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Healthcare Auditing Weekly

This weekly email newsletter offers health care internal auditors and compliance professionals the latest information on setting up and maintaining an effective auditing program.

2009 | 2008 | 2007 | 2006 | 2005 | 2004 | 2003

Healthcare Auditing Weekly

Issue 35, December 30, 2003

• Prepare for government search warrants

  Follow these tips so you can respond accordingly to search warrants.

• Gov't audit insider 12/30/03

  The Office of Inspector General’s (OIG) objective for this audit was to determine whether...

Issue 34, December 23, 2003

• Tips for data collection and record abstraction

  Learn what expertise your data collectors should have, and what policies and procedures your...

• Gov't audit insider

  The Office of Inspector General’s (OIG) objective for this audit was to determine whether...

Issue 33, December 16, 2003

• EMTALA: Understand the regulations before you audit

  Before you audit your organization’s compliance with the Emergency Medical Treatment and...

• Gov’t audit insider: 12/16/03

  The Office of Inspector General’s (OIG) objectives for this audit were to determine (1) to...

Issue 32, December 9, 2003

• Determine the scope of your internal investigation

  The scope of your internal investigation depends on what prompts it. Use these guidelines to...

• Gov't audit insider: 12/9/03

  The OIG’s objective for this review was to determine whether WillowBrooke Court at...

Issue 31, December 2, 2003

• Understanding compliance tests

  To design compliance-related audit procedures, start by identifying the significant provisions of...

• Gov’t audit insider: 12/2/03

  The Office of Inspector General’s (OIG) audit objective was to determine the extent of...

Issue 30, November 9, 2003

• Measure compliance hotline effectiveness

  Most organizations have a compliance hotline for employees and patients to report potential...

• Gov’t audit insider: 11/25/03

  The OIG’s objective for this review was to determine whether the hospital’s fiscal year...

Issue 29, November 18, 2003

• Audit your top compliance risk areas

  Use a "finders and fixers" plan to review and correct your organization’s biggest compliance...

• Gov’t audit insider: 11/18/03

  The OIG performed this audit to determine whether Pioneer Manor Care Center (Pioneer Manor) in...

Issue 28, November 11, 2003

• Top 10 tips for laboratory audits2. Internal investigations: How to int

  The government and third party payers are aggressively auditing physicians and their practices...

• Gov’t audit insider: 11/11/03

  The OIG performed this review to determine whether Medicare properly reimbursed St. Charles...

Issue 27, November 5, 2003

• Evaluate your organization's compliance culture

  How entrenched is your compliance program within the organization? Sample the compliance culture to...

• Gov't audit insider: 11/4/03

  The Office of Inspector General (OIG) performed this audit to identify ineligible Medicare skilled...

Issue 26, October 5, 2003

• Use indicators to evaluate physician performance

  Quality of care ranks as one of the government’s top focus areas for this year. The Office of...

• Gov’t audit insider: 1/28/04

  The Office of Inspector General (OIG) performed this audit to determine whether Ohio’s...

Issue 25, October 22, 2003

• How to identify the scope of an internal investigation

  The scope of your internal investigation will depend on the reason you are performing it. Certain...

• Gov’t audit insider: 10/21/03

  The Office of Inspector General (OIG) performed this audit to evaluate whether the Michigan...

Issue 24, October 20, 2003

• Validity and reliability of computer-based data

  When computer-processed data is critical to accomplishing an audit objective, you need to ensure...

• Gov’t audit insider: 10/14/04

  The Office of Inspector General (OIG) performed this review as part of a nationwide analysis of...

Issue 23, September 20, 2003

• Internal investigations: Six tips for interviewing employees

  One of the most dependable ways to determine facts in an internal investigation is through employee...

• Gov’t audit insider:

  The OIG recently audited Anthem Blue Cross and Blue Shield of Connecticut. Its goal was to...

Issue 22, September 20, 2003

• Five tips for reviewing and testing controls

  To achieve the test results you want, did you know that you can often evaluate your controls...

• Gov’t audit insider: 9/30/03

  This Office of Inspector General (OIG) audit examined the relationship between nonphysician...

Issue 21, September 23, 2003

• Audit your top compliance risk areas

  Use a "finders and fixers" plan to review and correct your organization’s biggest compliance...

