Chart Review Sample Clauses
The Chart Review clause establishes the right for one party, typically an insurer or regulatory body, to access and examine the medical records or charts maintained by a healthcare provider. This process usually involves reviewing patient documentation to verify the accuracy of billing, compliance with regulations, or the quality of care provided. By allowing such reviews, the clause helps ensure transparency, detect errors or fraud, and maintain accountability in healthcare operations.
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Chart Review. The collaborating physician will review a random sample of patient charts every
Chart Review. The IRO shall perform a Chart Review annually to cover each of the five Reporting Periods. The IRO shall perform all components of each Chart Review.
Chart Review. The IRO shall review diagnosis code data submitted by BMG to Medicare Advantage organizations and the medical records for certain Medicare beneficiaries enrolled in Medicare Advantage plans to determine whether any diagnosis code data submitted to a Medicare Advantage organization for risk adjustment payment purposes is supported by and documented in the medical record and coded correctly (Chart Review) and shall prepare a Chart Review Report, as outlined in Appendix B to this CIA, which is incorporated by reference.
Chart Review. The APRN, in conjunction with the Physician(s), shall engage in periodic random chart reviews of patients treated by the APRN at least annually. Subsequent to each chart review, a conference shall be held between one or more of the Physicians and the APRN. Any additional requirements of Section 4723-8-05 of the Ohio Administrative Code shall also be adhered to. Documentation of all chart reviews will be noted on the signature page(s) to this agreement.
Chart Review. MCO reserves the right to conduct a review upon reasonable notice to Subcontractor in order to determine the appropriateness of services and/or charges. In accordance with WAC 284-43-321(3), Subcontractor shall be granted similar rights to review.
Chart Review. Does your facility have an existing process for regular chart review?
a. [ ] Chart Review will be done by the facility, unassisted by Group. Site shares completed reviews with Group.
b. [X] Group conducts chart review using a site-specific form or process. Facility will grant Group read-only access to EMR or will send charts as requested.
c. [ ] Group conducts chart review using its own universal form for all psychiatrists. Facility will grant Group read- only access to EMR or will send charts as requested.
Chart Review. A provision indicating that the collaborating physician and prescribing psychologist shall ensure that the collaborative physician personally reviews and documents review of at least 10 percent of the prescribing psychologist’s patient charts on a quarterly basis in each of the following categories:
(1) Juvenile patients,
(2) Pregnant or lactating patients,
(3) Elderly patients,
(4) Patients with serious medical conditions, and
(5) All other patients.
Chart Review. The supervisory agreement shall include a provision which sets forth the plan for completing and documenting chart reviews. Documentation may include, but is not limited to, the supervising physician’s placing the supervising physician’s signature or initials on the charts reviewed. Each supervising physician shall ensure that an ongoing review of a representative sample of the physician assistant’s patient charts encompassing the scope of the physician assistant’s practice provided under the physician’s supervision occurs and that the findings of the review are discussed with the physician assistant.