{"product_id":"certified-medical-auditor","title":"Certified Professional Medical Auditor (Voucher Included)","description":"\u003cp class=\"course-intro\"\u003eCPMA teaches principles of medical auditing and prepares you for the CPMA certification exam.\u003c\/p\u003e\u003cul class=\"course-facts\"\u003e\n\u003cli\u003e80 course hrs\u003c\/li\u003e\n\u003cli\u003eCode GES166\u003c\/li\u003e\n\u003cli\u003eOpen enrollment\u003c\/li\u003e\n\u003cli\u003eSelf paced\u003c\/li\u003e\n\u003c\/ul\u003e\u003cnav class=\"course-nav\"\u003e\u003ca href=\"#overview\"\u003eOverview\u003c\/a\u003e\u003ca href=\"#objective\"\u003eObjective\u003c\/a\u003e\u003ca href=\"#outline\"\u003eOutline\u003c\/a\u003e\u003ca href=\"#requirements\"\u003eRequirements\u003c\/a\u003e\u003ca href=\"#prerequisites\"\u003ePrerequisites\u003c\/a\u003e\u003ca href=\"#instructor\"\u003eInstructor\u003c\/a\u003e\u003ca href=\"#faqs\"\u003eFAQs\u003c\/a\u003e\u003c\/nav\u003e\u003ch3 id=\"overview\"\u003eOverview\u003c\/h3\u003e\u003cdiv class=\"course-sec\"\u003e\n\u003cp\u003eThis online training course covers medical record standards and documentation guidelines allowing them to confidently communicate with providers. Coding and documentation compliance are key to a successful practice. This course arms the certified medical auditor with information to assist with improvements in the practice's documentation compliance. Coding and reimbursement concepts assist in a smooth work flow from scheduling the patient visit to the practice being paid for the visit. Understanding these concepts reduce overhead and reduce turnaround time for payment of services, thereby increasing the financial well-being of a practice. Medical record abstraction helps identify risk areas to a practice. Understanding what a provider documents and what will improve the provider's documentation are key to compliance.\u003c\/p\u003e\n\u003cp\u003eLearning how to communicate information back to a provider improves this process. Understanding audit scope and statistical sampling methods and category risk analysis help identify where a compliance office can focus and receive the most benefit from audits. This course prepares an experienced coder to improve the financial well-being as well as the compliance of provider practices. Upon completion of this course you will be prepared for the AAPC Certified Professional Medical Auditor (CPMA®) exam. The registration fee for the exam, AAPC membership, and CPMA practice exams are included with this course.\u003c\/p\u003e\n\u003c\/div\u003e\u003ch3 id=\"objective\"\u003eObjective\u003c\/h3\u003e\u003cdiv class=\"course-sec\"\u003e\n\u003cp\u003e\u003cstrong\u003eWhat you will learn\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e \u003cli\u003eDefine fraud and abuse and explain regulatory guidelines for key regulations\u003c\/li\u003e \u003cli\u003eExplain the impact of the OIG Work Plan and Corporate Integrity Agreements (CIAs)\u003c\/li\u003e \u003cli\u003eList the elements of compliance plans and identify potential compliance risk areas\u003c\/li\u003e \u003cli\u003eIdentify National Correct Coding Initiative (NCCI) and Medically Unlikely Edit (MUE) risk areas\u003c\/li\u003e \u003cli\u003eExplain the HIPAA privacy rule, including details on protected health information, minimum necessary, sharing of information, and enforcement\u003c\/li\u003e \u003cli\u003eIdentify medical record documentation standards and record retention standards\u003c\/li\u003e \u003cli\u003eIdentify common errors found in medical documentation\u003c\/li\u003e \u003cli\u003eExplain the types of audits and the resources required for audits\u003c\/li\u003e \u003cli\u003eDefine steps of the audit process and identify statistical sampling types and factors\u003c\/li\u003e \u003cli\u003eExplain the importance of discussing audit findings with the provider\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eHow you will benefit\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e \u003cli\u003eLearn to communicate with medical professionals and assess medical documents\u003c\/li\u003e \u003cli\u003eDevelop the skills needed to work in medical auditing\u003c\/li\u003e \u003cli\u003eLearn the legal standards necessary to perform well on the job\u003c\/li\u003e \u003cli\u003eUnderstand best insurance and reimbursement practices so as to relay them to patients\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\u003ch3 id=\"outline\"\u003eOutline\u003c\/h3\u003e\u003cdiv class=\"course-sec\"\u003e\u003col style=\"list-style-type: upper-roman;\"\u003e \u003cli\u003eCompliance and Regulatory Guidelines including: \u003col style=\"list-style-type: upper-latin;\"\u003e \u003cli\u003eFraud and Abuse\u003c\/li\u003e \u003cli\u003eFederal False Claims Act\u003c\/li\u003e \u003cli\u003eAnti-Kickback Law\u003c\/li\u003e \u003cli\u003eStark Law\u003c\/li\u003e \u003cli\u003eExclusion Statute\u003c\/li\u003e \u003cli\u003eCivil Monetary Penalties Law\u003c\/li\u003e \u003cli\u003eOffice of Inspector General (OIG)\u003c\/li\u003e \u003cli\u003eCenters for Medicare and Medicaid Services (CMS)\u003c\/li\u003e \u003c\/ol\u003e \u003c\/li\u003e \u003cli\u003eMedical Record Documentation Standards \u003col style=\"list-style-type: upper-latin;\"\u003e \u003cli\u003eHIPAA Privacy Regulations\u003c\/li\u003e \u003cli\u003eTypes and components of medical records\u003c\/li\u003e \u003cli\u003eAccreditation standards\u003c\/li\u003e \u003c\/ol\u003e \u003c\/li\u003e \u003cli\u003eCoding and Reimbursement Concepts \u003col style=\"list-style-type: upper-latin;\"\u003e \u003cli\u003eCPT® Guidelines\u003c\/li\u003e \u003cli\u003eEvaluation and Management\u003c\/li\u003e \u003cli\u003eAnesthesia\u003c\/li\u003e \u003cli\u003eSurgery\u003c\/li\u003e \u003cli\u003eRadiology\u003c\/li\u003e \u003cli\u003ePathology and Laboratory\u003c\/li\u003e \u003cli\u003eMedicine including chemotherapy, psychotherapy, physical therapy\u003c\/li\u003e \u003cli\u003eModifiers\u003c\/li\u003e \u003cli\u003eDiagnosis coding and medical necessity\u003c\/li\u003e \u003cli\u003ePhysicians at Teaching Hospital (PATH) Guidelines\u003c\/li\u003e \u003c\/ol\u003e \u003c\/li\u003e \u003cli\u003eAuditing \u003col style=\"list-style-type: upper-latin;\"\u003e \u003cli\u003eAuditing process\u003c\/li\u003e \u003cli\u003eStatistical sampling, utilization review, RAT-STATs\u003c\/li\u003e \u003c\/ol\u003e \u003c\/li\u003e \u003cli\u003eRisk Analysis and Communication \u003col style=\"list-style-type: upper-latin;\"\u003e \u003cli\u003eValidation of audit results\u003c\/li\u003e \u003cli\u003eAnalysis and report of audit findings\u003c\/li\u003e \u003cli\u003eCommunicating audit results\u003c\/li\u003e \u003c\/ol\u003e \u003c\/li\u003e \u003cli\u003ePractical Expertise \u003col style=\"list-style-type: upper-latin;\"\u003e \u003cli\u003ePractical audit skills utilizing cases for practical application\u003c\/li\u003e \u003c\/ol\u003e \u003c\/li\u003e \u003cli\u003eFinal Exam\u003c\/li\u003e\n\u003c\/ol\u003e\u003c\/div\u003e\u003ch3 id=\"requirements\"\u003eRequirements\u003c\/h3\u003e\u003cdiv class=\"course-sec\"\u003e\n\u003cp\u003e\u003cstrong\u003eRequirements:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eHardware Requirements:\u003c\/p\u003e\n\u003cul\u003e \u003cli\u003eThis course can be taken on either a PC or Mac. Chromebooks are not compatible.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eSoftware Requirements:\u003c\/p\u003e\n\u003cul\u003e \u003cli\u003ePC: Windows 8 or later.\u003c\/li\u003e \u003cli\u003eMac: macOS 12 or later.\u003c\/li\u003e \u003cli\u003eBrowser: The latest version of Google Chrome or Mozilla Firefox are preferred. Microsoft Edge and Safari are also compatible.\u003c\/li\u003e \u003cli\u003e Adobe Acrobat Reader .\u003c\/li\u003e \u003cli\u003eSoftware must be installed and fully operational before the course begins.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eOther:\u003c\/p\u003e\n\u003cul\u003e \u003cli\u003eEmail capabilities and access to a personal email account.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eInstructional Material Requirements:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eThe instructional materials required for this course are included in enrollment. The following textbooks will be shipped to you approximately 7-10 business days after enrollment:\u003c\/p\u003e\n\u003cul\u003e \u003cli\u003eMedical Auditing Training: CPMA® (PDF)\u003c\/li\u003e \u003cli\u003eCPT® Professional Edition\u003c\/li\u003e \u003cli\u003eICD-10-CM Code Set\u003c\/li\u003e \u003cli\u003eHCPCS Level II\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003ePlease note: You will receive a digital book if the physical book is on backorder.\u003c\/strong\u003e\u003c\/p\u003e\n\u003c\/div\u003e\u003ch3 id=\"prerequisites\"\u003ePrerequisites\u003c\/h3\u003e\u003cdiv class=\"course-sec\"\u003e\n\u003cp\u003e\u003cstrong\u003ePrerequisites:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eThe Certified Professional Medical Auditor course is specifically designed to help individuals with prior coding\/billing knowledge prepare for the CPMA exam. \u003cem\u003eCertification exams offered by AAPC are only available online to candidates located in the US.\u003c\/em\u003e\u003c\/p\u003e You've got questions.\u003cbr\u003e We're here to help.\u003c\/div\u003e\u003ch3 id=\"instructor\"\u003eInstructor\u003c\/h3\u003e\u003cdiv class=\"course-sec\"\u003e\u003cp\u003eThis is not an instructor facilitated course; however, support will be provided through email, online forms, and phone.