Physician Chart Review and Education

Proper coding is essential for medical billing compliance and can dramatically impact reimbursement. Our coding reviews are designed to provide a summary of data quality, documentation, accuracy and assignment. At the conclusion of our review, findings, recommendations and issues will be communicated in a written report. Subsequent to this, we will provide on-site education with provider specific chart audit results and E/M coding criteria.

Our approach to practitioner education emphasizes on the individual needs of the physician/non-physician practitioner. We understand that the focus of these encounters is patient care and that the medical record, first and foremost, is a patient care tool. The medical record/encounter must also be a coding, billing and compliance tool. The education that we offer reflects this understanding and concentrates on coding documentation requirements and methods which practitioners can employ to document what they do and how that documentation translates into code selection. We view this as a vital component of the process.

In summary, BNN’s approach to physician dialogue is educational rather than punitive. We use the reviewed records to demonstrate strengths and weaknesses during our one-on-one sessions with providers. By utilizing this approach, physicians and staff can easily relate to the education.

Contact our healthcare advisory team directly to schedule this on demand training for your team.