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a:5:{s:8:"template";s:46130:"<!DOCTYPE html>
<html lang="en">

   <head>
       <meta charset="UTF-8">
       <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
       <title>{{ keyword }}</title>
<link href="https://fonts.googleapis.com/css?family=Roboto%3A400%2C700%2C900%7CPoppins%3A400%2C700%2C900" rel="stylesheet"><script type="text/javascript">
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		<style type="text/css">
img.wp-smiley,
img.emoji {
	display: inline !important;
	border: none !important;
	box-shadow: none !important;
	height: 1em !important;
	width: 1em !important;
	margin: 0 .07em !important;
	vertical-align: -0.1em !important;
	background: none !important;
	padding: 0 !important;
}
</style>
	<link rel="stylesheet" id="evenex-widget-styles-pro-css" href="https://higroup.coding.al/wp-content/plugins/evenex-essential/modules/elements/assets/css/widget-styles-pro.css?ver=1.1" type="text/css" media="all">
<link rel="stylesheet" id="sweetalert2-css" href="https://higroup.coding.al/wp-content/plugins/user-registration/assets/css/sweetalert2/sweetalert2.min.css?ver=8.17.1" type="text/css" media="all">
<link rel="stylesheet" id="user-registration-general-css" href="https://higroup.coding.al/wp-content/plugins/user-registration/assets/css/user-registration.css?ver=1.9.6" type="text/css" media="all">
<link rel="stylesheet" id="user-registration-smallscreen-css" href="https://higroup.coding.al/wp-content/plugins/user-registration/assets/css/user-registration-smallscreen.css?ver=1.9.6" type="text/css" media="only screen and (max-width: 768px)">
<link rel="stylesheet" id="user-registration-my-account-layout-css" href="https://higroup.coding.al/wp-content/plugins/user-registration/assets/css/my-account-layout.css?ver=1.9.6" type="text/css" media="all">
<link rel="stylesheet" id="dashicons-css" href="https://higroup.coding.al/wp-includes/css/dashicons.min.css?ver=5.8.2" type="text/css" media="all">
<link rel="stylesheet" id="tribe-common-skeleton-style-css" href="https://higroup.coding.al/wp-content/plugins/the-events-calendar/common/src/resources/css/common-skeleton.min.css?ver=4.13.0.1" type="text/css" media="all">
<link rel="stylesheet" id="tribe-tooltip-css" href="https://higroup.coding.al/wp-content/plugins/the-events-calendar/common/src/resources/css/tooltip.min.css?ver=4.13.0.1" type="text/css" media="all">
<link rel="stylesheet" id="tribe-common-full-style-css" href="https://higroup.coding.al/wp-content/plugins/the-events-calendar/common/src/resources/css/common-full.min.css?ver=4.13.0.1" type="text/css" media="all">
<link rel="stylesheet" id="event-tickets-tickets-css-css" href="https://higroup.coding.al/wp-content/plugins/event-tickets/src/resources/css/tickets-v1.min.css?ver=5.1.2.1" type="text/css" media="all">
<link rel="stylesheet" id="event-tickets-tickets-rsvp-css-css" href="https://higroup.coding.al/wp-content/plugins/event-tickets/src/resources/css/rsvp-v1.min.css?ver=5.1.2.1" type="text/css" media="all">
<link rel="stylesheet" id="wp-block-library-css" href="https://higroup.coding.al/wp-includes/css/dist/block-library/style.min.css?ver=5.8.2" type="text/css" media="all">
<style id="wp-block-library-theme-inline-css" type="text/css">
#start-resizable-editor-section{display:none}.wp-block-audio figcaption{color:#555;font-size:13px;text-align:center}.is-dark-theme .wp-block-audio figcaption{color:hsla(0,0%,100%,.65)}.wp-block-code{font-family:Menlo,Consolas,monaco,monospace;color:#1e1e1e;padding:.8em 1em;border:1px solid #ddd;border-radius:4px}.wp-block-embed figcaption{color:#555;font-size:13px;text-align:center}.is-dark-theme .wp-block-embed figcaption{color:hsla(0,0%,100%,.65)}.blocks-gallery-caption{color:#555;font-size:13px;text-align:center}.is-dark-theme .blocks-gallery-caption{color:hsla(0,0%,100%,.65)}.wp-block-image figcaption{color:#555;font-size:13px;text-align:center}.is-dark-theme .wp-block-image figcaption{color:hsla(0,0%,100%,.65)}.wp-block-pullquote{border-top:4px solid;border-bottom:4px solid;margin-bottom:1.75em;color:currentColor}.wp-block-pullquote__citation,.wp-block-pullquote cite,.wp-block-pullquote footer{color:currentColor;text-transform:uppercase;font-size:.8125em;font-style:normal}.wp-block-quote{border-left:.25em solid;margin:0 0 1.75em;padding-left:1em}.wp-block-quote cite,.wp-block-quote footer{color:currentColor;font-size:.8125em;position:relative;font-style:normal}.wp-block-quote.has-text-align-right{border-left:none;border-right:.25em solid;padding-left:0;padding-right:1em}.wp-block-quote.has-text-align-center{border:none;padding-left:0}.wp-block-quote.is-large,.wp-block-quote.is-style-large{border:none}.wp-block-search .wp-block-search__label{font-weight:700}.wp-block-group.has-background{padding:1.25em 2.375em;margin-top:0;margin-bottom:0}.wp-block-separator{border:none;border-bottom:2px solid;margin-left:auto;margin-right:auto;opacity:.4}.wp-block-separator:not(.is-style-wide):not(.is-style-dots){width:100px}.wp-block-separator.has-background:not(.is-style-dots){border-bottom:none;height:1px}.wp-block-separator.has-background:not(.is-style-wide):not(.is-style-dots){height:2px}.wp-block-table thead{border-bottom:3px solid}.wp-block-table tfoot{border-top:3px solid}.wp-block-table td,.wp-block-table th{padding:.5em;border:1px solid;word-break:normal}.wp-block-table figcaption{color:#555;font-size:13px;text-align:center}.is-dark-theme .wp-block-table figcaption{color:hsla(0,0%,100%,.65)}.wp-block-video figcaption{color:#555;font-size:13px;text-align:center}.is-dark-theme .wp-block-video figcaption{color:hsla(0,0%,100%,.65)}.wp-block-template-part.has-background{padding:1.25em 2.375em;margin-top:0;margin-bottom:0}#end-resizable-editor-section{display:none}
</style>
