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CPMA Certification

The Certificate Program in Professional Medical Auditing (CPMA) provides participants with comprehensive insights into coding concepts and medical record auditing from the perspective of a medical auditor. Whether managing an external audit or conducting an in-house audit for reassurance, participants gain expertise to navigate all facets of both scenarios effectively. Tailored for medical professionals in the outpatient/physician office setting, this program equips them with the necessary skills and knowledge.
  • Understanding Coding Concepts Gain a comprehensive understanding of medical coding concepts, including ICD-10-CM, CPT, and HCPCS coding systems. Explore coding guidelines, conventions, and updates relevant to medical auditing.
  • Medical Record Auditing Perspectives Learn the role of a medical auditor and develop perspectives on medical record auditing processes. Understand the importance of accuracy, compliance, and documentation integrity in healthcare audits.
  • Managing External Audits Master techniques for managing external audits conducted by third-party entities or government agencies. Navigate audit requests, documentation requirements, and communication strategies during external audits.
  • Conducting In-House Audits Develop skills in conducting in-house audits for quality assurance purposes within healthcare organizations. Learn audit planning, sampling methods, documentation review, and reporting procedures.
  • Quality Assurance in Healthcare Explore quality assurance principles and methodologies specific to healthcare settings. Understand how auditing contributes to quality improvement initiatives and regulatory compliance.
  • Navigating Audit Scenarios Analyze and navigate various audit scenarios, including compliance audits, coding accuracy audits, billing audits, and documentation audits. Develop strategies for addressing audit findings and implementing corrective actions.

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