Professional Medical Auditor Training Course

About This Course

Professional Medical Auditor Training

Gain knowledge in regulations, CIAS, medical record documentation, and chart abstraction. This CPMA training is beneficial for the candidates preparing for a career in medical auditing and is highly recommended for the candidates preparing for the AAPC CPMA certification exam.

5 in 1 Course

• Training
• Projects
• Placement Support
• Certification
• Assignments

Industry Projects

Get hands-on experience in relevant industry projects with the Professional Medical Auditor Course.

Takeaways of Your Investment

• Learn to expertise and gain knowledge in understanding medical terminologies and their usage
• Learn to communicate with medical professionals and assess medical documents
• Learn about Confidentiality when dealing with Medical Records
• Learn to divide & combine difficult Medical Words and special terms such as eponyms, acronyms, homophones, and antonyms
• Gain extensive knowledge in Medical Abbreviation, Symbols, and Plural Words
• Gain knowledge on EM Auditing as per CMS and AAPC
• Improve your skills in a healthcare business role
• Develop strong written and verbal communication skills to report findings

Module 1: Compliance and Regulatory Guidelines

In this module, you will learn about fraud and abuses and medical laws

• Fraud and abuse
• Federal False Claims Act
• Anti-Kickback Law
• Stark Law
• Exclusion Statute
• Civil Monetary Penalties Law
• Office of Inspector General (OIG)
• Centers for Medicare and Medicaid Services (CMS)

Module 2: Medical Record Documentation Standards

In this module, a professional will learn about HIPAA Privacy Regulations

• HIPAA Privacy Regulations
• Types and components of medical records
• Accreditation standards

Module 3: Evaluation and Mangement Coding

In this module, you will learn about managing coding and medical auditing guidelines

• Managing and Coding

Module 4: Coding and Reimbursement Concepts

In this module, you will learn about CPT guidelines

• CPT guidelines
• Evaluation and Management
• Anesthesia
• Surgery
• Radiology
• Pathology and Laboratory
• Medicine including chemotherapy, psychotherapy, physical therapy
• Modifiers
• Diagnosis coding and medical necessity
• Physicians at Teaching Hospital (PATH) Guidelines

Module 5: Auditing

In this module, you will learn about medical auditing process

• Auditing process
• Statistical sampling, utilization review, RAT-STATs

Module 6: Risk Analysis and Communication

In this module, you will learn about Validation of audit results

• Validation of audit results
• Analysis and report of audit findings
• Communicating audit results