Quality Auditing Services

Health record documentation requires integrity and accuracy. The health record is directly responsible for: the outcome of the patient, reimbursement return rates, timely patient billing, submitting insurance claims, and even used to determine fraudulent activity.  Many EHR’s have pre-populated templates that contain most of the information requirements for the activities dependent on the medical record.  While the templates are thorough, they must be reviewed to ensure that only relevant information about the encounter was included.    Another way information is inaccurately recorded into the health record is through the use of “copy and paste.” This technique opens the door to Providers signing off on documentation that contains duplicated or redundant information, as well as erroneous data.

Proper safeguards must be in place to ensure accuracy of the information that describes the patient’s condition.  Without checks and balances, the patient record is at risk of containing misinformation that could potentially harm the patient.  Therefore it becomes necessary to audit the health record and ensure that only patient-specific data is recorded.

Quality Auditing Services provide patient documentation quality assurance 

Peachtree Transcriptions Quality Auditing Services review the integrity of: Clinician Created, Service and Employee Transcribed or Autonomously Generated patient documentation with a pool of pre-qualified experienced professionals in the medical transcription profession.  We are a vendor-neutral service provider, and have 30 years of experience across multiple platforms.  Quality Auditing Service  s from Peachtree offer fair and unbiased judgment with the ability to review and coordinate a random review process of documents. Patient documentation Quality Auditing Services from Peachtree Transcription ensure the integrity of the electronic health record by: monitoring, measuring, and reporting on documentation created by healthcare providers. We use a statistically valid sampling methodology that is scalable and indicative of the overall quality of the electronic health record.  Our services use a sample size of 1% to 3%  per month for routine assessments. We do not advise using larger sample sizes because there is a point of diminishing returns as the sample size grows. By using a 1% – 3% sample size, we have a 95% confidence level with a 0.851 margin of error.