Originally Posted by tnapora
Can you direct me or recommend a good checklist for medical record chart audits? I am looking for a tool that will assist me in determining the level of care provided based on documentation. Possibly there is a software package that does this?
This is one of the ones that I use in conjunction with a bulleted 1997 exam list:
Belinda S. Frisch, CPC, CEMC
Author of "Correct Coding for Medicare, Compliance, and Reimbursement"