Audits in the health care industry are mandatory

Key Takeaway:

Audits in the health care industry constitute a major way by which a healthcare organization can stay compliant with regulatory requirements. A wide range of requirements and types of standards make audits in the health care industry a major area for healthcare organizations.

Audits in the health care industry are very important for everyone in the industry. This is because it is only through audits that a healthcare organization or healthcare provider demonstrates that it is compliant with regulatory requirements.

The federal government has mandated healthcare organizations to show compliance with a host of important regulatory requirements and standards. These are just some of them:

  • Patient Protection and Affordable Care Act (PPACA, or Obamacare)
  • SOX
  • The ICD-10: International Classifications of Diseases, Tenth Revision

In addition, Medicare and Medicaid require audits, which are in addition to several individual state and federal regulations.

The challenge of new technologies and developments

Also, a series of new developments, both technology and regulatory related, has created challenges to patient information security and healthcare delivery like never before. This reinforces the need for audits in the health care industry. These are just some of such recent developments that have made audits in the health care industry all the more important:

Areas that call for compliance

Healthcare organizations need to be very adept at implementing a high number of compliance standards. Today, healthcare organizations perform multiple duties and functions, each of which is not only important for its existence, but is indispensable for being in the industry.

Some of the areas in which healthcare providers have to perform audits in the health care industry to meet regulatory compliance requirements include:

  • The management of Electronic Health Records (EHRs)
  • A host of logistical and operational issues
  • Set procedures by which services are delivered
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