What is typically included in the documentation reviewed during a retrospective audit?

The correct choice highlights the essential components of a retrospective audit, which focuses on evaluating the accuracy and appropriateness of medical record documentation after services have been provided. This process involves examining medical records to ensure that the documentation supports the diagnoses and procedures billed. Additionally, the explanation of benefits may provide insights into the claims processed and any discrepancies that might have occurred during billing.

Medical record documentation is crucial as it serves as the primary source of information regarding patient encounters, clinical decision-making, and treatment plans. The review of the explanation of benefits allows auditors to see what was communicated to the patient regarding their coverage and any adjustments that were made by the insurance company. Together, these elements are vital for establishing the integrity and compliance of the billing process.

The other options, while related to healthcare, do not directly pertain to the essential documentation needed for a retrospective audit. Patient satisfaction surveys, insurance policy guidelines, and provider training manuals do not reflect the specifics of the services rendered to patients or the billing process itself, making them less relevant for this particular type of audit.