Tip: Deciding what to target during an audit
Compliance Monitor, April 23, 2008
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Successful audit programs are based on identifiable risks. Assess your internal processes in light of possible risk areas identified by the OIG and reflected in healthcare fraud and abuse settlements. A baseline risk assessment should:
- Review internal matters
- Review deficiencies in recent surveys
- Investigate existing compliance programs and guidelines
- Investigate any history of Medicare audits
- Consider the competency and longevity of the staff
- Consider the existing level of corroboration and collaboration
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