auditor (CPMA®)
Online learning
Certified Professional Medical Auditor (CPMA®)
During this 2 day course, student will learn principles of medical auditing. In addition, there will be discussion of key areas of regulations, CIA’s, 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.
Prerequisite
Recommended: Minimum of two years coding experience and coding certification strongly recommended.
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
- 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)
- HIPAA Privacy Regulations
- Types and components of medical records
- Accreditation Standards
- CPT® Guidelines
- Evaluation and Management
- Anesthesia
- Surgery
- Radiology
- Pathology and Laboratory
- Medicine including chemotherapy, psychotherapy, and physical therapy
- Modifiers
- Diagnosis coding and medical necessity
- Physicians at Teaching Hospital (PATH) Guidelines Auditing
- Auditing
- Statistical sampling, utilization review, RAT-STATs
- Validation of audit results
- Analysis and report of audit findings
- Communicating audit results
- Practical audit skills utilizing cases for practical application
- Certificatiohn given at completion of course and successful passing of final exam
Class Size
The maximum number of students will be 20 per class. Class size is limited and is on a first 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 the schedule.
Online Availability
This course is offered online.
Tuition
$1,995 per team member
(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.
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.
Refund Disclosure - Applies to Online/Virtual Classes Only
Online courses may be canceled for a full refund within three days after the date of purchase, provided that the student has not accessed the online course, and course materials and books are returned unopened and in good condition to ACS. After three business days, course cancellations are subject to a $50 cancellation fee per course, in addition to any fees for course materials/books that are not returned to ACS, or are returned opened or used. Refunds will not be issued for any course that has been accessed, viewed, or partially completed, and no refund is available for any course after 30 days from the purchase date. Course refund requests must be submitted in writing to ACS for review and consideration. Online courses are for individual use only and are non transferable.
ADVANCED CODING SERVICES IS AAPC ACCREDITED
AAPC Accredited Vocational School in Phoenix Arizona
