The Certified Professional Medical Auditor (CPMA) certification is designed for professionals who specialize in auditing medical records to ensure coding and billing accuracy. CPMA-certified professionals review medical charts and claims to verify compliance with regulations and identify potential fraud, waste, or abuse. This certification is ideal for individuals looking to work in healthcare auditing and compliance roles.
1. Medical Record Review: Auditing medical records for accuracy.
2. Compliance & Regulations: HIPAA, fraud prevention, and audit standards.
3. ICD-10-CM, CPT, HCPCS Coding: Coding review in audits.
4. Audit Methodology: Techniques for performing audits.
5. Risk Management & Fraud Prevention: Identifying risks and fraud.
6. Revenue Cycle Management: Billing and reimbursement processes.
7. Legal & Ethical Issues: Laws and regulations in auditing.
8. Audit Tools & Software: Tools and technology for auditing.
9. Mock Audits: Practice for CPMA certification exam.
The CPMA course is ideal for medical coders, billing professionals, or healthcare auditors looking to specialize in auditing medical records for accuracy, compliance, and fraud prevention.
You will learn auditing techniques, compliance and legal regulations, medical coding, risk management, and how to use audit tools to review medical records and claims.
The CPMA course typically takes 3-4 months depending on the pace and learning format.
CPMA certification opens opportunities for roles such as medical auditor, compliance officer, coding auditor, and healthcare fraud investigator in healthcare organizations, insurance companies, and government agencies.
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