Which of the following elements is NOT typically included in a chart audit?

In a chart audit, the primary focus is on the accuracy and completeness of clinical documentation, coding practices, and compliance with billing regulations. While each of the other elements plays a crucial role in evaluating the integrity of medical records, the assessment of physician-patient communication is not a standard component of a chart audit.

Chart audits typically involve a review of compliance with documentation guidelines, which ensures that all required medical information is properly recorded according to legal and ethical standards. Additionally, verifying that all charges are captured ensures that the services provided align with what is being billed, which is critical for financial integrity. Evaluation of coding accuracy is also vital, as it determines whether the codes submitted for billing accurately reflect the documented services and diagnoses, impacting both reimbursement and compliance.

In contrast, while physician-patient communication is important for quality of care, it generally falls outside the scope of a chart audit, which centers on documentation and coding rather than interpersonal interactions or communication effectiveness. Hence, the absence of this element makes it the correct answer to the question.