According to the AAPC news release, CPCO professionals will have knowledge of:
• OIG Compliance Guidance for Individual and Small Group Physician Practices, Clinical Laboratories and Third Party Billing Companies
• Compliance program effectiveness
• Key health care fraud and abuse laws including the False Claims Act, Stark Laws and Anti-kickback Statute
• PPACA and how it will affect medical practices
• Laws and regulations related to HIPAA, EMTALA and CLIA
• Handling investigations, including self-disclosure protocols
• Requirements under Corporate Integrity Agreements and Certificate of Compliance Agreements
• Current investigative activities
• Various risk areas including items such as gifts/gratuities, conflicts of interest, use of Advance Beneficiary Notices, teaching physicians guidelines and incident to services
Read the AAPC release on the CPCO credential.
Read more about coding:
– Documentation Tips for CPT 2011 Digestive System Modifier Revisions and Additions
– 5 Changes to CPT Codes in 2011
– ASC Coding Guidance: Modifier -73 and -74 — Know the Difference
