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The ProviderTrust Blog

Your source for healthcare compliance news, advice from industry experts, and all things related to OIG exclusions.

Healthcare Compliance, Healthcare Technology, audit, healthcare audit, auditor

How to Conduct an Effective Healthcare Compliance Audit

Posted by Donna Thiel on Tue, Sep 05, 2017

Compliance auditing, what a process. There are always so many potential areas to be audited, and often it is difficult to decide where to start. How many different risk areas did you identify when you were working on your compliance plan? Can you possibly audit all of these areas? Did you rate or rank the risks to identify where you have the biggest concerns?

Do you have the resources; time and or people? Do you have the expertise? Do you have an internal audit team or are you using contract auditors? 

How often should you audit? What do you do with the audit findings? I am tired already, and we haven’t even gotten started.  

*Updated from original post on 11/15/2016

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healthcare, compliance, audit, internal audit, healthcare audit

You've Finished Your Internal Audit. Now, What?

Posted by Donna Thiel on Tue, Nov 29, 2016

Now, What?

So now you've finished your internal audit and have all sorts of new information. Likely some great outcomes and perhaps some that you weren’t expecting. What should you do next? There isn’t one absolute answer but all audit findings have to be looked at and evaluated for appropriate next steps. Some outcomes are more serious than others and will cause a more immediate response, while others may require nothing more than some re-education and follow up next year. Let’s break down some of the possible audit outcomes and next steps so you don't feel like these fish.

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Healthcare Compliance, Compliance Plan, audit

Hi, I am an Auditor and I am Here to Help

Posted by Michael Rosen, ESQ on Thu, Nov 10, 2016

The only thing possibly scarier than those words is – "I am from the IRS and I am here to help."  Well, it doesn't have to be that way. Auditors get a bad wrap. The first image that comes to mind is the corporate cop without a personality who is just looking for that violation. But an audit is a very important part of an effective compliance program. In fact, it is one of the seven elements.

The purpose of a healthcare compliance audit is four fold:
1. To prove you are in compliance
2. To show areas where they can be improved 
3. To cement into place best practices that you have implemented and to make your organization's compliance plan even better, and 
4. To be ready to pass an outside party/regulator official audit.

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