Page 1 of 3 123 LastLast
Results 1 to 10 of 24

Ob/gyn Audit

  1. #1
    Exclamation Ob/gyn Audit
    Medical Coding Books
    Help! I am new to OB/GYN and my MD's want me to do a practice audit, which would include chart audits, to help them understand why they are losing $$ Do any of you have templates, guidelines-I am appreciative for anything. I'm starting from scratch...

  2. #2
    Try going to your local medicare carrier for your ob guidlines. I would also refer to my CPT guidlines. I'm sorry I cannot help you out with any templates but try googling for ob chart audit templates.
    Last edited by mstenochs; 07-09-2008 at 03:00 PM. Reason: spelling error

  3. Default
    If your doctor is losing money is it because the number of patients changed? I would start by comparing the type of insurances your recent patient have. Did you see more Medicaid patients this year compared to last year? Keep a better check on the prgoress of your patients... with pateints that have insurances using global codes if another doctor delivered your patient are you going back and billing the visits? this is where I would start.

  4. #4
    When you say'refer to my CPT guidelines' are you referring to the guidelines in the 2008 CPT book or another resource? Thanks!

  5. #5
    Thank you so much for that advise. I will look into those:
    1) # of patients changed fom one year to the next
    2) Increase in Mediciad patients?
    3) Global OB patients billed out per visit if not delivered by us

    Please let me know in this speciality if there are any other areas that come to mind that comparing yearly P/L's won't show me. Thanks!!!!

  6. #6
    Charleston, South Carolina
    A couple of other things to check:

    Were balances written off along with allowed adjustments? Legitimate balances (pt's portion, deductibles, copays, etc) not collected can make a hugh difference also.

    What is your payor mix? Did it change recently (due to a major employer changing insurances is one example).

    Also, you want to make sure the practice is collecting all copay and pt responsibility up front that you can, saves a lot of postage and collection costs. Little things can have a tremendous effect on A/R.

    Good luck,

  7. #7
    Southern IL Carbondale
    Default OB Audit
    I went to the ACOG web site and then went to coding. They have developed 2 tools one for 95 and one for 97 Medicare guidelines. I would take a look at there [url]

  8. #8
    Kansas City, MO
    Another thing you will need to do is look at the contracts your physicians signed with each Insurance and understand their policies regarding OB. When you start researching this you will see that each carrier has specific ways they want certain scenarios billed. Some of the larger carriers have their policies posted on their websites for easy access.
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013

  9. Default
    Lisa, I have some audit forms specific to OB-GYN if they will help - I do not have a scanner but would be happy to fax them to you if you want. Just furnish the fax number. Good luck!

  10. #10
    Lana- that would be so helpful- thank you!!! My fax # is (423) 990-2496

    Thank you!

Page 1 of 3 123 LastLast

Similar Threads

  1. E/M Audit - Denver - Need an audit done
    By skneefel in forum Auditing General Discussion
    Replies: 1
    Last Post: 07-23-2013, 07:24 AM
  2. Ob/gyn
    By Kathy Leff in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-02-2011, 01:12 PM
  3. Chart Audit OB/GYN
    By dlgordon in forum OB/GYN
    Replies: 3
    Last Post: 08-27-2010, 11:52 AM
  4. Audit of Prenatal Flow Sheets for OB/GYN
    By SHIBA425 in forum Auditing General Discussion
    Replies: 0
    Last Post: 07-21-2009, 02:41 PM
  5. Ob/Gyn
    By geugene in forum OB/GYN
    Replies: 0
    Last Post: 08-27-2008, 08:06 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.