• Gov't audit insider: 9/23/03

  The Office of Inspector General (OIG) performed this audit as part of a nationwide OIG review of...

Issue 20, September 16, 2003

• To err on a claim is human, to rebill improperly is no excuse

  Every audit is a continuous process. And it is the follow-up portion of the audit that allows the...

• Gov't audit insider: 9/20/03

  The OIG performed this audit to determine whether costs claimed for school-based health services by...

Issue 19, September 9, 2003

• CMS releases final EMTALA rule

  On November 10, hospitals must start complying with the revised rules involving the care of...

• Gov't audit insider: 9/9/03

  This Office of Inspector General (OIG) review is part of a nationwide analysis of Medicare...

Issue 18, September 10, 2003

• 1. How to use audit forms as training tools
  2. Clinical trials: 10 easy ste

  1. How to use audit forms as training tools 2. Clinical trials: 10 easy steps to assess your...

Issue 17, August 26, 2003

• 1. Choose which testing method is right for your audit
  2. Rehab: Market

  1. Choose which testing method is right for your audit 2. Rehab: Marketing audits help find...

Issue 16, August 19, 2003

• 1. Determine the scope of your internal investigation
  2. Fraud settlement p

  1. Determine the scope of your internal investigation 2. Fraud settlement prompted facility to add...

Issue 15, August 11, 2003

• 1. Internal investigations: Six tips for interviewing employees
  2. Billi

  1. Internal investigations: Six tips for interviewing employees 2. Billing: The ins and outs of...

Issue 14, August 6, 2003

• 1. Techniques for compliance assessments
  2. Find and monitor all conflic

  1. Techniques for compliance assessments 2. Find and monitor all conflicts of interest in your...

Issue 13, July 1, 2003

• 1. How to prepare an audit report
  2. Tips for interviewing and evaluati

  1. How to prepare an audit report 2. Tips for interviewing and evaluating new auditors 3. Gov't...

Issue 12, July 1, 2003

• 1. Strategies for examining diagnostic testing in the emergency room
  

  1. Strategies for examining diagnostic testing in the emergency room 2. Documentation...

Issue 11, July 1, 2003

• 1. HIPAA security: Use risk analysis to prioritize your efforts
  2. 12 s

  1. HIPAA security: Use risk analysis to prioritize your efforts 2. 12 steps for auditing medical...

Issue 10, July 1, 2003

• 1. Meticulous software evaluation can control costs
  2. How to prepare wo

  1. Meticulous software evaluation can control costs 2. How to prepare working papers 3. Gov't...

Issue 9, July 1, 2003

• 1. Audit your top compliance risk areas
  2. Seven steps to test HIPAA in

  1. Audit your top compliance risk areas 2. Seven steps to test HIPAA information security 3...

Issue 8, June 1, 2003

• 1. Five tips for reviewing and testing controls
  2. Watch for employee c

  1. Five tips for reviewing and testing controls 2. Watch for employee conflicts of interest in...

Issue 7, June 1, 2003

• 1. How to analyze your outlier exposure
  2. Audit and monitor HIPAA priv

  1. How to analyze your outlier exposure 2. Audit and monitor HIPAA privacy compliance 3. Gov't...

Issue 6, June 1, 2003

• 1. Steps for monitoring during transactions and code sets implementation
  

  1. Steps for monitoring during transactions and code sets implementation 2. Copayments: Strategies...

Issue 5, June 1, 2003

• 1. Validity and reliability of computer-based data
  2. 12 steps for audi

  1. Validity and reliability of computer-based data 2. 12 steps for auditing inpatient bad...

Issue 4, May 1, 2003

• 1. Find and monitor all conflicts of interest
  2. Define exclusions from

  1. Find and monitor all conflicts of interest 2. Define exclusions from your sample population 3...

Issue 2, May 1, 2003

• 1. Internal auditors: How S-O will affect you
  2. Assess your compliance

  1. Internal auditors: How S-O will affect you 2. Assess your compliance program 3. Gov't audit...

Issue 1, May 1, 2003

• 1. How to use the S-O to increase audit effectiveness
  2. Pay-per-view ar

  1. How to use the S-O to increase audit effectiveness 2. Pay-per-view article: Same-day...