decisionhealth Newsletters, Answer Books - 2011 Issue 4 (April)
Chart Audits / How to handle an auditing dilemma
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Article Overview
This Q&A article is for coding, compliance, and practice-management readers who need guidance on handling documentation and chart audit concerns in a physician group. It covers the roles of internal and external audits, the importance of physician buy-in for documentation improvement, and broader compliance considerations tied to evaluation and management documentation and practice accountability.
Why This Topic Matters
Poor documentation can create audit exposure, affect compliance efforts, and complicate practice-wide quality improvement. The article helps readers understand how to frame an audit process in a way that supports physician participation and organizational follow-through.
What You Will Learn
- How chart audit concerns can be addressed within a physician group
- Why physician support matters in documentation improvement efforts
- How internal and external audits fit into a compliance program
- How audit processes can be approached as part of practice management and revenue oversight
Who Should Read This
- Medical coders
- Compliance officers
- Practice managers
- Physicians
- Auditors
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