
What you will learn
- Define fraud and abuse and explain regulatory guidelines for key regulations
- Explain the impact of the OIG Work Plan and Corporate Integrity Agreements (CIAs)
- List the elements of compliance plans and identify potential compliance risk areas
- Identify National Correct Coding Initiative (NCCI) and Medically Unlikely Edit (MUE) risk areas
- Explain the HIPAA privacy rule, including details on protected health information, minimum necessary, sharing of information, and enforcement
- Identify medical record documentation standards and record retention standards
Program Outcomes
- Learn to communicate with medical professionals and assess medical documents
- Develop the skills needed to work in medical auditing
- Learn the legal standards necessary to perform well on the job
- Understand best insurance and reimbursement practices so as to relay them to patients
- Upon completion of this course you will be prepared for the AAPC Certified Professional Medical Auditor (CPMA©) exam.