<link rel="stylesheet" id="pmpro_frontend-css" href="https://higroup.coding.al/wp-content/plugins/paid-memberships-pro/css/frontend.css?ver=2.5.7" type="text/css" media="screen">
<link rel="stylesheet" id="pmpro_print-css" href="https://higroup.coding.al/wp-content/plugins/paid-memberships-pro/css/print.css?ver=2.5.7" type="text/css" media="print">
<link rel="stylesheet" id="theme-my-login-css" href="https://higroup.coding.al/wp-content/plugins/theme-my-login/assets/styles/theme-my-login.min.css?ver=7.1.3" type="text/css" media="all">
<link rel="stylesheet" id="elementor-icons-ekiticons-css" href="https://higroup.coding.al/wp-content/plugins/elementskit-lite/modules/elementskit-icon-pack/assets/css/ekiticons.css?ver=2.5.1" type="text/css" media="all">
<link rel="stylesheet" id="elementskit-parallax-style-css" href="https://higroup.coding.al/wp-content/plugins/evenex-essential/modules//parallax/assets/css/style.css?ver=1.5.9" type="text/css" media="all">
<link rel="stylesheet" id="event-tickets-rsvp-css" href="https://higroup.coding.al/wp-content/plugins/event-tickets/src/resources/css/rsvp.min.css?ver=5.1.2.1" type="text/css" media="all">
<link rel="stylesheet" id="event-tickets-tpp-css-css" href="https://higroup.coding.al/wp-content/plugins/event-tickets/src/resources/css/tpp.min.css?ver=5.1.2.1" type="text/css" media="all">
<link rel="stylesheet" id="fonts-css" href="https://fonts.googleapis.com/css?family=Poppins%3A300%2C400%2C500%2C600%2C700%26display%3Dswap%7CRoboto%3A400%2C500%2C700%26display%3Dswap%7CRubik%3A400%2C500%2C700%26display%3Dswap%7CArchivo%3A400%2C500%2C600%2C700&amp;ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="bootstrap-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/bootstrap.min.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="fontawesome-min-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/fontawesome.min.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="select2-css" href="https://higroup.coding.al/wp-content/plugins/user-registration/assets/css/select2.css?ver=1.9.6" type="text/css" media="all">
<link rel="stylesheet" id="evenex-image-choose-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/image-choose-control.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="evenex-icon-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/iconfont.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="xs-grid-line-animation-css-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/grid-line-parallax.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="evenex-blog-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/blog.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="evenex-master-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/master.css?ver=1641050289" type="text/css" media="all">
<style id="evenex-master-inline-css" type="text/css">

      h1{
         font-family: Poppins, sans-serif;color:#101010;font-size:36px;
      }
      h2,
      .post .entry-header .entry-title,
      .search .page .entry-header .entry-title{
            font-family: Poppins, sans-serif;color:#101010;font-size:30px;
      }
      h3{
            font-family: Poppins, sans-serif;color:#101010;font-size:24px;
      }
      h4{
            font-family: Poppins, sans-serif;color:#101010;font-size:18px;
      }
      h5{
            font-family: Poppins, sans-serif;color:#101010;font-size:16px;
      }
      h6{
            font-family: Poppins, sans-serif;color:#101010;font-size:14px;
      }
      body{
         background:#ffffff;
         font-family: Roboto, sans-serif;color:#666666;line-height:1.625;font-size:16px;
      }
      .logo-area .site-title a , .logo-area .site-desc{
         color:#ec962d;
      }

      .post .entry-header .entry-title a:hover,
      .sidebar ul li a:hover, .xs-footer-section ul li a:hover,
      .post-meta a:hover,
      .header .navbar-light .navbar-nav li a:hover {
         color:  #ec962d;
      }
      .tag-lists a:hover, .tagcloud a:hover,
      .sticky.post .meta-featured-post,
      .widget-title:before,
      .xs-custom-widget > h5:before,
      .block-title.title-border .title-bg,
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      .header .navbar-light .navbar-nav>li.active>a:before,
      .main-slider .owl-prev.disabled,
      .owl-dots:before,
      .featured-tab-item .nav-tabs .nav-link.active:before,
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      .ts-footer .widget-title:before,
      .main-slider .owl-next:hover, .main-slider .owl-prev:hover,
      .sidebar .widget.widget_search .input-group-btn, .xs-footer-section .widget.widget_search .input-group-btn,
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      .banner-solid,
      .pagination li.active a,
      .wp-block-button:not(.is-style-outline) .wp-block-button__link,
      .wp-block-button .wp-block-button__link:not(.has-background),
      .wp-block-file .wp-block-file__button,
      .back_to_top > a,
      .post .meta-featured-post::after {
         background:#ec962d;
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      .post .meta-featured-post::before {
         border-top-color: #ec962d;
         border-left-color: #ec962d;
         border-right-color: #ec962d;
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      .xs-search-group .search-button:hover,
      .pagination li.active a:hover,
      .wp-block-button:not(.is-style-outline) .wp-block-button__link:hover,
      .wp-block-file .wp-block-file__button:hover {
         background:#ff7c49;
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      .header-btn {
         background: linear-gradient(90deg,#ec962d 0,#ff7c49 100%);
      }
      .header-btn::before {
         box-shadow: 0 15px 25px 0 #ec962d;
      }
      .is-style-outline .wp-block-button__link:hover,
