Comprehensive Chart Auditing

Comprehensive Chart Auditing / DRG Review

Inpatient DRG Review

PCSRCM’s Comprehensive Chart Auditing and DRG Review Services provide an integrated solution that aligns care delivery with clinical documentation. Led by expert physicians with coding and documentation credentials, our approach enhances value-based initiatives by focusing on precise and thorough documentation and coding. This attention to detail reflects the quality of care provided and ensures compliance with all billing and coding regulations.

Our clients experience significant improvements in coding accuracy, quality metrics, including risk adjustment, and physician alignment, often achieving an average return on investment exceeding 100%.

Benefits of Accurate Chart Auditing

• Maximized Returns: Ensure proper coding to maximize returns and reduce accounts receivable.
• Regulation Compliance: Adherence to fluctuating rules and insurance guidelines.
• Improved Documentation: Accurate and comprehensive documentation supports better care delivery and financial health.

Why Comprehensive Chart Auditing Matters

• Insurance Reimbursements: Navigating insurance reimbursements can be challenging. Comprehensive chart auditing ensures that your facility receives due compensation for services provided.
• Focus on Patient Care: By outsourcing revenue cycle management to PCSRCM, healthcare providers can concentrate on patient care without the added stress of managing financial aspects.
• Error Identification and Correction: Our team of experts continuously monitors your documentation for accuracy. Any errors that cause reimbursement declines are identified and corrected, with aggressive pursuit of appeals if necessary.

PCSRCM Ensures Accuracy

Your facility will have a dedicated team of experts from PCSRCM who monitor and ensure correct documentation practices. They will highlight any documentation errors and inconsistencies, allowing you to address them promptly. Comprehensive chart auditing is essential for improving financial health and documentation accuracy.

• Continuous Monitoring: Our team monitors documentation and ensures proper charting practices.
• Error Correction: Immediate identification and correction of documentation errors.
• Appeals: Aggressive pursuit of appeals if initial claims are denied.