How To Perform A Baseline Documentation Audit

Course overview

Identify OIG compliance program elements and categorize denials as benefit, medical necessity, coding, or medical review policy issues. Describe how history, exam, diagnosis, and treatment plan must align to establish medical necessity in an initial chiropractic visit. Differentiate routine SOAP note requirements from initial visit documentation and explain the compliance officer's role in chart selection. Calculate a chart's error rate and apply results to design targeted training with follow-up audit timelines.