REGISTERED MEDICAL AUDITOR CERTIFICATION TEST (RMA)

Recommended for a certified coder or medical record auditor who has experience auditing physician services and significant coding experience – well versed with a variety of different types of audits including E/M. Auditing involves compliance and regulatory issues in its day-to-day work. The exam will cover these concepts in addition to coding, modifier usage, NCCI usage and more.

• The Medical Record
• HIPAA
• Documentation Standards
• The Advance Beneficiary Notification
• Laws and Sentencing
• The Compliance Plan
• Fraud and Abuse
• Civil Monetary Penalties Law
• Federal False Claims Act
• Stark
• OIG Regulations and Work plan
• National Correct Coding Initiative
• CMS guidelines for E/M documentation
• Coding Guidelines versus carrier guidelines
• Recovery Audits and other government programs
• Coding and Reimbursement Concepts
• CPT concepts
• Surgery
• Physical Therapy
• Radiology
• Psychiatry
• Hematology/Oncology
• Infusion Services

• Modifier Usage
• Diagnosis coding and medical necessity
• Validation of Audit Results
• Analysis and Report of Audit Findings
• Communicating Audit Results
• Corrective Action

Medical Coding Certification Requirements

1. Though only a high school diploma or equivalent is required, the ARHCP recommends having an associate’s degree.
2. Pay examination fee at the time of application submission.
3. Maintain current membership with the ARHCP.
A. New members must submit membership payment with examination application.
B. Renewing members must have a current membership at the time of submission and when
exam results are released.
4. All exams will be reported with exact scores and areas of study (75% or less).

A candidate for the RMA must have at least two years medical coding experience or must have recently completed a medical coding class conducted by one of the approved entities/individuals listed under the Certified Instructor tab.

For on-the-job experience, please submit the following:

Two letters of recommendation verifying 2 years of on the job experience using the CPT®, ICD-9-CM, or HCPCS code sets. At least, one letter must be on letterhead from your employer. Both letters are required to be typed and signed and will need to outline your coding experience and amount of time in that capacity.

-OR-

For those who did not attend a course by one of the pre-approved certified instructors, submit a verifiable certificate of completion from the school in which you successfully completed a course in medical billing and coding.