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Certified Professional Medical Auditor (Voucher Included)

CPMA teaches principles of medical auditing and prepares you for the CPMA certification exam.

Certified Professional Medical Auditor
$1,695.00 (USD)

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Overview

Objective

Outline

  1. Compliance and Regulatory Guidelines including:
    1. Fraud and Abuse
    2. Federal False Claims Act
    3. Anti-Kickback Law
    4. Stark Law
    5. Exclusion Statute
    6. Civil Monetary Penalties Law
    7. Office of Inspector General (OIG)
    8. Centers for Medicare and Medicaid Services (CMS)
  2. Medical Record Documentation Standards
    1. HIPAA Privacy Regulations
    2. Types and components of medical records
    3. Accreditation standards
  3. Coding and Reimbursement Concepts
    1. CPT® Guidelines
    2. Evaluation and Management
    3. Anesthesia
    4. Surgery
    5. Radiology
    6. Pathology and Laboratory
    7. Medicine including chemotherapy, psychotherapy, physical therapy
    8. Modifiers
    9. Diagnosis coding and medical necessity
    10. Physicians at Teaching Hospital (PATH) Guidelines
  4. Auditing
    1. Auditing process
    2. Statistical sampling, utilization review, RAT-STATs
  5. Risk Analysis and Communication
    1. Validation of audit results
    2. Analysis and report of audit findings
    3. Communicating audit results
  6. Practical Expertise
    1. Practical audit skills utilizing cases for practical application
  7. Final Exam

Requirements

Prerequisites

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Instructor

FAQs

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West Kentucky Community & Technical College

PO Box 7380
4810 Alben Barkley Drive
Paducah, KY 42002 US
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