Louisiana 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

To fill out for Medicaid in Louisiana, start by gathering essential documents like proof of income and residency. Next, visit the Louisiana Department of Health's website to access the online application. You can also apply through the Medicaid enrollment centers. Using the Louisiana Hospital Audit Program can help ensure that all necessary information is accurately submitted.

A medical auditor conducts internal or external reviews of coding accuracy, policies, and procedures to ensure an organization is running an efficient and liability-free operation. The auditor must possess knowledge of medical coding, medical terminology, clinical documentation, compliance, and regulatory guidelines.

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...

How to Build an Audit PlanAssess business risks.Verify the appropriateness of accounting policies and procedures.Identify areas where special audit consideration may be necessary.Establish materiality thresholds.Develop expectations for analytical procedures.Develop audit procedures.Reassess the plan.

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.

An audit program is a set of directions that the auditor and its team members need to follow for the proper execution of the audit. After preparing an audit plan, the auditor allocates the work and prepares a program which contains steps that the audit team needs to follow while conducting an audit.

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.

Here are our top seven tips to prepare for a healthcare compliance audit.Examine your last risk assessment or prior audit results.Ensure you have an audit trail.Pull together the pieces of the audit's focus.Break down the audit scope into manageable pieces.More items...?

There are two main types of healthcare audits that providers face: internal and external. External audits can be broken down further into government and commercial insurance audits. From there, government audits can be broken down even further into Medicare, or Recovery Audits and Medicaid audits.

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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Louisiana Hospital Audit Program