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.
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Charge Audit: Charge Capture
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Patient- Quality of Care
- Quality of Services
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Hospital/Healthcare Provider- Charge Capture Compliance
- Provider Stability
- Staff Stability
- Credibility in the Community
- Productivity
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Community- Employment
- Easily Accessible
- Source of Community Health Education
- Source of Other Social Services in Rural Areas
- Source of Community Pride
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Charge Audit: Six Steps of Auditing
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| 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)
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| Determining Overcharges and Undercharges |
| Producing Audit Reports |
| Identifying Revenue Benefits |
Trended Observations and Recommendations- Quality Care
- Risk Analysis
- Documentation
- Compliance
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Charge Audit: Proficiency Development
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| Comprehensive Case Studies |
| Case Studies: Impact on Quality, Compliance, and Revenue |
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Contact Revenue Management University, 760.448.1036, RMU@revenuemanagementuniversity.com for for more information on specific courses.
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