What does CICA mean in ACCOUNTING
CICA stands for Certified Inpatient Coding Auditor. This certification is a specialized type of credentialing designed to recognize professionals in the medical coding field who have expertise and experience in auditing inpatient codes for accuracy and compliance with regulations. As such, CICA certified coders demonstrate a higher level of proficiency than uncertified coders with regards to inpatient coding audit activities. In order to obtain this certification, candidates must successfully complete all components of an approved training program as well as pass the required examination.
CICA meaning in Accounting in Business
CICA mostly used in an acronym Accounting in Category Business that means Certified Inpatient Coding Auditor
Shorthand: CICA,
Full Form: Certified Inpatient Coding Auditor
For more information of "Certified Inpatient Coding Auditor", see the section below.
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Definition
Inpatient coding auditors are responsible for ensuring that the codes used by healthcare providers representing patient treatments and services are accurate and compliant with regulatory requirements. This often includes verifying medical documentation, implementing corrective action plans, monitoring claims integrity, performing research regarding diagnostic and procedural coding updates, assessing post-payment edits, resolving discrepancies between clinical documentation and code files, and identifying potential areas of risk related to overbilling or under-codification.
Qualifications
Individuals wishing to become a Certified Inpatient Coding Auditor must possess certain qualifications before they are eligible to sit for the certification exam. These qualifications include a minimum experience level of two years in medical coding; completion of an approved program or extensive coursework in inpatient coding principles; knowledge of ICD-10 CM diagnosis codes and procedure codes; knowledge about national and local payer guidelines; familiarity with current Healthcare Common Procedure Coding System (HCPCS) Level II codes; membership with a professional coding association such as AHIMA or AAPC; and passing the required exam.
Benefits
Certified Inpatient Coding Auditors can be highly valuable assets to any health care organization due to their ability assess whether information reported about patients meets all regulatory requirements. Achieving this credential demonstrates that an auditor has the necessary expertise on how to properly review medical billing documents and identify potential fraudulent activity or errors related to medical reimbursement claims. Additionally, employers may offer competitive salary rates or promotional opportunities when they know an individual is certified.
Essential Questions and Answers on Certified Inpatient Coding Auditor in "BUSINESS»ACCOUNTING"
What is a Certified Inpatient Coding Auditor (CICA)?
CICA is a professional certification program offered by the American Academy of Professional Coders (AAPC). The certification requires those who earn it to demonstrate mastery of inpatient healthcare coding knowledge, skills, and abilities. This credential indicates expertise in coding accuracy, compliance, and reimbursement for inpatient services.
What are the benefits of becoming a CICA?
Achieving this certification demonstrates knowledge at an expert level which can result in increased job opportunities, improved salary potential, and greater respect from employers. Additionally, certified coders can have more confidence knowing they are proficient or better in their field.
How do I become a CICA?
You must first meet the eligibility requirements which include having two years of coding experience or passing either the CPC or CPC-H exams; being an AAPC member; passing provincial regulations; passing the CICA exam with a score of 70% or higher; and completing continuing education credits based on specific topics within 3 years of passing the exam.
What kind of topics are covered on the CICA exam?
The topics on the CICA exam cover areas such as medical terminology and anatomy related to coding practices; coding concepts such as E/M auditing procedures; reimbursement initiation processes; review & appeals processes; DRG/APC selection criteria; regulatory compliance issues; financial management principles for risk-based payment models for reimbursements including quality measures associated with claims payment systems ; computer applications used during healthcare audits and reviews; evidence-based practices associated with health care audits & reviews; case scenario & scenario analysis related to code selection accuracy.
How long is the CICA exam?
The exam consists of 100 multiple choice questions that must be completed within 4 hours. There is also an optional break after 2 hours into the exam if needed.
Is there an application fee for taking the CICA exam?
Yes, there is an application fee required to take the exam which can range from $400 - $550 depending upon whether you are an existing AAPC member when applying for your certificate testing window.
Are there any prerequisites before taking the CICA Exam?
Yes, you must meet certain eligibility requirements before attempting to take this exam including having two years work experience in medical coding field before applying for candidacy as well as being a current AAPC member at time of test applications submission. Candidates also need to complete additional courses which meet criteria described by Board approved syllabus prior to sitting for their exams and keep up on Continuing Education Units (CEUs) each year after becoming certified.
Final Words:
The Certified Inpatient Coding Auditor (CICA) credential is ideal for any individual who wants to distinguish themselves as an expert within the field of medical coding audits. Not only will this certification provide them with a greater understanding on how to properly audit billing claims but it also provides them with insight on how best approaches can be taken when handling inquiries into discrepancies surrounding healthcare documentation and reimbursement claims.
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