Physician Mid-Level Provider Peer Review Audit Form 2026

1. Click ‘Get Form’ to open the Physician Mid-Level Provider Peer Review Audit Form in our editor.
2. Begin by filling in the Center, Chart#, Provider, Date of Index Visit, and Date of Audit at the top of the form. These fields are essential for identifying the audit context.
3. In the GENERAL CARE section, review each question regarding documentation and care appropriateness. Select 'Yes', 'No', or 'N/A' as applicable. Use the COMMENTS section to provide any additional insights.
4. Proceed to UTILIZATION and answer questions about studies and medications ordered. Again, utilize the space provided for comments if necessary.
5. Continue with CONTINUITY OF CARE, ensuring all significant labs and chronic problems are followed up appropriately. Document any comments as needed.
6. In MEDICAL RECORDS, confirm that all relevant information is entered correctly. Use the comment sections for any discrepancies.
7. Complete HEALTH MAINTENANCE by checking off whether all necessary health maintenance actions were taken and document immunizations given.
8. Finally, review CODING COMPLIANCE to ensure documentation supports coding assigned to visits. Provide comments on significant findings if applicable.
9. Fill in names for Auditor #1 and Auditor #2 at the bottom of the form along with CMO Comments if there are any before saving your work.

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