Certified Professional Medical Auditing (CPMA®)

• Medical auditing is a critical piece to compliant and profitable physician practices.
• As a CPMA®, one can use their proven knowledge of coding and documentation guidelines to improve the revenue cycle of nearly all healthcare practices.
• Certified CPMA®s demonstrates expertise in: Medical documentation, fraud, abuse, and penalties for documentation and coding violations based on governmental guidelines: ICD Coding Concepts, 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, Medical auditing is a critical piece to compliant and profitable physician practices.
• As a CPMA®, one can use their proven knowledge of coding and documentation guidelines to improve the revenue cycle of nearly all healthcare practices.

Certification Body

• AAPC® – American Academy of Professional Coders (AAPC)

Learning Objectives

• Learn how to define fraud and abuse and explain regulatory guidelines for key regulations
• Acquiring Knowledge about 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
• 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

Exam Contents

• Medical Record Standards and Documentation Guidelines
• Coding and Documentation Compliance Guidelines
• Coding and Reimbursement Concepts
• Scope and Statistical Sampling Methodologies
• Medical Record Auditing Abstraction
• Category Risk Analysis and Communication

Target Audience

• Doctors / Nurses / Pathologist / Lab Technician
• Administrator / Management / Quality management professionals,
• Medical Directors, / Accreditation Officers, / Senior nurses,
• Risk managers Healthcare Administrators

Eligibility Criteria

• Minimum of two years coding experience and coding certification strongly recommended.

Exam Information

• 150 multiple choice questions (proctored)
• 5 hours and 40 minutes to finish the exam
• Open code book test (manuals)
• Passing score-70%
• Recall, Application and Analysis Questions

Recertification

• Renew CPMA® credential in every two years by earning 36 CEUs

Feel free to contact us for Certified Professional Medical Auditing (CPMA®) Training Programs in UAE at info@transfedu.ae or call us at +971 58 5018227

Professional Training Center in UAE

Certified Professional Medical Auditing (CPMA®)

AAPC® – American Academy of Professional Coders (AAPC)

Healthcare Management