Corporate Compliance

Auditing against the OIG's Compliance Program Guidance for Hospitals

Healthcare Auditing Weekly, January 24, 2006

This week, we'll outline strategies for auditing procedures related to credit balances as part of our ongoing discussion of auditing against the OIG's Compliance Program Guidance for Hospitals. To audit procedures related to credit balances, identify whether the hospital has taken the following steps:

  • designated segments of the information system to allow for the segregation of patient accounts that reflect credit balances

  • removed patient-account balances that reflect a credit balance and place them in a holding account pending the processing of a reimbursement claim to the appropriate program

  • printed individual patient accounts that reflect a credit balance to permit simplified balance tracking

  • designated at least one person to take responsibility for tracking, recording, and reporting credit balances

  • designated a comptroller or accountant to review reports of credit balances, reimbursements, or adjustments monthly

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