Insurance Chart Audits - Best Protection?

Are your healthcare providers still using charge tickets to check-off the charges and diagnosis for each patient visit? If so your practice has what we call “exposure”. Practices that still use paper charge tickets run the greatest risk of failing a chart audit due to services that are billed not being documented in the patient chart. The only way to eliminate exposure is to have the documentation generated by the EHR software drive the patient charges.

Things to remember when dealing with 3rd party carriers:

1. It is the responsibility of each provider to document care in the progress note to support all services that were provided to the patient
2. If the service was provided but was not documented in clinical record, then technically the service was not provided in the eyes of the insurance company
3. During an audit the insurance carrier has the right to request a refund for all services not supported in the clinical record

MD Logic, the leading U.S. provider of high performance electronic health records and practice management solutions, provides physicians the technology to document care and drive CPT/Dx codes to the practice management software. With the MD Logic EHR/PM all-in-one software, CPT and diagnosis codes are automatically updated in the MD Logic PM software and ready for insurance and patient billing. Our customers benefit from the following:

• MD Logic EHR software eliminates the risk of charging for services not documented in the clinical record
• MD Logic eliminates those common missed charges that were never checked off on the paper charge ticket

If your practice is still using paper charge tickets then it is time to learn how your clinic can increase efficiency, reduce overhead and maximize profitability with MD Logic. To learn more please contact our corporate office at 800-273-7750.