Certified Medical Chart Auditor

Learn how to establish and lead an internal E/M chart auditing program to protect practice revenue. The CMCA-E/M is a highly specialized certification course tailor-made for provider offices. The curriculum places emphasis on evaluation and management coding rules, medical necessity, and proper E/M code selection. 

The instructor addresses current coding and compliance guidelines, and explains self-audit procedures and steps to minimize E/M coding and documentation risks in a medical office. A physical manual is provided with step-by-step instruction, coding guidelines, reference documents from the OIG and CMS, auditing tools, and case studies, plus a workbook with audit tools for hands-on practice.

Participants will learn why auditing is essential to the viability and sustainability of your medical practice, and how to identify documentation deficiencies, as well as consequences and penalties for improper payments for E/M services. 

Learning Objectives

• learn why auditing is essential to the viability and sustainability of your medical practice
• understand how to identify E/M coding and documentation deficiencies and address grey areas
• get guidelines, expert instruction, and tools needed for the E/M auditing process
• gain new insight using documentation requirements for the three key components
• review the latest documentation requirements using updates for 2021 and 2023
• practice E/M auditing skills with hands-on evaluation and management case studies

The CMCA-E/M certification online course includes a training manual with reference documents from the OIG and CMS, coding guidelines, step-by-step auditing tools, and case studies, plus:

• A series of self-paced, instructor-led training sessions
• One-on-one instructor support available
• Exam review
• Proctored open code books certification exam

The majority of the multiple-choice exam questions will apply directly to auditing eight E/M patient encounters from various specialties. The remaining questions cover documentation standards, key components of the encounter, and compliance.

PMI’s Exam Coordinator schedules the exam in a testing center near the candidate’s location. A score of 70% or better is required to earn the CMCA-E/M certification. If the candidate does not achieve a passing grade on the first attempt, he/she may re-test for an additional fee.