California Hospital Audit Program

State:
Multi-State
Control #:
US-130EM
Format:
Word; 
Rich Text
Instant download

Description

This form explains the procedure and policy regarding how employees should audit their hospital bills to determine if they received all services for which they were charged.

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FAQ

200b200b200b200bAbout the Department of Health Care Services 200b200bWelcome to the California Department of Health Care Services (DHCS). DHCS is the backbone of California's health care safety net, helping millions of low-income and disabled Californians each and every day.

CHOOSE A CLINICAL AUDIT TOPIC. Your topic should be chosen systematically.FORM A PROJECT TEAM.SET THE AIM, OBJECTIVES AND STANDARDS.ETHICS & ENGAGEMENT.SELECT AN AUDIT SAMPLE.PLAN AND CARRY OUT DATA COLLECTION.ANALYSE THE DATA.PRESENT THE FINDINGS.More items...

Auditing Medical Records in 8 Easy StepsStep 1: Choose the Focus of Your Audit.Step 2: Define Measurement Criteria.Step 3: Determine Which Records to Review.Step 4: Decide Sample Size.Step 5: Develop Recordkeeping Tools.Step 6: Gather Data.Step 7: Summarize Your Findings.More items...?

Audit in healthcare is a process used by health professionals to assess, evaluate and improve care of patients in a systematic way. Audit measures current practice against a defined (desired) standard. It forms part of clinical governance, which aims to safeguard a high quality of clinical care for patients.

Audit ProcessStep 1: Planning. The auditor will review prior audits in your area and professional literature.Step 2: Notification.Step 3: Opening Meeting.Step 4: Fieldwork.Step 5: Report Drafting.Step 6: Management Response.Step 7: Closing Meeting.Step 8: Final Audit Report Distribution.More items...

DEPARTMENT OF HEALTH CARE SERVICES.

These audits assist DHCS with its overall monitoring effort, and identify areas of non-compliance, which form the basis for corrective actions. MCPs are required to provide a Corrective Action Plan (CAP) upon the completion of a DHCS Medical Audit or any other monitoring activity where findings are identified.

What is the purpose of a healthcare audit? The purpose of an internal healthcare audit is to develop and follow an official process to assess, analyze and improve patient care and internal processes.

Audits and Investigations Division (A&I) is the designated Program Integrity Unit (PIU) for the Medi-Cal program. A&I's mission is protect and enhance the integrity of the health programs administered by the Department of Health Care Services (DHCS).

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California Hospital Audit Program