Get the up-to-date printable medical chart audit template 2025 now

See details

4.9 out of 5

33 votes

The document is an OB/GYN Specialty Medical Record Audit Tool designed for reviewing physician documentation and continuity of care in patient records. It includes sections for assessing documentation quality, preventive health measures, prenatal care, follow-up visits, and postpartum care. The tool outlines specific criteria for compliance and provides a scoring system to evaluate adherence to medical record standards.

Here's how it works

01. Edit your chart audit template online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send printable medical chart audit template via email, link, or fax. You can also download it, export it or print it out.

The best way to edit Printable medical chart audit template online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making adjustments to your documentation requires only a few simple clicks. Make these quick steps to edit the PDF Printable medical chart audit template online free of charge:

Sign up and log in to your account. Sign in to the editor using your credentials or click on Create free account to test the tool’s functionality.
Add the Printable medical chart audit template for editing. Click on the New Document button above, then drag and drop the document to the upload area, import it from the cloud, or using a link.
Adjust your file. Make any adjustments needed: insert text and pictures to your Printable medical chart audit template, highlight details that matter, erase sections of content and substitute them with new ones, and add icons, checkmarks, and areas for filling out.
Finish redacting the template. Save the modified document on your device, export it to the cloud, print it right from the editor, or share it with all the people involved.

Our editor is super intuitive and effective. Try it out now!

See more printable medical chart audit template versions

We've got more versions of the printable medical chart audit template form. Select the right printable medical chart audit template version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2011	4.9 Satisfied (33 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can I type my electronic signature on my [KEY]?

Yes, a typed name is recognized as a legitimate electronic signature when you create it on your document utilizing a compliant solution like DocHub. Simply upload your [KEY] to our editor, click Sign in the top tool pane → Create your signature → Type your name in the appropriate tab, and decide how it will appear on your document.

How to fill out [KEY] on the internet free of charge in 2024?

Using a swift editing system like DocHub, you do not require anything but a web browser and connection to the internet to edit your [KEY] on the internet swiftly. Add your document or get the appropriate form in DocHub’s catalog, open our editor with one click, and finish it digitally. To revise your forms anytime, sign up a free profile with DocHub.

What does a medical auditor do?

The Medical Coder/Auditor reviews medical records and other documentation to identify under and over coded services, prepares reports of findings and meets with management to educate on and improve coding practices. The Medical Coder/Auditor ensures appropriate coding and maintains compliance documentation.

What triggers a medical audit?

Repetitive Care Protocols. Sometimes high or excessive use of specific CPT codes and certain ICD-10 codes may also trigger audits. Be careful with the use of templates, especially in electronic records.

Why do we do chart audits?

Perhaps the most desirable reason for chart audits is to measure quality of care in order to improve it. Health professionals, frustrated with processes that don't work as they should, can use audits to document that something is wrong, find the defect in the process, and fix it.

medical chart audit template

Printable medical chart audit template pdf Printable medical chart audit template word Printable medical chart audit template free Medical record audit checklist pdf Medical chart audit checklist Printable medical chart audit template excel Medical records documentation audit tool Chart Audit template Excel

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

How many charts should be audited?

For an informal, or \u201cquick and dirty,\u201d audit designed to give you a sense of whether a more sophisticated audit is warranted, you may find it useful to sample a minimum of 20 charts. For better results, a common rule of thumb is to try for 10 percent of the eligible charts.

Why is medical records audited?

Key reason for carrying out this audit is to comply with the requirements of the Clinical Record Keeping Policy (and related policies and procedures) in relation to auditing of patient records. It is also recognised that an audit will help to identify areas of concern as well as areas where good practice can be shared.

What is medical chart auditing?

A chart audit is an examination of medical records (electronic and/or hard copy), to determine what has been done, and see if it can be done better. Example. One day a provider in the Sleepytown Community Health Center (SCHC) sees several patients complaining of prolonged cough.

How often should audits be done in healthcare?

Audits should be full cycle - ie initial audit, change implemented, re-audit to demonstrate improvement. There should be at least one complete audit in each five-year revalidation cycle. Audits may be undertaken by several GPs working as a team.

How often do hospitals audit charts?

2. Is the medical practice on top of its billing and clinical documentation processes? The key to addressing this concern is knowing how often a hospital audits EMR. Simply put, healthcare practices must conduct regular EMR audits, which may be done at least once a year \u2014 it all depends on the practice's unique needs.

Get the up-to-date printable medical chart audit template 2025 now

Here's how it works

The best way to edit Printable medical chart audit template online

See more printable medical chart audit template versions

Complete this form in 5 minutes or less

Got questions?

Can I type my electronic signature on my [KEY]?

How to fill out [KEY] on the internet free of charge in 2024?

What does a medical auditor do?

What triggers a medical audit?

Why do we do chart audits?

Complete this form in 5 minutes or less

People also ask

How many charts should be audited?

Why is medical records audited?

What is medical chart auditing?

How often should audits be done in healthcare?

How often do hospitals audit charts?

nursing chart audit template

Try more PDF tools