Medical Billing Forum
General Category => General Questions => : rdmoore2003 April 19, 2012, 12:27:17 PM
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where can I get information/guideline to do a mock in house audit?
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Not sure what you are asking for. What is the audit for? Random chart audit, receivables, etc? Are you looking to develop an audit process for compliance? Usually the practice has policies and procedures which would give you their guidelines on compliance, there should be one! There also should be a compliance officer appointed to this task on record and they would oversee the audit(s). Generally procedures for any type of an audit are going to depend on what your auditing, who is auditing and why. Individual carriers would come in and perform their own audit, so the policies and procedures would be on file to include the roles of the office in complying with carrier or Medicare audit's.
Helpful tip before doing any audit. Make sure your filing system complies with HIPAA guidelines, I've seen many offices file EVERYTHING for a patient in one file and that's not efficient or compliant. Information per patient for their records are separated into two files : Clinical and financial. All clinical records are kept in separate files.
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we have emr for clinical and separate program for financial. I wanted to do a "mock" audit for myself. Just wondered if there was somewhere I could get information to have a guideline.
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also, I am needing to do this mock audit on the person that is over this any other time. Their filing system is confusing and I am to provide an audit of her audits. Does this make since?
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I don't really think there are any one set of guidelines. I usually just dig right in depending on what type of an audit it is, again there are different types of audits and I'm still not clear what type your doing.
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I'm also not aware of any guidelines. As Linda said, we just dig in. Depending on whether I'm looking for something in particular or just taking a peek, determines what I focus on or what area I start with.