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Anyone know what to charge for reviewing med records? - sm

Posted: Mar 20, 2014

I went to see an ortho yesterday regarding neck surgery and they approached me about reviewing their medical records for the doctors. I have no clue what to charge - per page, per hour or ? I currently work transcribing IME, AME and QME reports, but that's different. Thoughts on what to charge or where to search for comparable rates? Thanks!

what would the result of your review be? - puzzled

[ In Reply To ..]
What are you reviewing the records for? Completeness? To extract data? To code the chart? I couldn't guess what you should charge unless I knew what you were going to be doing. (I'm a former CPC coder and auditor, experience with chart completion as well)

Depends on what you are reviewing them for - sm

[ In Reply To ..]
Reviews of records are sometimes done to gather information for research studies, but that would be unlikely in an office. That type of review is often done by research-assistant sorts, often graduate students, etc., and pays modest amounts.

Is it possible that he did not mean records from his own office, but records available, say, electronically, from a larger facility, like a university medical center, or copies of records from someplace like that? Is his office actually part of a larger medical center?

The only other possibility that comes to mind is reviewing them for compliance with documentation standards for Medicare, etc. In other words, he may be worried about upcoming audits or revenue denials, or have been smacked with an audit, repayments, and fines already -- highly likely, by the way -- and needs to review those records as part of his defense.

THAT type of review is usually done by a certified coder, usually one experienced in that sort of thing, sometimes one that is also a lawyer. He should know that, and the stakes are so high that if he is defending an audit, he should already have a lawyer who would recommend someone to do the review.

Just a run of the mill compliance review pays very well. I have seen megalomaniac physicians who think they know everything try to do this themselves by telling someone to look for, though.

These are outside hard copy records - - sm

[ In Reply To ..]
for IME/AME/QME reports. I would be summarizing them for the doctors to review and put into his report. Sometimes the records are 12-18 inches high and you have to go through them page by page, separate the specialties, and put them in chronological order.

Hourly? - Rose

[ In Reply To ..]
Hourly seems the only fair way since the jobs can vary so much in complexity.

Yes, i'm thinking hourly, but - sm

[ In Reply To ..]
just don't know what a fair hourly rate would be. That is where I'm stuck.

Hourly - diana

[ In Reply To ..]
At least 15.00 an hour, at most 20.00 an hour. Your knowledge in IME, etc., is worth that much. Your time is valuable and you should be paid accordingly.

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