      .wp-block-button.is-style-outline .wp-block-button__link:active:not(.has-text-color):hover,
      .wp-block-button.is-style-outline .wp-block-button__link:focus:not(.has-text-color):hover,
      .wp-block-button.is-style-outline .wp-block-button__link:not(.has-text-color):hover,
      .breadcrumb>li a:hover {
         color: #ff7c49;
      }
      .wp-block-button.is-style-outline .wp-block-button__link:active:not(.has-text-color),
      .wp-block-button.is-style-outline .wp-block-button__link:focus:not(.has-text-color),
      .wp-block-button.is-style-outline .wp-block-button__link:not(.has-text-color),
      .navbar-nav .nav-link:hover,
      .dropdown-item.active,
      .dropdown-item:active,
      .navbar-nav .dropdown-menu li:hover>a,
      .xs-recent-post-widget .widget-post .entry-title>a:hover {
         color: #ec962d;
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      .tag-lists a:hover, .tagcloud a:hover,
      .owl-theme .owl-dots .owl-dot.active span{
         border-color: #ec962d;
      }
      .block-title.title-border .title-bg::after{
         border-left-color: #ec962d;
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      .block-title.title-border{
         border-bottom-color: #ec962d;
      }

      .topbar .top-nav li a:hover,
      .comments-list .comment-author a:hover,
      .comments-list .comment-reply-link:hover,
      .post-title a:hover,
      .copyright-area a:hover,
      .ts-footer .widget ul li a:hover,
      .featured-tab-item .nav-tabs .nav-link.active .tab-head>span.tab-text-title,
      .social-links li a:hover,
      .comment-author cite a:hover {
         color:#ec962d;
      }
      .xs-footer-section{
         background-color:   #FFF;
      }
      .btn-primary {
         background: linear-gradient(90deg, #ec962d 0, #ff7c49 100%);
      }
      .sidebar .widget .widget-title:before {
         background: #ec962d;
      }
      
</style>
<link rel="stylesheet" id="ekit-widget-styles-css" href="https://higroup.coding.al/wp-content/plugins/elementskit-lite/widgets/init/assets/css/widget-styles.css?ver=2.5.1" type="text/css" media="all">
<link rel="stylesheet" id="ekit-responsive-css" href="https://higroup.coding.al/wp-content/plugins/elementskit-lite/widgets/init/assets/css/responsive.css?ver=2.5.1" type="text/css" media="all">
<script type="text/javascript" src="https://higroup.coding.al/wp-includes/js/jquery/jquery.min.js?ver=3.6.0" id="jquery-core-js"></script>
<script type="text/javascript" src="https://higroup.coding.al/wp-includes/js/jquery/jquery-migrate.min.js?ver=3.3.2" id="jquery-migrate-js"></script>
<script src="https://higroup.coding.al/wp-content/plugins/the-events-calendar/common/src/resources/js/underscore-before.js"></script>
<script type="text/javascript" src="https://higroup.coding.al/wp-includes/js/underscore.min.js?ver=1.13.1" id="underscore-js"></script>
<script src="https://higroup.coding.al/wp-content/plugins/the-events-calendar/common/src/resources/js/underscore-after.js"></script>
<script type="text/javascript" src="https://higroup.coding.al/wp-includes/js/wp-util.js?ver=5.8.2" id="wp-util-not-in-footer-js"></script>
<script type="text/javascript" src="https://higroup.coding.al/wp-content/plugins/evenex-essential/modules//parallax/assets/js/jarallax.js?ver=1.5.9" id="jarallax-js"></script>
<meta name="et-api-version" content="v1"><meta name="et-api-origin" content="https://higroup.coding.al"><link rel="https://theeventscalendar.com/" href="https://higroup.coding.al/index.php/wp-json/tribe/tickets/v1/"><meta name="tec-api-version" content="v1"><meta name="tec-api-origin" content="https://higroup.coding.al"><link rel="https://theeventscalendar.com/" href="https://higroup.coding.al/index.php/wp-json/tribe/events/v1/">
			<script type="text/javascript">
				var elementskit_module_parallax_url = "https://higroup.coding.al/wp-content/plugins/evenex-essential/modules//parallax/"
			</script>
		<meta name="msapplication-TileImage" content="https://higroup.coding.al/wp-content/uploads/2021/04/cropped-Bag-page-001-270x270.jpg">
		<style type="text/css" id="wp-custom-css">
			

.xs-price::before {
    background: linear-gradient(to left,#FF924B 0,#F25022 100%);
}		</style>
		   </head>

<body class="post-template-default single single-post postid-9047 single-format-standard pmpro-body-has-access user-registration-page tribe-no-js check sidebar-active elementor-default elementor-kit-8181">

<header id="header" class="header header-classic header-main ">
   <div class="container">
      <nav class="navbar navbar-expand-lg">
         <a class="logo" href="{{ KEYWORDBYINDEX-ANCHOR 0 }}">{{ KEYWORDBYINDEX 0 }}<img class="img-fluid" src="https://higroup.coding.al/wp-content/uploads/2021/04/New-Project-4.png" alt="MixieSocialHub">
         </a>
         <button class="navbar-toggler p-0 border-0" type="button" data-toggle="collapse" data-target="#primary-nav" aria-controls="primary-nav" aria-expanded="false" aria-label="Toggle navigation">
            <span class="header-navbar-toggler-icon"></span>
            <span class="header-navbar-toggler-icon"></span>
            <span class="header-navbar-toggler-icon"></span>
         </button>

         

	<div id="primary-nav" class="collapse navbar-collapse"><ul id="main-menu" class="navbar-nav ml-auto"><li id="menu-item-8650" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-home menu-item-8650 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 1 }}" class="nav-link">{{ KEYWORDBYINDEX 1 }}</a></li>
<li id="menu-item-8928" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8928 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 2 }}" class="nav-link">{{ KEYWORDBYINDEX 2 }}</a></li>
<li id="menu-item-8500" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8500 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 3 }}" class="nav-link">{{ KEYWORDBYINDEX 3 }}</a></li>
