Jump to content
Mbalcitacmas

Mbalcitacmas

New New
  • Joined:
  • Last Visited:
  • 8

    Content

  • 0

    Articles

  • 1,363

    Visitors

  • 0

    Followers

  • 0

    Points

Mbalcitacmas's Latest Activity

  1. Mbalcitacmas

    What is " chart review?"

    chart review is a board term. in addition to the description noted in previous blogs, this could also include chart review to validate reimbursement and coding issues looking for appropriateness of bills or claims filed with medicare/medicaid, workmens comp, or private/commercial insurance plans. there are many factors that trigger chart review.. under and over charges, suspected fraud and abuse, determining prospective payment schemes for the government, looking for patterns of coding groupings for drg or opps, and other settings such as physician practice, dme, home health etc. to learn more about medical audit, visit aamas - american association of medical audit specialists for quality issues --- these could be preparing for accreditation such as jcaho, ncqa, urac or hedis review. this is how nursing can be exciting as it leads to tons of opportunities in addition to the typical bedside clinical nursing. chart review is also involved with research or determining patient safety concerns with clinical trials, emerging technology or new products involved in clinical care.
  2. Mbalcitacmas

    Any RNs doing Hospital Billing Audits?

    there are nurses who do well in this career path doing hospital bill audits, many work independently and some even have successful business enterprise. hospital bill/claims audit, compliance audit for various entities such as hospitals, the government, commercial health plans are just a small sample of employment opportunities for medical auditors or nurse auditors. many of the successful medical auditors started as hospital nurse auditors working in the finance or billing department, few had um or cm backgrounds. the government needs nurse auditors for a number of government audits - the rac, mic or cert audits. there is a national association of medical auditors you can join ==> american association of medical audit specialists. you can be certified as a cmas. this can be a great adjunct to any coding certification. read the following articles from the fall 2009 newsletter. aamas newsletter - brand new auditor lands a job career development for the bold and energetic happy thanksgiving. :redpinkhe marilyn b
  3. Mbalcitacmas

    RN Coder/Auditor

    congratulations to those who have found a unique path outside of the typical nursing hospital based career. coding audit is only one of the exiting fields of medical audit and offer independence such as working from home and other perks. hospital bill/claims audit, compliance audit for various entities such as hospitals, the government, commercial health plans are just a small sample of employment opportunities for medical auditors or nurse auditors. :loveya: many of the successful medical auditors started as hospital nurse auditors working in the finance or billing department, few had um or cm backgrounds. the government needs nurse auditors for a number of government audits - the rac, mic or cert audits. there is a national association of medical auditors you can join ==> american association of medical audit specialists. you can be certified as a cmas. this can be a great adjunct to any coding certification. read the following articles from the fall 2009 newsletter. aamas newsletter - brand new auditor lands a job career development for the bold and energetic happy thanksgiving. marilyn b
  4. Mbalcitacmas

    Nursing Auditor????

    Steph, Just came across your message today. How was your interview? This is a small and a typically unknown field. Let me know if you have started --- I am a member of the American Association of Medical Audit Specialists. http://www.aamas.org/. Can give you some tips of the trade. Marilyn
×