Course Overview
The Certified Professional Medical Auditor (CPMA®) certification is designed for individuals seeking to specialize in medical auditing. It focuses on evaluating coding accuracy, documentation compliance, and identifying risk areas in healthcare practices. CPMA-certified professionals play a critical role in ensuring healthcare organizations meet regulatory standards and optimize their reimbursement processes.
Course Content
• Fundamentals of Medical Auditing
• Healthcare Laws and Regulations
• Coding and Documentation Auditing
• Audit Standards and Techniques
• Compliance and Risk Analysis
• Data Analysis and Reporting
• Exam Preparation and Strategies
Benefits of the Course
• Certification recognized globally in healthcare compliance and auditing.
• Expertise in identifying and mitigating compliance risks.
• Enhanced employability in medical auditing and healthcare compliance roles.
• In-depth understanding of federal regulations like HIPAA, Medicare, and Medicaid.
• Access to AAPC’s resources, including study guides and practice exams.
Curriculum
- 7 Sections
- 0 Lessons
- 60 Days
- 1. Fundamentals of Medical AuditingLearn the principles of medical auditing and its significance in healthcare compliance.0
- 2. Healthcare Laws and RegulationsUnderstand the legal framework, including HIPAA, Medicare, and Medicaid requirements.0
- 3. Coding and Documentation AuditingGain proficiency in auditing ICD-10-CM, CPT®, and HCPCS Level II codes for accuracy and compliance.0
- 4. Audit Standards and TechniquesExplore various auditing methodologies, including risk-based and focused audits.0
- 5. Compliance and Risk AnalysisLearn to identify compliance risks and create actionable improvement plans.0
- 6. Data Analysis and ReportingDevelop skills in analyzing audit results and preparing comprehensive audit reports.0
- 7. Exam Preparation and StrategiesPrepare effectively for the CPMA exam with study strategies and practice materials.0
Requirements
- Basic knowledge of medical coding (ICD-10-CM, CPT®, HCPCS Level II).
- Familiarity with healthcare documentation standards.
- AAPC membership (required for exam registration).
Features
- Comprehensive training in medical auditing standards.
- Focused modules on compliance, risk analysis, and reporting.
- Certification recognized by healthcare employers globally.
- Real-world case studies for practical learning.
- Flexible learning schedule and access to AAPC resources.
Target audiences
- Medical coders seeking to transition into auditing.
- Healthcare professionals involved in compliance and risk management.
- Individuals aiming to specialize in medical auditing.
- Administrators and billing specialists in healthcare organizations.
