Medical Chart Auditing Before the Payer Does It for You.
An independent review of documentation, code selection and medical necessity across a sample of your charts — with findings written so your providers can actually act on them.
What chart audits catch
Under-coding
Documented work billed at a lower level than supported — revenue given away voluntarily.
Over-coding exposure
Patterns that attract payer, RAC and OIG attention and create repayment risk.
Documentation gaps
Notes that do not support the code billed, which fail on the first record request.
Modifier and bundling errors
Incorrect modifier use and NCCI edit violations that cause denials or compliance findings.
Scope of a chart audit
Sample selection
Charts chosen by provider, payer and code distribution to be genuinely representative.
Documentation review
Each note assessed against current E/M and specialty documentation guidelines.
Code validation
CPT, HCPCS, ICD-10 and modifier accuracy checked line by line.
Medical necessity
Payer policy and LCD/NCD alignment assessed for the services billed.
Findings report
Error rate, financial impact, risk areas and specific corrections per chart.
Provider education
A working session that turns findings into documentation habits.
How an audit runs
- 1
Define scope
Providers, date range, payers and sample size agreed up front.
- 2
Secure record exchange
Records transferred through HIPAA-compliant channels.
- 3
Review
Certified reviewers audit each chart against documentation and coding standards.
- 4
Report and debrief
Written findings plus a live session with your providers and billing staff.
Why practices choose WCH
- Independent of your billing vendor
- Baseline, focused and follow-up audits available
- Supports internal compliance programs
- Findings tied to dollars, not just percentages
Frequently asked questions
Related services
Ready to see the numbers for your practice?
Book a free 30-minute call or email contact@wchsb.com. We will review your current performance and tell you exactly what is recoverable.