Over the years, we’ve been asked to help physician practices with the always-in-demand chart audits to provide peace of mind that the documentation supports the code that is billed. Due to the importance of Evaluation & Management (E&M) procedure codes to most practices, we have become experts on E&M chart audits, in particular.
Since the Medicare Recovery Auditor Contractor (RAC) program began in 2012, we have many clients proactively initiating chart audits. They want to be sure that any government or commercial payor conducting a review of their documentation would find things in order.
To do a chart audit correctly, it takes a great deal of time and expertise. Our team sees this as a challenge and it aligns with our larger mission of helping physicians in all aspects of improving the business component of their practices.
We charge an initial fee to begin the engagement, and a fee for up to 20 charts. Additional charts are billed at an hourly rate. The scalability of this pricing allows the chart audit sample size to fit into any budget. Lastly, our closing fee covers our write-up of findings and presentation at the practice/board level. One-on-one provider conferences are available for discussing individual chart findings, and these are billed at the hourly fee.
In many chart audits, we find that physicians are under-coding for their services to be conservative, resulting in lost revenue to the practice. In one engagement, the practice would have made an additional $6.84 per visit, had they coded for what their documentation allowed. Imagine the impact on the practice if the results were extrapolated beyond the charts sampled for the audit!
Please contact us (303) 586-9390 or firstname.lastname@example.org to discuss your practice’s chart audit needs. We’d be happy to discuss how to pull a sample of charts, and our data request with you. It’s easy to get started.
Marcia Brauchler, MPH, FACMPE recently authored a published article “Top E/M Office Visit Chart Audit Findings” that is available FREE by clicking on the Products tab within this website; scroll to the bottom and add this choice to your cart. Complete the ordering process and the article will be emailed to you.