Medical Chart Audit

Are your charting and billing practices up to industry and legal standards? With the PPP Comprehensive Chart Audit we’ll make sure you’re doing everything the right way.

One of the most often overlooked aspects of practice compliance can be found in your medical charts and billing practices. The standards for medical charting are always changing and if you aren’t staying up to date, you could be leaving money on the table or making yourself vulnerable to fines and legal trouble — or both.
With the PPP Comprehensive Chart Audit, we double and triple-check your billing and coding policies and standards to make sure that you’re getting the maximum value out of each patient encounter and not opening yourself up to potentially severe regulatory issues.

The Consequences of Non-Compliance

The laws surrounding billing, coding, and medical documentation are not only binding and enforced by law, they change regularly and often without warning. As such, there are steep consequences to not adhering these regulations — consequences for which ignorance of the laws is no excuse.

The penalties for inaccurate or falsified medical documentation include heavy fines and removal from the provider panel. This is true to medical and vision plans. Every year, federal and state governments levy millions of dollars in fines that could have been avoided by trusting the experts to look over your medical charts.

Incomplete charting or billing could be costing your business too: across all medical care in the United States, approximately 3-5% of annual revenue is lost by inadequate documentation, equaling about $125 billion per year.

“Everybody thinks they’re doing a good job. They don’t think they need somebody looking over it, but it’s a sobering effect when somebody does look over your practice and tells you what you’re doing wrong or that you missed out on $70,000 last year because of incorrect billing.”

– Dr. John McCall

Why Choose Medical Record Audits From PPP?

Medical record audits are about more than just compliance, they’re about protecting your revenue and your reputation. PPP’s optometry-specific chart audits uncover missed billing opportunities, documentation gaps, and hidden compliance risks before they cost you. With detailed reporting, proactive solutions, and audit packages tailored to your practice size, we help you stay one step ahead of CMS standards and put more money back into your business.

Choose the Right Audit for Your Practice

PPP offers two different audit services to serve the unique needs of your practice: Comprehensive Chart Audit Service and Fraud & Abuse (F&A) Chart Audit Service.

Our Comprehensive Chart Audit goes beyond medical records to meticulously analyze billing and coding practices as well. 20 charts per provider is recommended but customizable packages are available for larger offices or practices with multiple locations. Once the audit is completed you’ll receive a thorough report of any documentation, billing, and coding issues we’ve found as well as insight on the financial impact of any lost revenue due to charting or coding errors. The cost is $1995 per 20 patient encounters, and you are not charged until the audit is completed.

Our Basic Audit meets the minimum audit recommendations from CMS. Much like a real medical record audit, billed services are compared against the medical record documentation but only to determine if the services should be paid or not. This audit is priced at $1495 per 20 patient encounters.

Special Offer: Save 50% on Coding Compliance Subscription

Enhance your team’s knowledge with expert-led Coding Compliance Education at half the price when you purchase an audit.

Stay up-to-date on coding changes
Prevent costly errors & rejections
Improve efficiency & reimbursement

How It Works

1️⃣ Choose Your Audit – Select the Base, Comprehensive, or Forensic Audit
2️⃣ Submit Your Records – We’ll guide you through secure data submission
3️⃣ Get Your Results – Receive an in-depth report with action steps to improve compliance and revenue

Act Now & Get Peace of Mind for Your Billing Practices!

Full Chart
Audit:

A thorough review of your documentation and billing to identify gaps or areas for improvement.

Actionable Feedback:

Clear, concise recommendations to help you address compliance risks.

Legal and Industry Standards:

Assurance that your charting practices meet current legal and billing requirements.

The Comprehensive Chart Audit is the best way to ensure both maximum compliance and maximum reimbursement. While CMS allows providers to “self-audit” their records, PPP highly recommends a professional audit initially and then at least once every 3-5 years. With both audits, you can operate with the peace of mind to be more confident in your billing practices and focus on providing excellent care to your patients.

If PPP identifies problems related to your initial billing service, our Revenue Cycle Management service is available to help you solve those issues and make sure your billing is conducted accurately and efficiently by industry experts.

Training audits are the best way to ensure your practice will be ready and safe when a real auditor comes around.

Base Audit -
$1,495

20 records audited with Full Aggregate Reporting (trends, patterns & compliance gaps)

Comprehensive Audit – $1,995

20 records audited with Full Aggregate Reporting and Patient-by-Patient Analysis (detailed breakdown per case)

Forensic Audit – Custom Pricing

Deep-dive case-by-case review with personalized reporting based on your needs

Catch Documentation Errors Before
They Hurt Your Bottom Line

Why is compliance with billing and coding regulations important?

Non-compliance with billing, coding, and medical documentation laws can lead to severe consequences, including hefty fines and removal from provider panels. Additionally, inadequate documentation can result in significant revenue loss.

How often should I have a professional chart audit conducted?

While CMS allows providers to self-audit their records, PPP recommends a professional audit initially and then at least once every 3-5 years to ensure ongoing compliance and optimal reimbursement.

What is the difference between the comprehensive chart audit and the basic audit?

Comprehensive Chart Audit: Provides an in-depth analysis of medical records, billing, and coding practices, identifying documentation issues, coding errors, and potential revenue losses. Basic Audit: Meets CMS’s minimum audit recommendations, comparing billed services against medical record documentation to verify payment eligibility.

How can I schedule a chart audit?

You can schedule a chart audit by calling us at 844-626-6759.