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Certified Professional Medical Auditor 3.0, Self-Paced

ID : 7676   
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Time-on-Task: 34 hours
Courses may be completed in as little as a few short weeks, or up to 6 months.

Your success throughout your online course experience will be represented digitally within a badge. The badge will show your employers and professional network your qualifications as well as course materials you mastered.

Course Description
This course prepares you to sit for the certification exam.

This course is designed to prepare an individual to become a Certified Professional Medical Auditor (CPMA®). Students will be able to use their experience with coding and documentation guidelines in order to improve their practice’s revenue cycles. This course is designed for individuals who have at least three to five years of experience as a medical coder and are interested in advancing in their current career in the health care industry. 

Course Objectives

  • Define the standards of a medical record
  • Describe the types of documentation included in a medical record
  • Describe how to format a medical record
  • Describe the proper documentation requirements for consent forms, including the Advanced Beneficiary Notice
  • Explain the organization and retention of medical records
  • Describe how federal and state HIPAA laws apply to medical records
  • Explain the purpose of a compliance plan
  • Identify the seven core elements of a compliance plan
  • Distinguish between Medicare fraud and abuse
  • Describe the common forms of misconduct
  • Determine the fines and penalties applied under the False Claims Act and the Medicare/Medicaid Civil Monetary Penalties Law
  • Explain how to develop corrective action initiative for detected offenses
  • Describe the regulatory guidelines set forth by the Office of the Inspector General (OIG)
  • Identify the elements of a Corporate Integrity Agreement (CIA)
  • Explain how the Stark Law applies to a physician and a practice
  • Describe the standards developed by the Joint Commission
  • Identify the types of government audits
  • Explain the purpose and instructions for compliance for each type of government audit
  • Explain the scope of audits
  • Identify the types of audits and what gets audited
  • Describe the role of statistical sampling in the auditing process
  • Identify the components of evaluation and management encounters and explain how to score each component
  • Explain the procedures that are audited within the medicine section of the CPT
  • Analyze the proper operative note for the required elements
  • Identify the appropriate indications for the performed services
  • 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
  • Analyze the scope of psychotherapy services, including reporting times, services, and types of therapy
  • Identify billable services based on the intent, amount, and types of medications infused
  • Describe how to validate the results of an audit
  • Identify how to analyze and report an audit
  • Explain how to communicate the results of an audit

You want to be engaged as you learn. We get it.  We also know engagement is important to true retention and learning. For that reason, each course includes:

  • Online course material
  • Interactive lesson presentations
  • Interactive “Check Your Understanding” exercises/quizzes

Class Details

Online 24/7

NA - Online

Start Date:upon registration



Registration Closes On
Friday, December 28, 2018 @ 2:00 AM

Schedule Information

Date(s) Class Days Times Location Instructor(s)
Online 24/7 N/A - Online