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13 reasons your practice should have a medical …

    https://www.ama-assn.org/practice-management/cpt/13-reasons-your-practice-should-have-medical-record-audit
    That’s what an audit is,” said Deborah J. Grider, who has more than three decades’ experience as a practice administrator, medical record auditor, clinical documentation improvement …

What Is Medical Auditing? - AAPC

    https://www.aapc.com/medical-auditing/medical-auditing.aspx
    A medical auditor conducts internal or external reviews of coding accuracy, policies, and procedures to ensure an organization is running an …

Auditing Medical Records in 8 Easy Steps …

    https://www.gebauer.com/blog/auditing-medical-records
    Below is an eight-step guide on auditing medical records which nurses can use to ensure their facility is providing the best patient experience. Step 1: Choose the Focus of Your Audit. In general, the purpose …

How to Conduct a Medical Record Review - NCHA

    https://www.ncha.org/wp-content/uploads/2018/11/ACDIS-White-Paper-How-to-Review-a-Medical-Record_2018.pdf
    Medical record review is perhaps the core responsibility of the CDI profession-al. Although the numbers vary by facility, CDI specialists review an average of 16–24 patient charts …

Frequently Asked Questions on Medical Auditing - AAPC

    https://www.aapc.com/medical-auditing/faq.aspx
    What is a medical chart review? A medical chart review, also referred to as a chart audit, is an examination of medical records to determine what procedures or services were …

Tips for Auditing Medical Records …

    https://holisticbillingservices.com/how-to-handle-a-medical-record-audit/
    While a medical record audit is a lengthy process, it’s a necessary one to ensure your practice is as efficient, organized, and profitable as possible. Clinical documentation in medical …

Eight Steps to a Chart Audit for Quality | AAFP

    https://www.aafp.org/pubs/fpm/issues/2008/0700/pa3.html
    You can conduct a chart audit on virtually any aspect of care that is ordinarily documented in the medical record. Practices frustrated with clinical processes that don't work well …

10+ Medical Record Audit Form …

    https://www.template.net/business/forms/medical-record-audit-form-templates/
    A medical record audit form is the type of form that is prepared to record the data and the information after the auditor completes the medical record audit. It is the formal form document that …

Using Peer Review for Self-Audits of Medical Record …

    https://www.aafp.org/pubs/fpm/issues/2000/0400/p28.html
    Peer review has been a mainstay of medical quality-assurance programs, and it provided a number of advantages in our self-audit process: Education. Reviewing other providers' …

Documentation Matters Toolkit | CMS

    https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Program/Education/Documentation
    Because providers rely on documentation to communicate important patient information, incomplete and inaccurate documentation can result in unintended and even dangerous patient …



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