Internal Auditing – Operational vs. Clinical Audit session by Scott Brady, Clinical Compliance Auditor and Nick Borges, Compliance Internal Auditor of Lifespan

By | December 8, 2020

By: Garrett Gillespie, Corporate Compliance Officer and Deputy GC, BMC HealthNet Plan; HFMA MA-RI Chapter Compliance Committee Member,

What to review to identify risks:  senior management surveys, operational management interviews, regulatory publications (e.g., OIG website), audit staff input, external sources.

Audits are won or lost in the preparation.  Think about:

  • What do you need to know?
  • What should the scope be?
  • What standards will you audit against?
  • With whom will you meet?  Who will the point of contact be?
  • What IT systems will you need to access?  Get your requests in early.
  • Have there been prior audits in this area that you can review/learn from?

Thank you to Scott Brady and Nick Borges from Lifespan for their excellent presentation.

Click HERE for a copy of their presentation.