Certified Professional Medical Auditor

This online training course covers medical record standards and documentation guidelines allowing them to confidently communicate with providers. Coding and documentation compliance are key to a successful practice. This course arms the certified medical auditor with information to assist with improvements in the practice’s documentation compliance. Coding and reimbursement concepts assist in a smooth work flow from scheduling the patient visit to the practice being paid for the visit. Understanding these concepts reduce overhead and reduce turnaround time for payment of services, thereby increasing the financial well-being of a practice. Medical record abstraction helps identify risk areas to a practice. Understanding what a provider documents and what will improve the provider’s documentation are key to compliance.

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Program Highlights

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
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 medical documentation
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 the importance of discussing audit findings with the provider

100% Online

The online risk adjustment coder program is self-paced, 100% online, and can be completed in 6 months or less.

Learning how to communicate information back to a provider improves this process. Understanding audit scope and statistical sampling methods and category risk analysis help identify where a compliance office can focus and receive the most benefit from audits. This course prepares an experienced coder to improve the financial well-being as well as the compliance of provider practices. Upon completion of this course you will be prepared for the AAPC Certified Professional Medical Auditor (CPMA®) exam. The registration fee for the exam, AAPC membership, and CPMA practice exams are included with this course

This course is open enrollment, so you can register and start the course as soon as you are ready. Access to your course can take 24-48 business hours.

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Frequently Asked Questions

Yes, you will be prepared to sit for the Certified Professional Medical Auditor (CPMA®) Certification Exam offered by the American Academy of Professional Coders (AAPC). You will receive an exam voucher and AAPC membership after successful completion of the course and financial obligation.

This course is self-paced and open enrollment, so you can start when you want and finish at your own pace. When you register, you’ll receive six (6) months to complete the course.

The courses are designed to accommodate various learning preferences. Depending on the course structure, you may get different forms of support. Self-paced courses are designed to be user-friendly and independent, minimizing the need for external support. In courses with instructors, the direct platform support feature includes opportunities for questions, discussions, and remediation, with email and phone support available for select courses. The student advising team is available to guide you on program requirements and administrative requests, but they do not provide assistance with course content. The goal is to provide you with the necessary support for success, whether it’s through self-paced exploration, direct communication, or guidance from our advising team.

Upon successful completion of the course, you will be awarded a certificate of completion. In addition, you will receive an exam voucher for the Certified Professional Medical Auditor (CPMA®) Certification Exam, offered by the American Academy of Professional Coders (AAPC) after successful completion of the course and financial obligation.

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