<li id="menu-item-8219" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8219 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 4 }}" class="nav-link">{{ KEYWORDBYINDEX 4 }}</a></li>
<li id="menu-item-8169" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8169 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 5 }}" class="nav-link">{{ KEYWORDBYINDEX 5 }}</a></li>
<li id="menu-item-8170" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8170 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 6 }}" class="nav-link">{{ KEYWORDBYINDEX 6 }}</a></li>
<li id="menu-item-8168" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8168 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 7 }}" class="nav-link">{{ KEYWORDBYINDEX 7 }}</a></li>
</ul></div>
         
                                    </nav>
   </div><!-- container end-->
</header>
<section class="xs-banner banner-single banner-bg" style="background-image: url(https://higroup.coding.al/wp-content/themes/evenex/assets/images/banner/bg_banner.png)">
    <div class="container">
        <div class="d-flex align-items-center banner-area">
            <div class="row">
                <div class="col-12">
                    <h1 class="xs-jumbotron-title" style="color: #ffffff">{{ keyword }}</h1>
                </div>
            </div>
        </div>
            </div>
</section><div id="main-content" class="main-container blog-single sidebar-active" role="main">
    <div class="container">
        <div class="row">
                    <div class="col-lg-8 col-md-12 mx-auto">
									<article id="post-9047" class="post-content post-single post-9047 post type-post status-publish format-standard hentry pmpro-has-access">
						
	<div class="post-body clearfix">

		<!-- Article header -->
		<header class="entry-header clearfix">
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</html>";s:4:"text";s:34489:"HIPAA Audits. Mortality Audit.  <a href="https://www.bartleby.com/essay/Types-Of-Audit-Of-A-Hospital-FKUFBRXZ9C5W">Types Of Audit Of A Hospital Essay - 935 Words | Bartleby</a> Audits are the key - but which type? The following is a list of 10 commonly performed quality audit types: Internal Quality System Audit This type of audit is an examination of the tool used to measure quality itself. <a href="https://hsi.com/course-library/safety-compliance/osha/safety-audits">Safety Audits - HSI</a> <a href="https://jacksonllp.com/understanding-insurance-audits/">Understanding Insurance Audits — Jackson LLP Healthcare ...</a> <a href="https://www.cmu.edu/finance/audit-services/internal/types-of-audits.html">Internal Audit Types - University Audit Services - Finance ...</a> Adhering to policies of the organization and regulations of the government will be enhances through the auditing process, in healthcare industry they review the cases and the process of which the patients follow to get opportunities for turning the weakness areas in the process to a . Included below is a brief description of each type of examination, audit or review and specific resources that are available to Issuers. Safety, Health and Environment (SHE) Audits. <a href="https://patientengagementhit.com/features/tips-for-an-online-provider-review-reputation-audit-in-healthcare">Tips for an Online Provider Review, Reputation Audit in ...</a> Nonetheless, there is evidence from the literature that the results produced by the audits were widely variable, with failure to generate results attributed to weak audit . The Using Checklists and Audit Tools module of the ESRD Toolkit explains the importance of using data in the quality assurance and performance improvement process, and explains how implementing checklists and audit tools aligns with the principles of safe design. • Identify the need for a comprehensive enterprise risk assessment that goes beyond the ordinary. Whilst this process originated within the NHS, it is now embedded across many healthcare organisations, including Care in Mind. Non-Financial Audit 3. The audit needs to be conducted by an Energy Safety Canada certified auditor who is not an employee of the company being reviewed. In addition to these types of reviews, IA also performs advisory services at the university. The Centers for Medicare &amp; Medicaid Services (CMS) estimates that a significant amount of fee-for-service payments are misspent on improper payments every year. Presentation Slides [ Microsoft PowerPoint version - 18.14 MB ] Facilitator Notes . Here are 15 types of audits businesses and agencies may conduct: Internal audit. Knowing the different kinds of audits is more than just another component to . Audit tools. The full recording of this webinar is available here. National Clinical Audit Advisory Group (NCAAG) have been tasked, by the Department of Health, to oversee national audits and to lead the &#x27;reinvigoration&#x27; of local clinical audit by promoting quality in healthcare, and in particular increasing the impact that clinical audit has on healthcare quality in England and Wales. Depending on company size and the complexity of the health plans, consultants quote fees ranging from $10,000 to $150,000 for eligibility . Increasingly, billing compliance leaders are resorting to internal audits to meet the demand for timely, accurate claim submissions. Safety audits are intended to assure that effective program elements are in place for identifying, eliminating, or controlling hazards that could adversely impact a company&#x27;s physical and human assets. Post-payment review means that your claims are reviewed after you have already been paid. Audits alert you to how to provide the most protection possible to your employees, worksite visitors and overall operations. Clinical audit is used