CPMA training course provides training for the multifaceted components of medical auditing.  This training course covers medical record standards and documentation guidelines, coding and documentation compliance, coding and reimbursement concepts, audit scope and statistical sampling methods, medical record audit abstraction, and category risk analysis and communication.

CPMA Course Objectives:

• Define fraud and abuse and explain regulatory guidelines for key regulations

 • Explain the impact of the OIG Work Plan and Corporate Integrity Agreements (CIAs)

• List the elements of compliance plans and identify potential compliance risk areas

• Identify National Correct Coding Initiative (NCCI) and Medically Unlikely Edit (MUE) risk areas

• Identify the purpose of recovery audit contractors and how to prepare for potential RAC audits

• Explain the HIPAA privacy rule, including details on protected health information, minimum necessary, sharing of information, and enforcement

• Identify medical record documentation standards and record retention standards

• Identify common errors found in documentation for evaluation and management, anesthesia, surgery, radiology, pathology and laboratory, and medicine services

• Explain the types of audits and the resources required for audits

• Define steps of the audit process and identify statistical sampling types and factors

• Explain aggregate analysis and when it is useful

• Explain the importance of discussing audit findings with the provider

• Provide practical application of auditing operative reports and evaluation and management services