Chart review and visit note audit
Most denials we see are not coding errors. They are documentation that never quite proved what the clinician actually did.
- Visit notes reviewed
- 600K+
- Physician orders reviewed
- 100K
- Reviewer credential
- RN
In practice
Our reviewers are nurses. They read the visit note the way a payer's clinical reviewer would, looking for homebound status, skilled need, medical necessity, and whether the plan of care and the orders agree with each other.
Findings come back as specific, fixable notes against named charts, not as a generic training deck.
What is included
Everything in the scope, written down.
If it is not on this list, it is not in the price. We would rather have that conversation now than in month three.
- Start of Care and Recertification chart review against the plan of care
- Visit note auditing for skilled need, homebound status, and medical necessity
- Physician order review, including verbal order follow-up and signature tracking
- Face-to-face encounter documentation checks
- ADR and pre-claim review packet assembly
- Findings summarised by clinician so supervisors know where to coach
How it runs
Five steps, every single chart.
Scope agreed
You decide whether we review everything or sample by clinician and payer.
Reviewed
A nurse reviewer reads the full episode, not just the assessment.
Gaps written up
Every finding cites the chart, the date, and the missing element.
Returned to clinicians
Corrections are routed through your existing supervisory workflow.
Trended
Repeat findings roll up into a monthly pattern report.
Clinical Review
Send us ten charts. We'll send back what we find.
A free review of up to 10 charts, with a written summary of what we found. No commitment attached.