tci Medicare Compliance & Reimbursement - 2007 Issue 38
PART B: Your Costliest Chart Audit Myths Exposed
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Article Overview
This piece explains common myths surrounding chart audits in physician practices and clarifies how audit programs are viewed by compliance and coding professionals. It is aimed at coders, practice managers, physicians, and compliance staff who want to understand the operational and documentation-related reasons audits are performed, along with the general considerations involved in responding to records requests and handling discovered issues.
Why This Topic Matters
Chart audits can affect compliance, documentation quality, billing accuracy, and practice finances. Understanding the broad purposes and common misunderstandings behind audits helps practices evaluate internal processes without overreacting to routine review activity.
What You Will Learn
- Why routine chart audits can help identify documentation and billing issues
- Common misconceptions about the consequences of internal audits
- General reasons a carrier may request records
- Why audit findings are often tied to documentation review and practice education
- Broad considerations when addressing discovered issues and self-reporting
Who Should Read This
- Medical coders
- Physician practices
- Practice managers
- Compliance staff
- Health information management professionals
- Physicians
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