Iowa 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

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 of Income of HospitalsBills should be verified with the fees/charges structure. Concession and waiver on account of fees and other charges should be verified. Bills should be verified with cash receipt book, counterfoil of receipts and cash book. Verification of arrears of bills should be done.

Thus, an audit programme is prepared by an auditor as per the scope of the work.

4 types of Healthcare Audit are:Random Audit. Samples are taken to be reviewed and audited in an unsystematic way, the kinds of samples include some cases with the large or small amount of money.Comprehensive Audit.Hybrid Audit.Quality Improvement Audit.

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...

Audit of Income of HospitalsBills should be verified with the fees/charges structure. Concession and waiver on account of fees and other charges should be verified. Bills should be verified with cash receipt book, counterfoil of receipts and cash book. Verification of arrears of bills should be done.

A healthcare audit is a comprehensive and in-depth evaluation of the practices and processes in a healthcare facility. While there are numerous types of healthcare audits, the most common internal inspections usually primarily focus on building a framework to assess the coding and billing aspects of your organization.

Internal audit conducts assurance audits through a five-phase process which includes selection, planning, conducting fieldwork, reporting results, and following up on corrective action plans.

Medical auditing performed by the provider organization, or on its behalf, is crucial because it keeps coding and billing errors in check. Audits not only identify incorrect coding, but also prevent incorrect coding from being repeated.

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...?

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Iowa Hospital Audit Program