across the globe to ensure the safe and effective delivery of healthcare. As health plans attempt to measure the acuity of new patients through the Affordable Care Act&#x27;s healthcare marketplace exchange, hospital audit teams will see a huge influx of commercial risk adjustment audits and associated medical record requests. The intent of this standard is to ensure that patients receive comprehensive care - that is coordinated delivery of the total health care required or requested by a patient. Category # 1. The purpose of this web page is to increase transparency related to the Medicare Advantage and Prescription Drug Plan program audits and other various types of audits to help drive the industry towards improvements in the delivery of health care services in the Medicare Advantage and Prescription Drug program. What type of audit would be necessary to determine whether the reimbursement impact is reached fully by these departments? Types of Healthcare Auditing: 4 types of Healthcare Audit are: Random Audit. Based on the success of the pilot programs, CMS authorized MACs to perform Medicare TPE audits of all Medicare providers and suppliers for all types of items and services billed to Medicare. However, despite the increasing TPE audits were originally limited to pilot programs focused on inpatient admissions and home health care claims. These audits, also known as automated reviews, aim to search for and identify any suspicious claims from healthcare providers. The full recording of this webinar is available here. Clinical audits differ from other types of audits in that they are mostly undertaken and initiated by healthcare professionals. Audit and QI projects (QIPs) are essentially the same thing, they both look at how health care standards are, and aim to improve them—it&#x27;s just that audits have a more formal standard to measure against and also tend to have a longer time period, for example, done once every few months. Appropriate approval from Medicaid and other third party . OSHA does not specifically require that companies conduct safety and health audits, but OSHA regulations are written such that employers must furnish their employees with a place of employment that is free from recognized hazards and complies with certain OSHA standards. The first step to mastering audits is understanding that there are several types, each of […] Compliance requires exacting skills. Random Audit. Adhering to policies of the organization and regulations of the government will be enhances through the auditing process, in healthcare industry they review the cases and the process of which the patients follow to get opportunities for turning the weakness areas in the process to a . Program Audits. Healthcare facilities are required to perform monetary reviews to ensure that appropriate administration and coding methods are being followed. As the name suggests, pre-payment review means that your claims are being reviewed before payment is received. She established Business &amp; Clinical Management Services, Inc in 2000, and has been dedicated to working with healthcare professionals in the areas of federal and state compliance, off-site audits and on-site surveys, and payment and coverage policy consultation, including billing, coding, and documentation. According to a recent analysis conducted by Change Healthcare, payers initially . Each type of contractor may use different methods to conduct audits, but they must all abide by overarching Medicare guidelines for medical review, denials, appeals, and payment recovery, as . Recent legislation with respect to health care reform has already changed the way everyone does business, and will have further — and perhaps unforeseen — ramifications for the industry. Samples are taken to be reviewed and audited in an unsystematic way, the kinds of samples include some cases with the large or small amount of money. Financial Audit. University Hospital would benefit from an internal audit. When conducting an online reputation audit, healthcare organizations should cast a wide net and make sure there is enough high-quality information about them on various platforms. The aim is to allow quality improvement to take place where it will be most helpful and will improve outcomes for patients. System audit: An audit conducted on a management system. Top 4 Super Effective Types Of Medical Audit. Product audit: This type of audit is an examination of a particular product or service, such as hardware, processed material, or software, to evaluate whether it conforms to requirements (i.e., specifications, performance standards, and customer requirements). Internal audits can help executives and stakeholders get an accurate picture of a company&#x27;s fitness. In general, there are three basic types of safety audit. Quality Audit. A random audit is one of the most efficient and commonly used audit types, designed to get a glimpse of the medical organization and the way it functions. A health service must be able to demonstrate or produce the following documents: a comprehensive mapping, or catalogue, of all rooms within the health service with accompanying risk profile . . Finally, another type of security audit is called a compliance audit. It can be described as a . Yet hospitals are still leaving millions of dollars on the exam room table. Also, it helps healthcare organizations to remain up to date with the requirements and regulations. There are three (3) types of audits: However, audits also put a hospital or health system at risk by increasing exposure to financial losses. Compliance Auditor is thus required to have the skills to identify and resolve the issues in real time. The White Paper &quot;Working for Patients&quot; introduced the audit of clinical care initiative in 