Corporate Compliance

Tip: Deciding what to target during an audit

Compliance Monitor, April 23, 2008

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
This tip was adapted from The Healthcare Compliance Professional’s Guide to the False Claims Act. For more information about the book or to order your copy, click here.


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