compliance officer working at Around the Bend Clinic,
Case
You are a compliance officer working at Around the Bend Clinic, an acute care facility in a rural area. Around the Bend is preparing for an audit of its revenue cycle. As a compliance officer, you are responsible for knowing about the various types of audits associated with healthcare organizations, including the components of each audit. You have been tasked with creating a training resource to prepare your coworkers for the revenue-cycle audit process.
Directions-For this project, you will create a training resource to inform staff members about an upcoming revenue-cycle audit.Specifically, you must address the following:· Healthcare Audit Fundamentals: To begin your training resource, you have decided to provide an overview of the different types of audits for healthcare organizations. In your overview, be sure to address the following:· Describe the various types of audits, both internal and external, that are applicable to healthcare organizations. In describing these elements, consider following:· How are internal and external audits of healthcare organizations different?· What are some of the common internal and external audits that you will encounter while working in healthcare organizations?· Describe the regulations that are associated with the various audits of healthcare organizations. Consider the types of regulations that govern both internal, as well as external audits of healthcare organizations.· Healthcare Audit Data: In this section of your resource, you will review how data are used in healthcare audits, using a sample Third-Party Accounts receivable report. In your overview, be sure to address the following:· Describe how data are utilized by an organization in healthcare audits. Consider the following:· Which data are important to a revenue-cycle audit?· How are the different components of the accounts receivable report used to inform an audit?· Describe how to establish parameters for collecting benchmarking data in healthcare audits. Consider the following:· How do you determine which data are appropriate for benchmarking?· What should you consider when setting parameters for benchmark data?· Healthcare Audit Billing Compliance: In this section of your resource, describe the components that make up a billing compliance plan and its role in a healthcare audit.You must submit the following:Revenue Cycle Audit Training Resource Develop a training resource to inform staff members about an upcoming revenue-cycle audit. Your training resource should consist of a PowerPoint presentation (5–8 slides) with speaker notes (500–1,000 words) that provide necessary context for your slides. Alternatively, you may create a pamphlet or other visual resource. You may submit your file as a Word doc, PDF, or PPT.
