Medical Chart Auditing

You will be audited. Are you prepared?

While EMRs have made the lives of physicians and their staff far easier, the severity of chart audits has increased. Standard descriptions used to describe patients are common, although they can raise red flags amongst CMS and its Medicare Administrative Contractors (MACs). Chart audits should be conducted quarterly to keep your practice compliant and profitable.

  • Do all of the notes you write accurately reflect the health history, assessment and treatment plan for each patient?
    Do your CPT coding system and record documentation support the frequency of treatment and type of services billed?

HealthCare Management Solutions is AAPC certified – the authority in training and credentialing physician coders for decades. Here is why working with us for your medical chart audits is the obvious choice:

  • Our team understands all coding regulations and documentation requirements. We assure a level of accuracy that only comes from working with AAPC
  • Policies and regulations can vary by region and carrier. That is why we only use the best auditors available, allowing us to provide expertise in every specialty.
  • We will fully assess your reimbursement and account receivable balances and current billing practices, whether it is currently done in-house or with another billing company.
  • We will assist your practice in adopting a Total Quality Improvement System used by professional auditors, which is essential to the long-term success of your practice.

Gianni Gonzalez and her team have provided SIMEDHealth with assistance in educating our providers and staff on appropriate documentation. We’ve seen an improvement of over 5% in our overall audit scores thanks in part to the services she has been providing.

Kristin Roberts, MSBA, PHR — Vice President of Support Service @ SIMEDHealth

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