I just had to re-vamp our audit process.....I have several tools I use.
First I created a schedule. I have to audit each provider every quarter, so that works out to about 2 providers a week. I know exactly which two to do every week and when there next audit is.
to select the charts, I run a report of a months worth of billed charges then select at random the ones I want...I say random, but I do somewhat choose by diagnosis....so I can get a good range of codes (not all HTN re-checks) and with this varying difficulty. (not all level 2's!) I just go through the list and hightlight the 10 or 20 I want. I don't look at name or actual note yet.
I then have an e/m audit sheet I work off of an make notes on that and the printed note. I have an easy to read spreadsheet where the docs can see at a glance a list of who was audited and the outcome. This sheet varies depending on "what" I audit. When I take this list and meet with the docs, I also take the printed note with my audit sheet attached because they usually want to see what they did wrong (or argue with me)
If you'd like to see my sheets/policy/etc, email me at email@example.com and I'll send what I can. (give me a few days...I am swamped right now!)
Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC
PMCC Licensed Instructor
Kansas City, MO Chapter
Member Development Officer 2016
Harrisonville, MO Chapter President - 2013
ICD-10 Education Coordinator- 2012
Chapter President - 2011
President Elect - 2010