Compliance · Definition
Documentation audit: Definition
A review of a sample of charts against the codes billed, to confirm the record supports them.
This is a short definition only. The full explanation lives on the cost of dermatology billing errors, which is the page to read if you are dealing with this on live claims.
Definition
Proactive internal audits catch the patterns payers look for — high modifier 25 frequency, consistent E/M leveling regardless of complexity, repairs billed without documented closure detail — while they are still correctable.
For worked examples, payer rules and documentation requirements, read the cost of dermatology billing errors. Return to the dermatology billing glossary.
See this term in your own numbers
A free claims audit reviews a de-identified sample of your dermatology claims and returns a line-item findings report.