The Auditor will review ten (10) patients records each from three (3) different months of the past year on-site, utilizing the providers Electronic Health Records software according to AmeriHealth’s Group Payer guidelines over the course of one (1) business week.

Please furnish the Auditor with a desk and a computer with acccess to the EMR & EHR for ten (10) hours over the course of a week. Coordination of these hours will be addressed prior to the audit to minimize the effect on the practice and patient care.

The Auditor will furnish both the Provider and AmeriHealth Group with an Auditor’s Summary Report and a total score (in percentage points) primarily focused on two (2) different components of the NCQA (National Committee of Quality Assurance) measures (CM1 – Data Completeness, PR1 – Core Quality Measures) of compliance. This report will be issued to both parties within 1-3 business days after completion of the audit.

In conjunction with our Audit Findings Report, Dream Health Group will develop its recommendations for continued compliance and oversight pertaining to AmeriHealth Group Payer guidelines over the next 12 months.