Chart Audits

Comprehensive Chart Audits for Accurate Coding Results

Discover the benefits of leveraging a best-in-class chart audit service.

About the Service

Episource specializes in reviewing charts previously coded by other vendors to enhance risk adjustment coding quality and accuracy.

Our goal is to validate proper coding, identify coding without supporting documentation, and ensure that claims are substantiated by clinical data from the medical record. Additionally, we carefully review and capture newly identified codes according to industry guidelines.

With our chart audit services, we offer three distinct levels that adapt to your workflow and provide unparalleled results:

Basic Chart Audit

Our best-in-industry risk adjustment coding team performs a blind medical record review, meticulously examining each chart to identify any coding discrepancies or errors.

NLP-Enhanced Chart Audit

Our NLP-enhanced chart audit combines the power of manual review with Natural Language Processing (NLP) technology. This innovative approach minimizes the risk of inaccurate codes due to human oversight.

Final Check Review

Our Final Check Review service utilizes NLP-assisted chart audits to identify inaccurate codes and overcoding by prior vendors. We carefully examine each chart, comparing it to industry guidelines and leveraging NLP technology to ensure comprehensive and accurate coding.

Features

Expert Coder Validation

Our coders review each suspected error to validate funding against CMS and client coding guidelines.

Claims Data Validation

We compare diagnostic information from within the medical record against existing diagnoses received from providers through claims to achieve accurate clinical documentation.

Proprietary NLP Engine

Our NLP engine – trained on millions of charts per year and by our bench of over 8,000 coders – has been meticulously refined to maximize efficiency and accuracy.

Quality Assurance

All new and unique codes are subject to quality assurance to confirm compliance. 

Improve risk adjustment coding accuracy

Optimize reimbursement with the power of a quality review

Streamline workflows with our NLP-powered technology

Our Impact

levels of chart audit services to meet your specific needs

90 %

quality assurance for near-perfect coding quality

3

- 3 %

average improvement in coding quality achieved for clients

Testimonials

Episource Client

I am impressed by the level of preparation and comprehensive analysis; it is far beyond what we are used to receiving from a vendor.

Episource Client

Their solution far and away exceeded what we were being offered by other vendors at the time.

Episource Client

They’ve added in features where we can actually see the campaigns in real time, watch it progress through the dashboards, and get all kinds of great reporting.

Additional Resources