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Certified Professional Medical Auditor (Voucher Included)

Certified Professional Medical Auditor
$1,695.00 (USD)

OVERVIEW

OBJECTIVE

DETAILS

OUTLINE

I.     Compliance and Regulatory Guidelines including: 
    A. Fraud and Abuse
    B. Federal False Claims Act
    C. Anti-Kickback Law
    D. Stark Law
    E. Exclusion Statute
    F. Civil Monetary Penalties Law
    G. Office of Inspector General (OIG)
    H. Centers for Medicare and Medicaid Services (CMS)

II.     Medical Record Documentation Standards 
    A. HIPAA Privacy Regulations
    B. Types and components of medical records
    C. Accreditation standards

III.     Coding and Reimbursement Concepts 
    A. CPT® Guidelines
    B. Evaluation and Management
    C. Anesthesia
    D. Surgery
    E. Radiology
    F. Pathology and Laboratory
    G. Medicine including chemotherapy, psychotherapy, physical therapy
    H. Modifiers
    I. Diagnosis coding and medical necessity
    J. Physicians at Teaching Hospital (PATH) Guidelines

IV.     Auditing 
    A. Auditing process
    B. Statistical sampling, utilization review, RAT-STATs

V.     Risk Analysis and Communication 
    A. Validation of audit results
    B. Analysis and report of audit findings
    C. Communicating audit results

VI.    Practical Expertise 
    A. Practical audit skills utilizing cases for practical application

VII.     Final Exam

REQUIREMENTS

PREREQUISITES

FAQS

Buffalo Public Schools

389 Virginia St.
Buffalo, NY 14201 US
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