I-Med Claims - Medical Billing Company
Audit-Ready Healthcare Practices

Audit-Ready Healthcare Practices: A Comprehensive Guide

If you want to ensure that your practice is always ready for an audit, it’s important to follow in-depth audit guidelines and procedures. In addition to being thorough about your internal controls and ensuring that all required forms are completed correctly, you should conduct a comprehensive practice audit review at least once a year. Once this review is complete, implement an effective internal control system that will provide absolute assurance that no errors are occurring within any part of your organization. Finally, consider hiring a third-party auditor who can objectively evaluate whether everything is done according to the law. In this blog, we’ll explore the key steps ensuring a seamless and stress-free experience to keep your practice audit-ready when the time comes for scrutiny.

Audits can be a daunting process to ensure companies’ financial records’ accuracy. A practice audit is the best way to ensure that you do everything you need throughout your business cycle, from creation to sale or liquidation. A practice audit is a comprehensive review of your business practices and procedures. It involves reviewing all aspects of your organization’s operations—from sales processes to accounting methods and tax obligations—to help ensure they meet or exceed industry standards. A good practice audit will also include evaluating risk management procedures so that managers can identify areas where problems could arise in the future and opportunities for improvement at every stage along the way. The audit aims to identify areas for improvement, mitigate risks, and ensure the integrity of operations. 

Before diving into preparation, it’s essential to grasp the different types of audits:

External Audits: Conducted by impartial third parties, external audits offer unbiased opinions, free from conflicts of interest.

Internal Audits: Carried out by internal employees, these audits are primarily for internal use and focus on ensuring processes and controls within the company.

Government Audits: Enforced by government entities, such as the IRS or CRA, government audits aim to verify that financial records accurately represent taxable income.

Auditing plays a pivotal role in maintaining trust and efficiency within financial markets. The significance lies in:

Unbiased Evaluation: External audits provide impartial assessments, reducing the risk of misstated financial records.

Internal Controls: Internal audits enhance internal processes and controls, ensuring the integrity of financial information within the company.

Compliance with Regulations: Government audits guarantee that financial records align with tax regulations, fostering transparency and accountability.

Ensuring a successful audit hinge on meticulous preparation, aiming for an unqualified or clean opinion from auditors. This stamp of approval signifies that financial records are not materially misstated. Here are vital steps to optimize the audit preparation process:

Follow the guidelines and procedures provided by the auditor. Make sure you are well-informed about the tasks at hand and understand the reasons behind your actions. This will help you stay on track when answering questions from your auditors. Be prepared for any audit questions during an investigation, including compliance with laws, regulations, and standards, monitoring quality improvement activities, or managing financial risk (including risk management).

Scrutinize auditor requirements and create a comprehensive timeline. Assign each task to a competent and accountable individual, establishing precise due dates for optimal organization. Coordinate with auditors to plan the completion of schedules, fostering a collaborative approach that maximizes efficiency during the audit.

A comprehensive practice audit review is the best way to ensure you are always audit-ready. A practice audit is an ongoing process that helps companies assess their current practices against industry best practices. It serves as a checklist for improvement and provides valuable insight into how well the company fits into its market niche. Conducting an effective practice audit to ensure that no significant issues arise and that any existing problems are addressed so they don’t become bigger problems down the road. 

Ensure a comprehensive recording of all expenses by scrutinizing subsequent disbursements for oversights. Conducting an analytic review of year-over-year and budget-to-actual expense variances is critical to detecting recording errors and unaccounted costs at year-end. Additionally, remember to address payroll-related accruals, covering elements like hourly wages paid post-year-end, bonuses, and accrued vacation. Furthermore, review repair and maintenance expense accounts diligently to identify items that should have been capitalized as fixed assets. This proactive approach ensures accurate financial reporting and prevents discrepancies in the year-end financial statements.

Internal control is the process of ensuring that your business is operated by the laws and policies that govern it. Internal controls include such things as:

  • Policies and procedures for hiring, managing, and training employees.
  • Controls over financial transactions.
  • Measurement of performance against pre-established goals.
  • Auditing of accounts payable systems.

Regular monthly balance sheet reconciliations are vital for maintaining healthy financials. Smaller companies might opt for quarterly reconciliations on fixed assets, prepaid expenses, accounts receivable (A/R), and accounts payable (A/P). However, merely performing reconciliations is not enough. Beyond routine checks, use this opportunity to identify and correct discrepancies promptly. Focus on bank reconciliations, as they offer a straightforward way to spot errors or procedural issues. Addressing issues throughout the year is more efficient than waiting for year-end, ensuring accuracy and reliability in financial records.

A third-party audit is a good way to ensure you meet your regulatory compliance requirements. It also offers the added benefit of ensuring that you do everything you need to do throughout your business cycle, including reviewing contracts, speaking with clients and suppliers, and conducting internal controls reviews.

A third-party auditor will be able to provide insight into how well the company complies with regulations specific to its industry or sector and overall financial health. It can identify gaps or weaknesses in the process that could lead to a slippery slope toward litigation if left unaddressed.

Establish a secure and centralized system for storing essential documents, ensuring easy accessibility for audit purposes. Create standardized templates and formats for documents related to client interactions, transactions, and internal processes to maintain consistency.

Regularly conduct mock audits to simulate the conditions of an actual audit, helping your team practice and identify potential areas for improvement. Use mock audits as learning opportunities to evaluate how well your team responds to various scenarios and refine processes accordingly.

We hope you are better prepared to take the following steps in your practice audit journey. It’s important to remember that this process is never-ending and requires constant attention, but with the successful completion of a comprehensive internal audit, you can rest assured knowing that your practice is in good hands.

Schedule an appointment