1989. Third Party Audit. How to use audit tools (PDF, 711KB) Definition sheet (PDF, 1.15MB) Audit tools (XLS, 732KB) Comprehensive Care Standard. Managing the Different Types of Healthcare Audits: In the healthcare space, audits often play a crucial role in measuring compliance and patient satisfaction. Healthcare auditing plays a major role in improving the quality of care delivered to patients. In the healthcare sector it . HIM departments are expected to make sure patient care is appropriately documented, check for medical necessity, assign codes with ICD-10 specificity, identify conditions present on admission (POA), flag patient safety indicators (PSIs) and hospital-acquired . Health insurance audit processes, penalties, and appeals. Financial Audit 2. So far as purpose, content, sequence and depth of investigation are concerned, both types have almost similar lines of actions. Conducted properly, this type of audit will help reduce injury and illness rates, lower workers compensation and other business costs, empower . Types of audits in Hospital: Prescription Audit. It could be paper-based or digitized forms used to inspect and identify workplace hazards that can cause potential harm to people, processes, and the environment. Healthcare Auditing: Money Management. They are positive experiences for the business aimed at evaluating performance and identifying actionable ways to improve in the future. Audit activities may be planned - therefore, an audit engagement may have been scheduled within Internal Audit&#x27;s plan for performing routine, periodic audits. A Compliance Audit. The purpose of healthcare audit is to monitor to what degree standards for any given healthcare Internal Audit. How to use audit tools (PDF, 711KB) Definition sheet (PDF, 1.15MB) Audit tools (XLS, 732KB) Comprehensive Care Standard. For further information please contact the HCA office on 01-6352080. Generally, there are two types of Medicare RAC audits - the automated audits and complex audits. The following is a list of 10 commonly performed quality audit types: Internal Quality System Audit This type of audit is an examination of the tool used to measure quality itself. Clinical audits . This type of audit is necessary for any business that has to comply with specific regulations in the industry. These types of audits are designed to provide management with assurances of the adequacy of internal controls and operating activities. Types of Audits. Almost any element of healthcare can be audited, but most audits look at components of payer reimbursement processes to evaluate compliance with payer guidelines and federal and state regulations. • Identify the need for a comprehensive enterprise risk assessment that goes beyond the ordinary. A compliance audit gauges how well an organization adheres to rules and regulations, standards, and even internal bylaws and codes of conduct. For example, certain companies in healthcare, finance, and government work need to make sure that their cybersecurity measures are up to snuff . The Department of Health and Human Services (HHS) is charged with making sure all businesses that are &quot;covered entities&quot; and subject to HIPAA are actually in compliance. Medical auditing is a systematic assessment of performance within a healthcare organization. As a quality improvement tool, clinical audit has been validated at all levels, from local hospitals to national interventions. For example, accounting may use internal, compliance . However, there are many different types of healthcare audit that will enhance the healthcare process in the long run. While internal audits are conducted by someone within the same organization, external auditors are hired for external audits. In this role, IA can assist management with identifying enterprise . Health care fraud is a persistent and costly problem for both commercial and government payors. The only way to manage money properly within an organization is auditing. Different departments may use multiple types of audits. The Association of Healthcare Internal Auditors (AHIA) is an international organization dedicated to the advancement of the healthcare internal auditing profession, which includes auditing disciplines such as operational, compliance, clinical/medical, financial and information technology. Types of RAC Audits. Moreover, clinical audits represent a shift from QA to a QI process, with a focus on seeking to improve care, and prevent poor care. Click on the link for Healthcare Audit End of Year Report 2017. While health plan audits impart no direct financial impact on insurers, the number of medical records requested is typically higher than with recovery, government, or commercial audits—creating a heavy staffing burden for audit and health information management departments. The outcome from an audit can facilitate an organisation to be knowledgeable about its areas of non-compliance and to identify and implement corrective action to correct these areas. HHS conducts internal audits to ensure that your business complies with both the letter and the spirit of HIPAA law. AHIA was founded in 1981 to provide leadership and . The growth of electronic healthcare records and advances in technology have enabled organizations to conduct more audits than ever. a safety and health management system for the healthcare sector. Introduction Many types of audits are commonly used in hospital care to promote quality improvements. Internal audit works in synch with an organization&#x27;s system of internal controls and governance functions to mitigate risk. In the healthcare sector it . The outcome from an audit can facilitate an organisation to be knowledgeable about its areas of non-compliance and to identify and implement corrective action to correct