Certified Professional Medical Auditor (CPMA)® Training Course

BY
AAPC

Mode

Online

Duration

2 Months

Fees

$ 1195

Quick Facts

particular details
Medium of instructions English
Mode of learning Self study
Mode of Delivery Video and Text Based

Course and certificate fees

Fees information
$ 1,195
certificate availability

Yes

certificate providing authority

AAPC

The syllabus

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

Evaluation and Management Coding

Coding and Reimbursement Concepts

  • Guidelines 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

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