Keeping internal chart reviews from being used against you: 11 useful strategies.
Internal chart reviews are useful tools for practices to determine the accuracy of their coding when billing for services, especially to governmental payers. They can also boomerang, however, and be used as evidence against a practice when their results are not fully understood or implemented. This article provides some guidance to help practitioners realize the fuller value of chart reviews in terms of over- and under-coding, adequacy of documentation, and attorney-client privilege.
Glaser
David M
DM
Fredrikson & Byron, 200 South Sixth Street, Minneapolis, MN, USA. dglaser@fredlaw.com
D039702:Current Procedural Terminology; D004282:Documentation / Q000592:standards*; D005568:Forms and Records Control / Q000592:standards*; D019983:Guideline Adherence; D006801:Humans; D007344:Insurance Claim Reporting / Q000145:classification* / Q000592:standards; D008484:Medicaid / Q000331:legislation & jurisprudence / Q000592:standards; D008485:Medical Audit; D008499:Medical Records / Q000145:classification* / Q000592:standards; D006278:Medicare / Q000331:legislation & jurisprudence / Q000592:standards; D011216:Practice Management, Medical / Q000592:standards; D014481:United States; D014483:United States Dept. of Health and Human Services