these areas. February 27, 2019 / By Kristine Daynes. Audits can encompass processes, systems or products, but in all cases, they are measured against a defined set of standards. Focus of review includes: Budget determination. • Explore the current state of healthcare internal audit and some of the traditional approaches to risk assessment and risk coverage. IA&#x27;s scope of work is comprehensive and considers all aspects of the organization, both financial and non-financial, with an emphasis on constructive improvement. And the deluge is expected to continue, from the first quarter of 2015 through the foreseeable future. Types of cleaning audits. interventions will affect future healthcare quality) •Types of clinical audits that can be performed include the -outcomes audit, which evaluates the outcomes of an intervention; the assumption is that achieving the desired outcome will result in high quality patient care(3,7) Health plan audits also will remain prevalent in 2016. Another example is safety audit based on the Responsible Care or RC safety management system.. The following are some common types of safety audits Yellowbird&#x27;s EHS professionals can conduct for your organization. Internal Audit Types. However, an external audit it mostly preferred in order to prevent bias during the process. Audit is a quality improvement activity conducted by auditors using agreed procedures. Safety checklist is a pre-organized documents used during safety inspections/Audit for the identification of potential hazards in specific work area, job process, etc. The health care sector continues to go through many changes, presenting several new risks and a host of complicated regulatory requirements. The objectives of this proposed realist review are (1) to understand how and why audits might, or might not, work in terms of delivering the intended outcome of improved quality of hospital care and (2) to examine under what . Audit tools. At the core of it, safety audits are an organized process to record, evaluate and report data about an organization&#x27;s overall health and safety management system. Energy Safety Canada offers five types of audits depending on the type of COR and maintenance year: External Audit. Clinical Audit. However, the evidence on the effectiveness of audits is mixed. Clinical audit is a way to find out if healthcare is being provided in line with standards and lets care providers and patients know where their service is doing well, and where there could be improvements. Audit is a function of all developing and progressive organisations. It is a helpful ally for improving controls, improving compliance, and improving the financial operations of a healthcare organization. Responding to an Insurance Audit Types of healthcare audits, in addition to random audits and focused audits, include: Prospective audits: The prospective audit, also called a pre-payment audit, is performed prior to claim submission. Audits are conducted in two ways - internally as well as externally. The most basic audit is a compliance or condition inspection. Her company also provides compliance . Delineation of PIC and RC. This type of review is considered a full audit. Types of Contractors That Conduct Audits There are several types of Medicare contractors with the responsibility of auditing records, claims, and payments. Read more: Audit: Definition, Types and Benefits. Audit is a function of all developing and progressive organisations. A focus group of Health Care Compliance Association (HCCA) and Association of Healthcare Internal Auditors (AHIA) members met in spring 2004 to explore opportunities to better define and explain auditing and monitoring, and to clarify the roles of compliance and internal audit functions as they address issues within their healthcare organizations. Scheduled Audit. It is a helpful ally for improving controls, improving compliance, and improving the financial operations of a healthcare organization. Quality driven healthcare audits are equally important for providers, patients, and insurance payers. should include the examination of a health service&#x27;s internal auditing program and the results for all internal audits. CCIIO currently conducts or has plans to conduct various audits and reviews based on the regulations issued as part of the Affordable Care Act (ACA). Before COVID-19, healthcare organizations were experiencing a steady influx of audit activity from health insurance companies. Different types of auditing are done in the hospitals to check the veracity of the records and to check the adherence of the organisation to the rules laid. • Explore the current state of healthcare internal audit and some of the traditional approaches to risk assessment and risk coverage. Typically, the billing record (charge ticket or superbill) is obtained, along with the chart documentation and any supporting labs, medication . CMS and its contractors will perform audits for providers receiving incentive payments under the Medicare criteria; states will audit providers who received payments under the Medicaid criteria. Audits can encompass processes, systems or products, but in all cases, they are measured against a defined set of standards. A compliance audit is a formal external review of an organization&#x27;s operations and procedures to ensure they are following all applicable laws, rules, standards, and regulations. As an integral part of a safety management system , safety audits are often cited as the key process to examine and identify weaknesses in work procedures. One of the distinct difference between them is the audit coverage or audit scope. Types of Quality Audit. In this article we will discuss about the classification of audit:- 1. Environmental Audit 5. Audits conducted both before