Wiki Newly Hired Auditor - What To Study/Learn?

[BooValu23]

Hello!

I was recently promoted to an auditor with my organization. Other than the OIG Work Plan, what other documents and/or books should I read to get up to speed on what is important in auditing for 2018? I would greatly appreciate any suggestions and advice.

Thank you.

 

[Colliemom]

Congratulations! I was just promoted too.

I purchased the CPMA study guide last year during the Black Friday sale, just before I took the CPMA exam, and it contains a lot of great info.

 

[LIZC4]

Cpma

I am looking into taking my CPMA, if you no longer want the study guide, I can purchase it, I can not afford the 80.00 right now for a new one. If interested contact me..email Elizabethc4@ yahoo.com

 

[kroemer4]

Focus Areas for Auditors

A few ideas to get you going:

• CMS's Targeted Probe and Educate topics (check with your MAC)
• Older OIG work plans as studies often turn into interest
• New processes or services lines within your organization
• High medical decision making within any E/M coding set
• Modifier 59; Modifier 50 w/ appropriate ICD-10 codes
• Specificity of ICD-10 usage in general (i.e., unspecified codes)
• CERT and ZPIC focused areas
• Policy and procedure creation/approval within your organization
• Business associate agreements
• Medical director contract compliance