AAPC - Back to school
Results 1 to 3 of 3

Thread: chart and payment auditing

  1. #1
    Join Date
    Apr 2007
    Prescott, AZ

    Cool chart and payment auditing

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Prescott, AZ


    Thank you!!!!!

Similar Threads

  1. Replies: 4
    Last Post: 08-05-2009, 04:49 PM
  2. Chart Auditing
    By JEANNIEHORTMAN in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-21-2007, 06:27 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.