Retrospective Baseline Probe Audits: Problems and Solutions to an Outdated Methodology - DoctorsManagement Retrospective Baseline Probe Audits: Problems and Solutions to an Outdated Methodology - DoctorsManagement

Retrospective Baseline Probe Audits: Problems and Solutions to an Outdated Methodology

By Frank Cohen, Director of Business Analytics | February 18, 2015

As originally published by Racmonitor.com

Based on surveys conducted by this author and others, it has been determined that the average large practice (greater than 150 physicians) relies upon retroactive baseline probe audits (RBPA) in order to identify patterns of compliance risk among their provider populations.

In general, the methodology for a RBPA involves the services of an experienced procedural coder who is tasked with conducting a complex review of a static number of individual charts for some number of providers within a physician organization.

The number of providers that are included in a RBPA is normally established based upon budgetary and personnel limitations. For example, based on the complexity involved in reviewing a chart for errors, an experienced coder will average around four charts per hour, or 8,000 charts per year (assuming that they commit 100 percent of their time to the baseline audit, which is quite unrealistic).

Read the full article on Racmonitor.com