RebeccaWoodward*
True Blue
Hello to all~
I need some feedback from those of you that perform chart reviews (AKA audits). Currently, we have a procedure in place to conduct chart reviews every three months. Within these three months, a certain amount of random charts are pulled. When I'm reviewing these charts, I am looking for documentation to support the E/M service selected, medical necessity, missed charges, inappropriate codes, etc,etc.... Here's my question...... How do you factor the missed charges, inappropriate charges into the ultimate score? The physician may have documented all the components of the selected E/M level but there are other errors that don't alter his prelimanary score; such as missed charges at the time of posting. Do you create two separate scores or do you merge them into one? Any feedback is appreciated~
I need some feedback from those of you that perform chart reviews (AKA audits). Currently, we have a procedure in place to conduct chart reviews every three months. Within these three months, a certain amount of random charts are pulled. When I'm reviewing these charts, I am looking for documentation to support the E/M service selected, medical necessity, missed charges, inappropriate codes, etc,etc.... Here's my question...... How do you factor the missed charges, inappropriate charges into the ultimate score? The physician may have documented all the components of the selected E/M level but there are other errors that don't alter his prelimanary score; such as missed charges at the time of posting. Do you create two separate scores or do you merge them into one? Any feedback is appreciated~