Certified
Professional Medical Auditor |

Certified Professional Medical Auditor

Medical auditing is essential for maintaining compliance and profitability in physician practices. Whether for Recovery Audit Contractor (RAC) audits, private payer denials, or general assurance, regular audits are necessary. The cost of non-compliance in documentation and coding is too high. As a CPMA, you apply your expertise in coding and documentation to enhance the revenue cycle for various healthcare practices.

With stricter regulations on medical service reporting, the demand for CPMAs is rising. CPMAs understand where organizations are at risk for non-compliance and help providers avoid liability while ensuring proper reimbursement for patient care.

Certified CPMAs excel in:
– Medical documentation, fraud prevention, and understanding penalties for documentation and coding violations
– Coding concepts
– Scope and statistical sampling methods
– Medical record auditing and abstraction
– Quality assurance and coding risk analysis
– Communicating audit results and findings
– Managing the medical record