Achieving effective and compliant healthcare functions cannot occur without well-defined and ongoing compliance auditing. Compliance audit processes serve as an integral part of hospital clinical and non-clinical departments and facilitates addressing critical business risks and compliance issues. With comprehensive internal audits, organizations can achieve and maintain compliance requirements within the patient access, documentation and charge capture, and patient financial service areas of their revenue cycle.
Internal Audit Best Practices
An internal audit program is proactive and not reactive, allowing facilities to anticipate organizational and industry risk. Internal auditors should include the following components in their audits:
Additionally, well designed and thorough reports are an important piece of a compliance review. Reports should highlight the applicable regulatory changes, associated controls mapped to the new regulatory requirements, existing control assessment results, training gaps, the number of policies that require updates, risk assessments and other key data.
Benefits of Internal Audits
Implementing a comprehensive internal audit program will position a facility to actively respond to the ever-changing healthcare regulatory environment. It will increase staff confidence and morale through compliance training and knowledge and show commitment to high ethical standards that facilitate positive relation between patients’ staff and hospital community. Overall, an internal audit leads to better communication and decision making to help avoid or uncover potential problems in the future.