Certification Prep: CPMA® - Certified Professional Medical Auditor
Issued by
Pearson Workforce Education
This Badge recipient has demonstrated the mastery (achieving a final course score of 70% or higher) to become a Certified Professional Medical Auditor (CPMA®), able to use experience with coding and documentation guidelines to improve his/her practice’s revenue cycles.
Additional DetailsSkills
Earning Criteria
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Describe a medical record’s format, standards, types of documentation, organization, retention, applicable laws; consent forms; purpose and elements of a compliance plan; Medicare fraud, Medicare abuse, and other abuses/offenses
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Describe regulatory guidelines of the OIG; elements of a CIA; types and details about each government audit; Stark Law; standards developed by the Joint Commission
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Explain the scope of audits; types of audits; what gets audited; statistical sampling in auditing process; procedures audited within medicine section of the CPT
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Identify components of evaluation and management encounters; explain how to score each component; analyze the proper operative note for the required elements; identify the appropriate indications for the performed services
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Distinguish between an interpretation of a new procedure and a review of a previously performed procedure; explain the proper use of the Diagnostic Interview Exam, and analyze the scope of psychotherapy services
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Identify billable services; describe how to validate the results of an audit; identify how to analyze and report an audit; and explain how to communicate the results of an audit