Advance your career with the Certified Professional Medical Auditor (CPMA®) credential. Medical auditing is a critical piece to compliant and profitable physician practices. Whether it's Recovery Audit Contractor (RAC) audits, private payer denials, or just peace of mind, more physicians plan to have audits conducted regularly. The risks of being non-compliant with documentation and coding are too great. As a CPMA, you will be able to use your proven knowledge of coding and documentation guidelines to improve the revenue cycle of nearly all healthcare practices.
With tighter regulation on reporting healthcare services and payer compensation for those services, CPMAs must have a clear understanding of when a practice is at risk for non-compliance. That is why CPMAs are valuable to healthcare practices and organizations. They help keep healthcare providers out of harm's way of fraudulent activity. According to AAPC's 2017 Salary Survey, the average salary for a business of healthcare professional was $52,441, a CPMA's earning was much higher at $64,634 This average fluctuates depending on location, years of experience, how many credentials held, and the employer type. Click here to calculate the average CPMA salary in your area.
The majority of the questions are presented in multiple choice format covering
auditing theory, legal and regulatory issues, NCCI, RAC audits, statistical sampling,
coding concepts, and modifiers, etc. In addition, each test taker will need to
audit approximately 20 health care cases.
Electronic devices with an on/off switch (cell phones, smart phones, tablets, etc.) are not allowed into the examination room. Failure to comply with this policy may result in disqualification of your exam.
Any officially published errata for these manuals may also be used. No other manuals are allowed. Each code set is updated annually; it is essential that examinees use the current calendar year's coding manuals when taking the certification exam.
Individuals with a solid understanding of coding fundamentals, anatomy and terminology
should be able to answer each examination question through application of the CPT®, ICD-10-CM or HCPCS
Level II manuals or through careful reasoning.
Approved Exam Manuals/Exam Instructions
Due to the advantages of additional information and/or ease of use, the following
books cannot be used during the exam:
While there is no experience requirement, we strongly recommend that the candidate
have at least two years of experience in medical auditing.
Please be aware that this is a difficult, high-level examination which is not
meant for individuals with little, limited or no audit experience or training
The CPMA® examination is recommended for a certified coder or medical record
auditor who has experience auditing physician services or significant coding
experience and is well versed with a variety of different types of audits including
but not limited to E/M services.Â Auditing involves compliance and regulatory
issues in its day to day work, and the examinee will be tested on these concepts
in addition to coding, modifiers, NCCI usage, and more.
Membership is required to be renewed annually and 36 Continuing Education Units (CEU's) must be submitted every two years for verification and authentication of expertise.
For CEU requirements please see our CEU
Each examination is separate and distinct from one another. To obtain all certifications, each examination must be taken separately and passed.
An overall score of 70% or higher is required to pass an exam. For examinees who do not pass, only the areas of study/categories with a score of 65% or less are provided for examinees’ preparation.
The areas of study reported reflect scores based on the number of questions in each category/section of the exam; each of the category/section may vary in the number of questions asked.
Continuing Education Unit (CEU) submissions are required for all certifications. For CEU requirements please see our CEU Information page.
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