\u003c\/p\u003e\u003c\/div\u003e\u003ch3 id=\"faqs\"\u003eFAQs\u003c\/h3\u003e\u003cdiv class=\"course-sec\"\u003e\n\u003cp\u003e\u003cstrong\u003eDoes this course prepare you for a certification?\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eYes, you will be prepared to sit for the Certified Professional Medical Auditor (CPMA®) Certification Exam offered by the American Academy of Professional Coders (AAPC). You will receive an exam voucher and AAPC membership after successful completion of the course and financial obligation.\u003c\/p\u003e \u003cp\u003e\u003cstrong\u003eWhen can I start the course?\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eThis course is open enrollment, so you can register and start the course as soon as you are ready. Access to your course can take 24-48 business hours.\u003c\/p\u003e \u003cp\u003e\u003cstrong\u003eHow long does it take to complete this course?\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eThis course is self-paced and open enrollment, so you can start when you want and finish at your own pace. When you register, you'll receive six (6) months to complete the course.\u003c\/p\u003e \u003cp\u003e\u003cstrong\u003eWhat if I don't have enough time to complete my course within the time frame provided?\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eThe time allotted for course completion has been calculated based on the number of course hours. However, if you are unable to complete the course, contact the student advising team to see what options you may have available to work out a suitable completion date. Please note that an extension fee may be charged.\u003c\/p\u003e \u003cp\u003e\u003cstrong\u003eWhat kind of support will I receive?\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eOur courses are designed to accommodate various learning preferences. Depending on the course structure, you may get different forms of support. Self-paced courses are designed to be user-friendly and independent, minimizing the need for external support. In courses with instructors, our direct platform support feature includes opportunities for questions, discussions, and remediation, with email and phone support available for select courses. Our student advising team is available to guide you on program requirements and administrative requests, but they do not provide assistance with course content. Our goal is to provide you with the necessary support for success, whether it's through self-paced exploration, direct communication, or guidance from our advising team.\u003c\/p\u003e \u003cp\u003e\u003cstrong\u003eWhat happens when I complete the course?\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eUpon successful completion of the course, you will be awarded a certificate of completion. In addition, you will receive an exam voucher for the Certified Professional Medical Auditor (CPMA®) Certification Exam, offered by the American Academy of Professional Coders (AAPC) after successful completion of the course and financial obligation.\u003c\/p\u003e \u003cp\u003e\u003cstrong\u003eAm I guaranteed a job?\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eThis course will provide you with the skills you need to obtain an entry-level position in most cases. Potential students should always do research on the job market in their area before registering.\u003c\/p\u003e \u003cp\u003e\u003cstrong\u003eCan I get financial assistance?\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eThis course is non-credit, so it does not qualify for federal aid, FAFSA and Pell Grant. In some states, vocational rehab or workforce development boards will pay for qualified students to take our courses. Additionally, some students may qualify for financial assistance when they enroll, if they meet certain requirements. Financing is available from select schools. Learn more about financial assistance. \u003c\/p\u003e \u003cp\u003e\u003cstrong\u003eHow can I get more information about this course?\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eIf you have questions that are not answered on our website, representatives are available by phone. You can also call us at 1-855-532-7642 during regular business hours to have your questions promptly answered. If you are visiting us during non-business hours, please send us a question using the \"Contact Us\" form.\u003c\/p\u003e You've got questions.\u003cbr\u003e We're here to help.\u003c\/div\u003e","brand":"Hope Training Academy","offers":[{"title":"Default Title","offer_id":47318459809980,"sku":"_GES166","price":3495.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0742\/1391\/6860\/files\/GES166.jpg?v=1787604491","url":"https:\/\/shop.videogamepalooza.org\/products\/certified-medical-auditor","provider":"Video Game Palooza","version":"1.0","type":"link"}