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chart and payment auditing

  1. #1
    Prescott, AZ
    Cool chart and payment auditing
    Medical Coding Books
    I have been asked by a doctor in the area whom I used to work for to perform an audit on his charts, charges, and payments received by insurance. He is questioning what/how his current coder/biller is doing.

    I just want to make sure I look at everything possible such as: documentation vs charges entered, fee schedules, EOB's, etc. What else could I possibly need to review???

    Also, what does a CPC charge for doing an audit like this? I've never done this before; didn't know if I should charge by the hour or a flat rate. Any suggestions???

    Thank you,
    Tracy, CPC

  2. #2
    Default Chart and payment auditing
    Be sure to pull all charge tickets / encounter forms and pay particular attention to claims that have been denied and why.

    You are performing an external audit so $25 - $30 per hour is appropriate. If the physician had to hire an outside consulting firm it would cost much more.

    Maria Candia CPC, CPC-H, CEMC

  3. #3
    Prescott, AZ
    Thank you!!!!!

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