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Healthcare: Hospital Internal Audit Services

BlumShapiro offers effective and efficient internal audit solutions to hospitals and other acute care providers. Our team has extensive experience in providing internal audit services to clients in the healthcare industry as well as in providing financial statement audit and consulting services. Based on our knowledge and experience in your industry, we are able to assist you in reviewing your operations and obtaining the information you need to make meaningful management decisions.

The scope of our work is tailored to your needs and agreed upon before we begin our work. We can assist you in:
  • Identifying organizational risk areas and developing/executing a related audit action plan
  • Resolving operational and/or financial reporting weaknesses in key areas
  • Addressing risks that support the external financial statement audit
  • Identifying opportunities for improvements in operational as well as financial functions
  • Implementing the monitoring function of your corporate compliance program
  • Special projects
We have expertise in auditing the full range of your business operations, including:

Compliance
  • Comparison of organization practices against industry benchmarks
  • Medical records documentation, coding, and billing process assessments
  • Employee training program assessments
  • Assessment of cost allowability determination processes
Charge capture
  • Assessment of controls processes in major charge capture areas (emergency department, out patient clinics, pharmacy, etc.)
  • Management reporting tools and approaches
  • Internal metrics
Admissions
  • Overall controls/process assessment
  • Linkage to clinical and billing functions
Billing
  • Overall controls/process assessment
  • Management reporting tools and approaches
Ancillary services
  • Assessment of charge capture processes and linkage to patient records and billing functions
Payroll
  • Segregation of controls assessment
  • Management reporting tools and approaches
Purchasing
  • Overall controls/process assessment
  • Management reporting tools and approaches
  • Internal metrics
  • Linkage to cost allowability determination processes
Accounts payable
  • Management reporting tools and approaches
  • Overall controls/process assessment
  • System security controls
  • Payment approval structure


Darrell G. Pataska, CPA Contact the Hospital Internal Audit Service Group Practice Leader

Darrell G. Pataska, CPA
(860) 561-6835
dpataska@blumshapiro.com

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