Introducing Digital Chart Audit(Tm)

INTRODUCING “DIGITAL CHART AUDIT™”: Medical and surgical record audit is a political/adversarial act rather than a scientific endeavor. There is a real need for Government, payers and care providers to find a chart audit method that is repeatable and reliable. Medical care costs are rising higher than inflation. Digital Chart Audit is applicable to E and M, routine foot care, medical/surgical decision making, proof of charting adequacy and almost any attribute of medical records' audit.

For years we have used “opinion chart audit” by experts who chronically disagree, depending upon who is paying for their services. This raises the cost of medical/surgical care because unnecessary procedures and tests tend to determine adequacy of charting.

Learning objectives: Digital Chart Audit™ uses worksheets to apply “point values” to specific attributes in the medical/surgical record. These are placed into multi-factoral spread-sheet analysis and a “final number” can be assigned to any desired audit cohort. In this presentation you will learn about the multi-factoral worksheets that allow you to assign point values to chart attributes and identify adequacy of charting and trends. Often non-physician auditors can learn and accomplish highly reliable and repeatable DCA™. DCA™ itself is an excellent teaching platform.

It is time to end “opinion chart audit.” It has become a platform for political and legal abuse. Government, insurers and providers need a repeatable, accurate and published methodology. The digital world has taken over the analog world. It is time to bring scientific chart audit into the New World.