Massachusetts Hospital Audit Program

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

A healthcare compliance auditor makes sure that healthcare providers follow all relevant laws when providing patient care. Your duties include investigating medical service providers to ensure that they meet all legal requirements. You also review clinical documentation during your audits.

In the same way, medical auditing is the process of examining the medical records to make sure that the doctors and medical equipment and facilities offered in a hospital or clinic comply with the standard rules and regulations of the medical field.

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...?

How to Create an Audit ReportIndicate the exact date, time and location of the audit at the beginning of the report.Explain what steps the auditors used throughout the process.Provide all evidence and data recorded during the audit process.Write down all conclusions drawn directly from the data.More items...

Audit of Income of HospitalsAn Auditor should check the bill book, bill register and copy of bills.It should be verified that bills are prepared properly according to visit charges of doctors, medicine, stay charges, room rent, etc.Bills should be verified with the fees/charges structure.More items...

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.

Audit documentation is the record of procedures performed, evidence obtained, and conclusions reached as part of an audit. The proper preparation of audit documentation is critical for several reasons, including the following: It can be used as a defense if the auditor is ever accused of negligence.

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...

Purposes of Audit Documentation It provides evidence of auditors' basis for a conclusion about the achievement of the overall objective. It provides evidence showing that audit work was properly planned and performed in accordance with ISAs and other legal and regulatory requirements.

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.

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Massachusetts Hospital Audit Program