Certified Professional Medical Auditor (CPMA®) credentials can help you advance your career to a great extent. Audit and compliance are very critical for any healthcare practice. The risks of being non-compliant with coding and documentation are too great.
As a CPMA professional, you can use your proven knowledge of coding and documentation guidelines to help healthcare practices in auditing and compliance and improve the revenue cycle.
CPMAs are considered invaluable to healthcare organizations and are compensated accordingly. As a CPMA, you have an opportunity to earn an impressive salary along with a rapid career growth.
CPMA EXAM HIGHLIGHTS
- 100 Multiple choice questions
- 4 hours exam duration
- Major questions from auditing theory, legal and regulatory issues, coding concepts, modifiers, and statistical sampling.
- Auditing of 18 healthcare cases.
Learning objectives
- Identify fraud and abuse and explain regulatory guidelines for key regulations.
- Able to explain the impact of the OIG Work Plan and Corporate Integrity Agreements (CIAs).
- Able to enlist the elements of compliance plans and identify potential compliance risk areas.
- Demonstrate the types of audits and the resources required for audits.
- Define and explain the steps of the audit process and identify statistical sampling types and factors.
- Do the practical application of auditing operative reports and evaluation and management services
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Course Features
- Lectures 0
- Quizzes 0
- Duration Lifetime access
- Skill level All levels
- Language English
- Students 0
- Assessments Yes
Curriculum
- 7 Sections
- 0 Lessons
- Lifetime
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- DETAILED CPMA EXAM SYLLABUS AND QUESTION PATTERNS0
- Medical Record Standards and Documentation Guidelines
- 17 questions
- The Medical Record
- HIPAA Privacy and Release of Medical Record Information
- Covered Entities
- HIPAA Privacy Regulations
- JCAHO Documentation Standards
- Record Retention
- The Advance Beneficiary Notification
- Legal Requirements of the Medical Record
- Analysing the Operative Report
0 - Coding and Documentation Compliance Guidelines
- 21 questions
- The Compliance Plan
- Fraud and Abuse
- Civil Monetary Penalties Law
- Federal False Claims Act
- Stark
- Type of Audits
- OIG Regulations and Workplan
- National Correct Coding Initiative
- CMS guidelines for E/M documentation
- OIG imposed CIA (Corporate Integrity Agreements)
- Recovery Audits and other government programs
0 - Coding and Reimbursement Concepts
- 13 questions
- CPT® coding concepts
- Modifier usage
- Diagnosis coding and medical necessity
- Evaluation and Management Documentation Guidelines
- Coding Guidelines versus carrier guidelines
0 - Scope and Statistical Sampling Methodologies
- 7 questions
- Audit scope
- Statistical sampling
0 - Medical Record Auditing AbstractionAudit Cases include:
- 36 questions (18 audit cases)
- Evaluation and Management
- Surgery
- Physical Therapy
- Radiology
- Psychiatry
- Haematology/Oncology
- Infusion Services
0 - Category Risk Analysis and Communication
- 6 questions
- Validation of Audit Results
- Analysis and Report of Audit Findings
- Communicating Audit Results
- Corrective Action
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