Course detailsAdvance your career with the Certified Professional Medical Auditor (CPMA®) credential. Medical auditing is a critical piece to compliant and profitable physician practices. Whether it's Recovery Audit Contractor (RAC) audits, private payer denials, or just peace of mind, more physicians plan to have audits conducted regularly. The risks of being non-compliant with documentation and coding are too great. As a CPMA, you will be able to use your proven knowledge of coding and documentation guidelines to improve the revenue cycle of nearly all healthcare practices.
Certified CPMAs demonstrate expertise in:
Medical documentation, fraud, abuse, and penalties for documentation and coding violations based on governmental guidelines.
Scope and Statistical Sampling Methodologies.
Medical Record Auditing Skills and Abstraction Ability.
Quality Assurance and Coding Risk Analysis.
Communication of Results and Findings.
The Medical Record.
Approved Manuals for Use During Examination
CPT® Books (AMA standard or professional edition ONLY) no other publisher is allowed.
Your choice of ICD-10-CM.
Your choice of HCPCS Level II.
The CMS 1995 and 1997 Evaluation and Management.
E/M Audit Worksheet of your choice. Updated on 19 April, 2020
Eligibility / Requirements
While there is no experience requirement, we strongly recommend that the candidate have at least two years of experience in medical auditing.
Please be aware that this is a difficult, high-level examination which is not meant for individuals with little, limited or no audit experience or training.
The CPMA® examination is recommended for a certified coder or medical record auditor who has experience auditing physician services or significant coding experience and is well versed with a variety of different types of audits including but not limited to E/M ; Auditing involves compliance and regulatory issues in its day to day work, and the examinee will be tested on these concepts in addition to coding, modifiers, NCCI usage, and more.
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