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Proactive Chart Review

When it comes to documentation, no DC can know what they don't know. And being proactive is always better than being reactive. That's why we recommend letting us review your documentation to find any mistakes or problems before an unfriendly auditor does.

Consultation Services
$179.00

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Proactive Chart Review

Proactive Chart Review

When it comes to documentation, no DC can know what they don't know. And being proactive is always better than being reactive. That's why we recommend letting us review your documentation to find any mistakes or problems before an unfriendly auditor does. We’ll review a representative chart within the past three months from a new patient looking for documentation errors, coding blunders, and compliance concerns. Comparing the 1500 billing forms or itemized statements to the documentation, we will determine if the coding is appropriate and point out areas where you may be leaving money on the table.

Our highly effective process:

  1. A certified compliance specialist reviews your chart electronically, making specific notes and suggestions directly on your copy of the file. This allows us to zero in on the most significant points and allows you to see exactly where the issues are. We review the chart from the standpoint of your Initial Visit Documentation which is the foundation for your patient’s episode of care, and generally for Routine Visit Documentation. We also point out those parts of your documentation that are excellent!
  2. Next, we schedule an online meeting to go over the findings, point out the issues, and provide suggested feedback to correct errors found.
  3. The specialist leaves you with a plan for corrective action to bullet proof your documentation. You’re provided with the audited file to refer to as you work on your corrections... or to be proud of because your documentation was stellar!

Let our eyes, as Certified Medical Compliance Specialists, be your second set of eyes to evaluate how you’re doing with typical documentation.

  • Clear understanding of whether documentation provided meets standard medical necessity guidelines
    Discovery Consultation
  • Identification of weaknesses in the areas of initial, daily, and re-evaluation documentation of Medicare and commercial insurance patient files
  • Detection of trouble spots or patterns in documentation that could present compliance concerns and audit risks down the road
  • Confidence in your ability to code effectively based on documentation
  • Knowledge of whether incorrect coding may be costing you money
  • A certified compliance specialist reviews your chart electronically, making specific notes and suggestions right on your copy of the file.
  • An online meeting where we’ll go over the findings, point out the issues, and provide suggested feedback to correct errors found.
  • You'll leave with a plan for corrective action to bullet proof your documentation. You’re provided with the audited file to refer to as you work on your corrections.
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