Audit Scope – What Are You Auditing…and Why?
June 20, 2019: 2:00 pm–2:45 pm EDT
We all have procedures in place to manage the structure for each audit performed. Most organizations, at minimum, conduct audits for operational QA metrics, Regulatory requirements, Processor accuracy and Performance Guarantee metrics for employer groups. Obviously, each of these audits will have a slightly different focus, based on the nature of the audit scope – specifically, what claim details are you auditing and why. The goal of this webinar event is to:
- Discuss most common ‘end-to-end’ audit protocols
- Review Focused Audits – how are others managing the audit of specific system, config and payment issues
- Auditing ‘Other Stuff’ – what types of other audit sources are people starting to look at and what are they finding?