Corporate Compliance

Tip: Seven guidelines for developing auditing policies and procedures

Healthcare Auditing Weekly, June 17, 2008

These seven guidelines will help you develop effective auditing policies and procedures.
  1. Identify departmental processes – Enlist department managers to help you understand each area’s processes
  2. Consider the organization’s auditing resources – Tailor your procedures according to the availability of your facility’s auditing resources
  3. Provide step-by-step guidance for starting the audit process – Provide a baseline audit for reach area and adopt a rotating audit schedule
  4. Spell out auditing logistics – For example, include how samples are selected, how to review the medical record and what information is audited.
  5. Consider the information auditors need – Depending on the auditor’s background, different reference materials and knowledge are required.
  6. Make sure policies and procedures provide guidance for analyzing results – Use audit results to determine what to include in an action plan.
  7. Require policies and procedures reevaluation – Require auditors to review the OIG Work Plan annually.
This tip is adapted from The Healthcare Auditor’s Handbook. For more information about the book or to order your copy, visit HCMarketplace.
 

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