Why Become a Medical Auditor (or, Better Yet, A Certified Professional Medical Auditor)?  

Category: Auditing

When I began my career in coding, each insurance company had its own billing form. Often, the insured would bring the form with him at the time of visit, to be filled out and submitted to the insurer. I would take the e form, hand-write all the pertinent information, and submit it to the insurance. We would wait 90 to 120 days to get the reimbursement before calling the payer to see if there was any issue with our claim. I learned quickly not only to make sure my DSM-III and CPT® coding lined up, but also to make sure I knew which boxes were required for which insurance company to insure accurate payment within this three- to six-month time frame.

Fast forward to today. We now use one consistent form for physician or practitioner services, the CMS-1500, and we usually file electronically. The forms are not only uniform, but most insurance companies are uniform in their requirem...