chart review

  1. R

    Wiki Eye Exam Documentation

    I conduct medical record reviews (chart reviews) for an External Quality Review Organization. Their Encounter Data Validation task requires providers to submit records and my job is to check and make sure the coding/documentation for the encounter matches the claim that was sent to the MCO...
  2. J

    Wiki AFTER HOURS WORK BY DOCTOR

    Hello, I am trying to figure out the best way to capture middle-of-the-night work being done by the Neurosurgeon. He is being called for chart reviews, etc late at night by the Emergency room doctors and he is giving recommendations. He does see the patient for a face to face consult the next...
    • JenBrz
    • Thread
    • after hours chart review e/m code help e/m codes hospital coding hospital e & m hospital inpatient neurosurgery non f2f prolonged service non face to face
    • Replies: 0
    • Forum: E/M
  3. C

    Wiki checklist for audits

    Hello, Does anyone have a sample checklist for when payers are requesting charts for an audit? For example I'm looking for the following documents: chart note, procedure note, consult letter, etc? I want to be sure we have all needed documents per chart. Thanks, Camille Waterhouse, CPC
  4. D

    Wiki General Chart Review Question

    Hello all. I am a new AAPC member working on my CRC certification. I work for a start up health plan in NYC and we are working on conducting our first round of chart reviews for risk adjustment. If a health plan has medical records and identifies discrepancies in their HCCs (assuming the...
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