Minnesota Hospital Audit Program

Category:

Employment - Policies and Procedures

State:

Multi-State

Control #:

US-130EM

Format:

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

Audits in a hospital setting serve to enhance patient safety, quality of care, and operational efficiency. They help identify gaps in services and promote accountability among healthcare providers. The Minnesota Hospital Audit Program provides an organized framework to conduct these audits effectively.

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...

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.

Medical audit is a systematic approach to peer. review of medical care in order to identify opportunities. for improvement and providea mechanism for realising. them. Medical audit and clinical audit are often used.

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.

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. The purpose of an external audit is usually to ensure all parties were paid fairly and accurately in the insurance claims process.

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 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...

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...?