Contact Denise W. Wrenn & Associates: 318.308.8202

Medical Record Reviews

Medical Record Review & Audit

At Denise W. Wrenn & Associates, our Medical Legal Nurse Consultants are professional, highly-skilled, registered nurses who bring their medical record reviews & audit to you to ensure the accuracy of your medical facts acquisition.

At Denise W. Wrenn & Associates our specialist conduct medical records reviews and abstractions following policies for obtaining missing and incomplete medical records and documentation according to established standards.

Our registered nurses review medical records for the format, legal protocols, and documented evidence of the provision of preventive care and coordination and continuity of care services. The medical history provides legal proof that the patient received care. Incomplete records or lack of documentation implies a failure to provide care.

RN reviews and audits medical records for completeness and accuracy by looking at various pieces of information to document missing and critical information. We ensure information is recorded and reported to ensure compliance. Also, we coordinate in-service training to educate medical staff on proper documenting procedures.

Our nurses conduct clinical audits of provider medical records on site or remotely to assess performance, determine trends and prepare written reports summarizing findings, including clinical recommendations to assure the delivery of quality services.

Review coding to identify services rendered.

Sort and notate medical record layouts, formats, and abstraction for many medical settings.

Determine if medical records reflect the different aspects of patient care, including ancillary services.

Determine if provider records are maintained, so it allows efficient patient care and quality review.

Perform case reviews to assess the clinical performance provided in the provider network, including written clinical summaries and recommendations.

Coordinate with internal teams to assure audit requests are understood, accurately compiled, and delivered timely.

Provide additional performance and process improvement activities.