palmERDocumentation gaps
Missing pertinent elements for the level of care. Missing decision points the MDM implies but didn’t document.
A documentation expert on every chart.
Chart CheckER reviews your completed chart before sign-off and flags what a coder, a reviewer, or a defense attorney would notice: documentation gaps, billing optimization opportunities, and medico-legal vulnerabilities, each with a specific, actionable fix.
Any chart reviewed, before you sign.
3 flags
Documentation gaps1 open
Billing captureSupported
Liability language1 suggestion
Chart check clean
0 flags open · sign it
The whole chart, read
Enter the completed documentation and Chart CheckER reads it the way a reviewer will: history, exam, MDM, and plan together.
Three lenses
Completeness, billing support, and defensibility, checked systematically against the level of care you documented.
Specific recommendations
Each finding names the gap and the fix: the missing element, the unsupported level, the risk language that needs a sentence.
What a coder would catch.
Billing elements are checked against what you actually documented: complexity, data reviewed, risk of management. If the documentation leaves the level unsupported, Chart CheckER says where, before a missing element quietly down-codes the visit.
E/M
What a reviewer would circle.
Risk stratification language, informed consent, shared decision-making, follow-up planning with clear safety-net instructions: the elements that make a chart defensible are checked while the case is hours old, not years later, on someone else's schedule.
3
Caught now, not in an addendum.
Findings arrive while the patient is still in the department and the fix is still one sentence. Apply the suggestions, re-check, and sign with confidence, then use the patterns it surfaces to sharpen every chart that follows.
2-3
What it checks, before you sign.
Billing opportunities
Where the documentation is leaving level on the table, the SDM you discussed but didn’t write down, the risk you stratified without language, the time you spent that wasn’t captured.
Medico-legal vulnerabilities
Where the chart looks defensible in the moment but reads thin on review. The differential you considered but didn’t document considering. The disposition logic that needs a sentence.
Specific, not generic
Flags reference the chart in front of you, not a checklist of every box you could conceivably check.
Sign every chart with confidence.
Start a free 30-day trial, no credit card required, and run tonight's last chart through Chart CheckER before you sign it. Read what surfaces.