What if every code you billed had the note to back it up?
SureChart pulls your notes every night, reads each one beside the codes billed for it, and tells you in plain words what is justified and what is not. Before the claim goes out.
Last night's check
One stable problem, no change in medicine, no time written. The note supports level 3.
Rule: level 4 needs two of three (problems, data, risk) or 30 minutes writtenThe note shows this doctor has managed her diabetes for two years.
Counseling is described but no minutes are written.
Rule: timed code, the time must be in the noteA scored PHQ-9 is in the note. Last one billed 14 months ago. Not billed.
How SureChart works.
Three steps, every night, with nothing for your clinicians to upload or remember.
What it checks, with the reason shown.
Too high, too low, missing, or repeated. Every finding points to the rule and to the line in the note.
Billed too high, or too low
The level of an office visit rests on complexity or on time. SureChart reads the note for both and says which level it supports.
Hypertension stable on current dose. Continue. Return in 3 months.RuleMedicare Claims Manual, chapter 12, office visit levels
Minutes that are not in the note
A timed code needs the time written down. If the minutes are missing or too few, SureChart says so.
Discussed quitting smoking and options for nicotine replacement.RuleMedicare: when time picks the code, the time must be in the record
Billed again too soon
Some services are allowed once a year or once a month. SureChart looks back through the patient's whole history.
Aug 20: G0444. Oct 14: G0444.RuleMedicare Claims Manual, chapter 18, section 190
A code with no diagnosis behind it
Some services are covered only with a certain diagnosis. SureChart checks that it is on the visit and in the note.
BMI 33.1. Counseled on diet and activity, 15 minutes.RuleMedicare Claims Manual, chapter 18, section 200
Codes that cannot share a day
Medicare publishes which codes cannot be billed together, and which add-on codes need a main code beside them.
Oct 14: 99213 at 9:10 AM and 99214 at 2:30 PM, same diagnosis.RuleMedicare Claims Manual, chapter 12, section 30.6.7
Done, written, never billed
It works in both directions. Work that is fully documented but missing from the bill is listed too.
PHQ-9 completed with staff, score 4. Reviewed with patient.RuleMedicare Claims Manual, chapter 18, section 190
Built for everyone who touches the bill.
Owners
Know that what you billed last night would hold up if someone asked for the charts.
Billers
A clean list before the claim goes out, with the reason for every change.
Compliance
Every visit checked, not a sample. Every finding tied to a published rule.
Clinicians
Only your own visits, and only what needs fixing. No coding class required.
Every rule has a source you can read.
No black box. If SureChart flags a visit, it shows which rule and where that rule is published.
Medicare comes first
Medicare (CMS) sets the standard for what a note must show. Its manuals and coverage rules are the base. State Medicaid rules are added where the state asks for more.
Tested on your data first
A rule is switched on for your practice only after it has been checked against your own visits.
Your rulings count
When your compliance lead settles a question, SureChart remembers it and stops asking.
Built for patient information.
SureChart advises. Your clinicians and billers decide.
Private by design
Each practice sees only its own patients. Each clinician sees only their own visits.
HIPAA agreements
We sign a business associate agreement with your practice before the first real patient.
Read only
Nothing is written back to your chart, and no claim is changed or sent by SureChart.
Questions practices ask first.
Does it change our codes or our notes?
No. It reads and reports. A person makes every change, in your own EHR.
Which EHRs does it connect to?
eClinicalWorks today. Ask us about yours.
What if we don't want to connect our EHR?
You don't have to. Export your notes and billed codes from any EHR and upload the file. SureChart checks it the same way. A connection adds the nightly check and the patient's full history.
Where do the rules come from?
From Medicare's own published manuals and coverage rules, plus state Medicaid rules where the state adds more. Each flag shows its source.
Will it bury our clinicians in flags?
No. A rule is only switched on after it has been tested on your own visits, and a problem caused by a template is reported once, not once per patient.
Is this legal or billing advice?
No. SureChart points out what the record shows against the published rule. Your compliance and billing staff make the call.