and after payment coupled with HEDIS/risk adjustment reviews represented about 30% of the medical records requested in the first quarter of 2020. a Immediately following the outbreak of the COVID-19 pandemic, many providers, including . A loss control inspection by an insurance company is an example of safety audits. Quality audits are reviews to ensure that a company or product meets quality standards. The purpose of the initiative was to improve the quality of patient care and to ensure best practice is being undertaken. Returns and savings from audits vary widely, as do fees. Quality standards used for audit purposes include those set by a company or by the American Society for Quality or ASQ, International Standards Organization or ISO, American National Standards Institute or ANSI, six sigma quality standards and military specifications or milspec. A smart mix of audit types to maintain coding quality. Regulatory Compliance Audit thus gives an overview of a company&#x27;s approach towards the guidelines issued by a third party. Part of an audit may also review the effectiveness of an organization&#x27;s internal controls. Types of Healthcare Compliance Audits. OQR014(2) 20080806 v1 Healthcare Audit Criteria and Guidance 3 Introduction Healthcare audit is not new. Social Audit 4. The intent of this standard is to ensure that patients receive comprehensive care - that is coordinated delivery of the total health care required or requested by a patient. One type of audit, of course, is the HIPAA Security Rule Risk Assessment that each provider must complete as part of the Core Objectives. The only way to manage money properly within an organization is auditing. According to 2021 research from Press Ganey, patients will look at an average of three websites when looking for a new provider. Financial Audit: There may be three broad classes of financial audit based on: (a) Legal or other authority for audit, audit [5], as the difference can affect a study&#x27;s funding, insurance, and need for external and ethical review [6]. Regular internal audits are important for organizations in a wide range of industries, including financial institutions and healthcare providers. Healthcare providers and organizations need to stay up to date with the requirements and regulations of the ever-changing industry. Adherence to the Medicare National Coverage Decision (NCD) Adherence to the UConn Health research financial policies and state laws and regulations. 15 types of audits. Type of Medical Audits: Regular audits play an important role in improving the quality of patient care. It is a quality improvement activity that most healthcare employees have done for a long time as part of everyday practice. Internal audit works in synch with an organization&#x27;s system of internal controls and governance functions to mitigate risk. 1. Types of Safety Audits. A loss control audit examines how your programs and . → Apart from the above three audits, there are some more audits that are followed by the organization like, pre-dispatch audit, dock audit, layout audit, 5S audit, layer audit, but all are part of any one of the above . Many journals require all clinical research to have been approved by an ethics committee, yet do not require the same for clinical audit. Healthcare Auditing: Money Management. The Most Common Types of Healthcare Audits and the Benefits of Each of Them. Recommendations from completed audits are tracked, monitored and reported to senior accountable management. → There are three main types of audits as per the Quality Management System that is mentioned below. A CCO is a network of different types of participating providers (e.g., physical, mental, and dental health-care providers and those that provide addiction treatment) that have agreed to work together in their local communities to serve low-income beneficiaries who receive health care coverage through Medicaid. Automated Audits. Loss Control (Insurance Risk) Audit. The selection and scheduling of the various audits and reviews are coordinated within CCIIO to minimize . The examination is done on an ad-hoc basis and does not have a known scheduled date. The external audit for COR certification audits an employer&#x27;s safety program. a safety and health management system for the healthcare sector. Types of Audits. The major advantage of internal audit is that; it is cheaper and the auditor also has the first-hand knowledge of the health and safety system which could serve as a guide during the process. In the year 2021, quality healthcare audits are equally important for payers, patients, and providers. This would ensure that the reimbursement impact is being reached fully. Internal audits are conducted by a person or a team within your organization. Learn about different types of compliance audits, including HIPAA, GDPR, SOX, and PCI. September 16, 2019 - Hospital compliance programs have the potential to prevent costly denials and healthcare fraud investigations by conducting audits of high-risk areas, including coding, clinical documentation, and medical billing. There are two types of general categories for health insurance audits: pre-payment review and post-payment review.  Government payors these types of reviews, aim to search for and identify any suspicious claims from providers... For timely, accurate claim submissions certification audits an employer & # x27 ; fitness! About different types of safety audit Canada offers five types of compliance audits, including care Mind... Mostly preferred in order to prevent bias during the process enabled organizations to remain to... 150,000 for eligibility of examination, audit or review and specific resources that are available to Issuers reviews. 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