Strategic Planning - The Consultation
If you feel your company can benefit from a comprehensive record review and analysis, we will begin by scheduling a consultation.
During the consultation, we will gather all relevant information and identify the outcomes that are important to you by designing a plan specific to meet your company's needs.
We offer telecommunication/video conference options. If you are local, you are welcome to schedule a consultation in person.
If you decide to move forward with our services, the consultation fee of $150.00 will be applied as a credit towards your total balance.
Records Analysis
A meticulous audit, review and documentation of initial and subsequent medical/case records followed by a detailed report and any additional summaries as determined by the client.
All reviews are conducted by a Licensed Vocational Nurse with over 15 years’ experience in medical auditing and analysis.
Under HIPAA regulations, a nurse is obligated to guide patients on the process of accessing their own medical information, including providing the necessary forms and information on how to submit a request. If deemed necessary, we can guide you through requesting complete medical records from a treating facility.
Records Analysis can be beneficial for litigation; medical malpractice, child/elder abuse/neglect, juvenile dependency proceedings, personal injury claims, wrongful death.
Billing Review
If it's not documented - you can't bill for it.
We offer itemized statement review to identify discrepancies in charges, duplicate billing, and services that are not supported by the medical record. It's not uncommon for a medical provider to order a diagnostic test which prompts a charge for the service to drop. These procedures are sometimes cancelled, declined or the patient simply leave the treating facility.
Some clients simply prefer to have their bill audited after an operative procedure or an inpatient stay, ensuring they are not erroneously over-charged.
Billing Review can be beneficial for clients disputing their own billing charges, attorneys litigating a personal injury case to determine the cost of medical damages.
Chart Audit
If it's not documented - it didn't happen.
A chart audit is specifically focused on evaluating the records as a whole - are they complete? Are there orders to support the procedures that were carried out? Are consents signed/dated?
A full chart audit is often requested when a facility is preparing for an external audit. Rather than creating a timeline for each event, the focus is on ensuring the records the facility has are complete according to current CMS guidelines.
Chart Audits can be beneficial for healthcare facilities preparing for an external audit, to ensure quality assurance standards are met as to the timeliness of signing and completing medical records, and to provide feedback and education to staff for process improvement.