The Audit Process | Office of Internal Audit - The University of Iowa Ask about their experiences with audits in their organization and how they handled any roadblocks. means youve safely connected to the .gov website. 0000000612 00000 n ) Below is the audit process flowchart that shows an overview of auditing and the main stages of audit. As healthcare policy continues its development, new regulations and stipulations are just behind the next door. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[320,100],'accountinguide_com-medrectangle-3','ezslot_4',140,'0','0'])};__ez_fad_position('div-gpt-ad-accountinguide_com-medrectangle-3-0');However, those audit steps can be categorized into the main stages of audit, including the planning stage, audit evidence-gathering stage, and completion stage which is the final stage of audit where we can issue the report. Its designer-crafted, professionally designed and helps you stand out. Software. Blueway Tracker is a cloud-based audit management platform developed to support Medicare (including RAC audits), Medicaid and commercial payor audits. Receive audit results Second, the RAC requests medical records from the provider. This is to see if the financial statement as a whole looks reasonable and is in conjunction with the conclusion drawn from other audit evidence obtained. Many of these audits are performed by third-party contractors. ii. Accounts Receivable Automation Flowchart: How to Improve the AR Process This site uses cookies. Auditing Process. If there has not been any appeal, the amount can be paid by check, an extended payment plan can be requested, or the provider can decide to pay via future payments. The Contracting Professionals Smart Guide is organized into two sections: Contract Formation and Contract Administration. If there is a delay, the options available to medicare providers become even more limited as most of them are time-bound. Little mistakes can mean a big price tag. As a combined effort to fight fraud, waste, and abuse in the Medicare program, Recovery Audit Contractor (RAC) audit was in place from January 1, 2010. What if there were keys that would allow you to productively respond to audit requests and even prevent audits? While electronic audit requests are relatively new in the world of healthcare, this change to electronic documentation has become easier to implement since the release of the esMD Gateway system.

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