Review hospital (or other healthcare facility) department medical record documentation for improvement opportunities as part of a scheduled periodic review process. A version of this article was first ...

Ask most payer executives about chart audits, and you are certain to hear a collective groan. They are labor- and resource-intensive, quite expensive and a significant pain point for network ...

Editor's Note: Healthcare is serious business, and the repercussions of deficiencies in medical documentation can be considerable. In this 4-part series, nurse attorney Carolyn Buppert examines the ...

1. Help in determining the scope and depth of the audit. Chart audits may be conducted in several ways. An experienced external auditor will be able to assist you in determining what you need to ...

Medicare and other payers deny claims for payment when documentation to support a hospitalization or physician service is insufficient. When a payer audits a facility, sloppy documentation can lead to ...