Medical Chart Audit & Review

Medical Chart Audit & Review

As part of a facility’s compliance review process, this medical record review ensures the adequacy of coding and billing and the underlying medical record documentation. Chart Reviews are an essential component of your Medicare Fraud and Abuse compliance Plan! The Medical Chart Audit and Review includes:

–  An onsite review of a representative sampling of medical charts held in the electronic health record.
–  Comparison of the chart documentation for this representative sampling against actual Medicare and/or commercial insurer billing.
–  Evaluation of adequacy of documentation for other relevant benchmarks including Medicare recovery audit contractor compliance.
–  Evaluation of deficiencies if you are using an Electronic Health Record.
–  A written report of findings listing gaps and recommendations.