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
Patient
  • Quality of Care
  • Quality of Services
Hospital/Healthcare Provider
  • Charge Capture Compliance
  • Provider Stability
  • Staff Stability
  • Credibility in the Community
  • Productivity
Community
  • Employment
  • Easily Accessible
  • Source of Community Health Education
  • Source of Other Social Services in Rural Areas
  • Source of Community Pride

Charge Audit: Six Steps of Auditing
Determining Payer and Service Area
Conducting Itemized Statement Review and Creating a Breakdown
Medical Record Review
  • Compliance (Medicare and JCAHO)
  • Documentation
  • Safety (JCAHO and OSHA)
Determining Overcharges and Undercharges
Producing Audit Reports
Identifying Revenue Benefits
Trended Observations and Recommendations
  • Quality Care
  • Risk Analysis
  • Documentation
  • Compliance

Charge Audit: Proficiency Development
Comprehensive Case Studies
Case Studies: Impact on Quality, Compliance, and Revenue

Contact Revenue Management University, 760.448.1036, RMU@revenuemanagementuniversity.com for for more information on specific courses.

 
RMU Course Catalog

RMU Course Catalog

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