Take the headaches out of healthcare audits and chart reviews
HealthMark Group’s medical records audit solution can save your healthcare organization time and resources – while reducing your staff’s stress.
Alleviate the administrative burdens of audits
Medical chart audits can be a major burden on your staff. Don’t let audits drain all your time, energy and resources. HealthMark’s chart audit solution handles medical records audits of all shapes and sizes. We become a single point of contact for updates and advocate for your organization—not the auditor.
Healthcare audit support services
Let our experts be your healthcare audit heroes!
Tired of audits draining your time and resources? HealthMark Group makes the process stress-free, handling every detail so you don’t have to. With millions of successful audits completed for hospitals, clinics and physician practices, you can rely on us to deliver accurate, timely results.
4 Benefits to Outsourcing Audits
Quality Control
Our Certified Release of Information Specialists (CRIS) and machine learning quality checks ensure the data requested is the data received by the audit requestors.
Compliance
The Minimal Necessary Rule states that auditors should only have access to the portions of the record related to the audit. HealthMark Group follows HIPAA rules to the letter, ensuring your medical record audit requests meet compliance guidelines.
Single Point of Contact
We take the burden of communication and status updates off your staff, maintaining a single point of contact with the auditor- and your organization. We contract directly with payers and third parties, freeing up your phone lines for those who need them – your patients.
We Don’t Miss Deadlines
We’ve processed over 4 million audits – all of them managed and completed on time. Our qualified team offers objectivity in the review for a smooth and stress-free audit process.
Chart audits we handle
What can HealthMark do for you?
We’re here to take the worry out of your audit process by handling the heavy lifting so your team can focus on what matters most: patient care.
What audits can you outsource to HealthMark Group?
- HEDIS
- RAC
- MRA
- RA
- DRG
- QIO
- And more!
What are records audits in healthcare?
The healthcare audit 411
Chart audits can be overwhelming for healthcare organizations of any size. While audits play an important role in measuring outcomes, compliance and patient satisfaction, they can potentially expose systems or providers to monetary losses or other repercussions.
In healthcare, there are two types of audits: government audits (these are often the most stressful for your staff) and chart reviews or risk assessments. No matter the type, audits often create large administrative burdens – which is where a trusted outsourcing partner (like HealthMark Group!) can help.
Audits in Healthcare Information Management
Commercial Healthcare Audits
Commercial healthcare audits, like those conducted by government-backed entities, are also performed by private insurance companies. Larger companies will conduct their own internal audits. When healthcare systems or providers establish a contract with an insurance company, they agree on reimbursement rates, as well as what claims can be audited. Oftentimes, insurance companies will use the auditing process as a way to reexamine or renegotiate the payment schedule agreed upon in the contract.
HEDIS | Chart Reviews & Risk Assessments
The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely administered audit for quality improvement. Administered by the National Committee for Quality Assurance (NCQA), it measures six key primary care domains: effectiveness, access and availability, patient experience, utilization and risk-adjusted utilization, health plan descriptive information, and measures reported using electronic health records and clinical documentation. Participation in HEDIS is done on a voluntary basis and helps to provide a nationwide, standardized framework for healthcare measurement and reporting.
MAC | Medicare Administrative Contractor
Medicare Administrative Contractors (MACs) are private healthcare insurers that process claims for Medicare Part A and B and Durable Medical Equipment (DME). MACs handle essential administrative tasks like claims processing, provider enrollment and audit results, acting as the primary point of contact between Medicaid Services and healthcare providers.
RAC | Recovery Audit Contractors
Recovery Audit Contractors (RACs) identify and recover improper payments between providers and payers by analyzing Medicare claims for medical coding errors, non-compliance and fraud. RACs ensure that providers adhere to best practices in billing, helping resolve overpayments, underpayments and medical auditing errors.
Why Choose HealthMark Group?
We make audits easy by taking the hard work off of your plate. When you choose HealthMark as your release of information partner, sending audits to us is easy. You just upload the file and we handle the rest!