Charge Audit Program

AMR's staff reviews itemized bills and medical records documentation to ensure the accuracy of the charges. Both overcharges and undercharges are identified.

Audit results by department will be provided to management on a monthly basis regarding these findings. AMR will assist in establishing a Charge Audit Committee as requested.

Our staff can assist management in developing new guidelines and processes to ensure adequate charge procedures are in place. We take pride in the fact that we train and educate your staff in each department on documentation, charging and revenue issues.

When it comes to patient requested audits, AMR promptly handles these requests to preserve the hospital's image. We can accomplish this due to our knowledge and understanding of medical procedures, terminology, and billing criteria; therefore, we obtain results quickly and effectively.

Program Objectives:

• Identify opportunities for correcting charge discrepancies
• Examine current hospital bills to determine the validity of each charge
• Provide audit results by department
• Educate departmental staff on documentation, charging and revenue issues
• Assist in establishing a Charge Audit Committee
• Assist departments in using appropriate CPT and ICD-9 codes
• Defend the institution against Insurance Audits

View Examples:

• View Sample Results for Charge Audit

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Did you know?

Typical sample of highest undercharges by department following Charge Audit. *

Emergency Dept. - 14.8%
Med/Surg Supplies - 12.6%
Pharmacy - 26.9%
Radiology - 9.5%
Cardiology - 1.0%
Operating Room - 5.8%

* Information based on a 300 bed hospital.