Curriculum: Charge Audit

The Charge Audit training provides the knowledge and skills needed to perform a financial and clinical charge audit, identify deficiencies in the charge capture process, and produce a “clean claim” upon original claim submission.

The Six Steps of Auditing presented during the course is focused on appropriate charge capture based on clinical documentation and provides the knowledge to identify systemic fractures while ensuring compliance with regulations and a healthy bottom line.

Charge Audit: Charge Capture

Course #

Patient Quality of Care Quality of Services	CC-1001
Hospital/Healthcare Provider Charge Capture Compliance Provider Stability Staff Stability Credibility in the Community Productivity	CC-1002
Community Employment Easily Accessible Source of Community Health Education Source of other Social Services in Rural Areas Source of Community Pride	CC-1003

Charge Audit: Six Steps of Auditing

Course #

Determining Payer and Service Area	CC-2000
Conducting Itemized Statement Review and Creating a Breakdown	CC-2001
Medical Record Review Compliance (Medicare and JCAHO) Documentation Safety (JCAHO and OSHA)	CC-2002
Determining Overcharges and Undercharges	CC-2003
Producing Audit Reports	CC-2004
Identifying Revenue Benefits	CC-2005
Trended Observations and Recommendations Quality Care Risk Analysis Documentation Compliance	CC-2006