Quality Outcome Measures
Reputation Management Tracking
Medical and Patient Record Audits
A large risk that providers identify with pertain to medical records/ patient records. Incomplete or inaccurate medical records/ patient records can put a healthcare organization at risk. For a multitude of infractions, these risks can lead to allegations of fraud, abuse or malpractice.
Our services include conducting third-party medical and patient record audits that comply with federal, state, local and payer laws, regulations and standards. QPI’s Risk Management Team is established to audit a random sampling of 25% or a complete 100% of a healthcare organization’s medical/ patient records. Adverse and incomplete findings are communicated immediately with your organization for intervention.
Not only will our medical/ patient record audits identify and protect against fraudulent claims or billing activity, they will also serve as a guide to identify opportunities for additional credentialing, contract renegotiations, open care gaps and areas of improvement for patient flow.