Teresa Bolden, CPC, COBS
AIHC ICD-10-CM Certificate Holder |
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Medical Chart Auditing
Documentation pitfalls that cost you money!
In an effort to meet documentation expectations, many physicians converted their medical practice from paper charts to an electronic medical record system. While those efforts resolved many documentation issues commonly found by Medicare auditors, other issues have come to light. Our consulting team can quickly review your paper or electronic medical records to determine if the documentation is sufficient to withstand an official chart review by Medicare.
In an effort to meet documentation expectations, many physicians converted their medical practice from paper charts to an electronic medical record system. While those efforts resolved many documentation issues commonly found by Medicare auditors, other issues have come to light. Our consulting team can quickly review your paper or electronic medical records to determine if the documentation is sufficient to withstand an official chart review by Medicare.
What are Medicare auditors are looking for when they audit your medical records!?
With more than twenty-five years of Medicare contractor experience, our consulting team understands the nuances of reviewing medical records from both a health care provider’s and health care payer’s point of view. Our team knows what Medicare auditors look for when they audit your medical records. Our approachable experts can review your records to identify documentation weaknesses that put your hard earned money at risk.
ICD-10-CM Documentation Readiness
How will my documentation be affected by ICD-10-CM?
The compliance date for implementing the International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM) is October 1, 2014. The ICD-10-CM coding system reflects current medical practices and provides for more specific diagnosis coding that can streamline payment operations. The availability of more specific diagnosis codes allows for greater automation and fewer payer-physician inquires, decreasing delays and inappropriate denials. In order to provide a smooth transition to ICD-10-CM, the vast majority of health care providers will be required to enhance their current documentation techniques to effectuate proper ICD-10-CM code assignment. Our consulting team can help identify potential documentation weakness, preparing the way for a smoother transition to ICD-10-CM.
The compliance date for implementing the International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM) is October 1, 2014. The ICD-10-CM coding system reflects current medical practices and provides for more specific diagnosis coding that can streamline payment operations. The availability of more specific diagnosis codes allows for greater automation and fewer payer-physician inquires, decreasing delays and inappropriate denials. In order to provide a smooth transition to ICD-10-CM, the vast majority of health care providers will be required to enhance their current documentation techniques to effectuate proper ICD-10-CM code assignment. Our consulting team can help identify potential documentation weakness, preparing the way for a smoother transition to ICD-10-CM.
Other Professional Services
Peck & Associates specializes in services to physicians, practitioners and health care entities. As a result, our efforts and services are customized to meet the specific needs of physician groups. Our experienced staff can provice the following serviices:
- Medical Practice - Medicare Compliance
- ICD-9-CM - ICD-10-CM |
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Peck & Associates, P.C.
Serving all of your medical practice needs!
401 W. Main, Suite 400, Norman, OK 73069-1319 • Telephone (405) 364-3040 • Fax (405) 307-0883
Serving all of your medical practice needs!
401 W. Main, Suite 400, Norman, OK 73069-1319 • Telephone (405) 364-3040 • Fax (405) 307-0883
