CMAS - Certified Medical Audit Specialist

The Certified Medical Audit Specialist (CMAS) certification is a professional credential for healthcare professionals who specialize in medical auditing. Administered by the Council for Certification of Medical Auditors (CCMA), this certification demonstrates expertise in reviewing medical records for compliance with healthcare standards, regulations and billing practices. It’s designed for individuals who work in health insurance, healthcare facilities and consulting firms, focusing on ensuring accuracy and adherence to laws and guidelines in medical documentation and billing.

Eligibility

• Current member of a recognized revenue integrity organization or quality management organization (HFMA, HCCA, AAPC, AHIA)

• 2 years of authenticated healthcare audit experience

  • Working at least 20 hours weekly

• Minimum of 60 college semester units or a licensed healthcare professional 

Completion Time: 4 hours

Cost: $350, includes a nonrefundable $50 administrative fee

Exam Format

The CMAS exam is administered in a single, continuous 4-hour block without any breaks. It covers four main core curriculum domains supported by task-specific categories and sub-categories representing the scope and job responsibilities of medical auditors nationwide, including:

• Professional Standards and Audit Behavior (8%)

• Medical Audit Process and Methodology (58%)

• Audit Skill (21%)

CCMA uses the Modified Angoff method to determine the passing score.

Application Process

• Apply online or by using the paper application in the Candidate Handbook

• Complete an official CMAS application form

• Include current resume

• Submit exam fee

  • Applications not accepted at testing sites

• Receive confirmation letter of eligibility to test

The CMAS credential must be renewed every 3 years.

• Apply online or by using the paper application in the Recertification Handbook

• Payment must be made electronically even if mailing a paper renewal application

• Must maintain  continuous active membership in an approved revenue integrity organization or quality management organization and complete continuing education (CE)

Renewal Fees

• $125 renewal fee

• Candidates without required CE receive a refund minus a $25 administrative fee

• Candidates have a 90-day grace period to renew

• Day 91 up to 1 Year: Late applicants pay an additional $50

• More than 1 year late, applicants must meet all current certification requirements and pass the CMAS exam

Applicants must complete 24 hours of continuing education during each 3-year certification cycle. CE must meet the CMAS Core Curriculum Domains.

• CMAS Practice Exams

• Certificate for OASIS Specialist - Clinical (COS-C)

• Home Care Coding Specialist-Diagnosis (HCS-D) ICD-10-CM certification

• Home Care Clinical Specialist - OASIS (HCS-O)