The objective of this sample audit work program is to analyze and evaluate the current hospital credentialing process and identify the key controls governing the process. The document outlines detailed steps for planning, fieldwork and reporting phases of the audit. It includes objectives such as reviewing departmental policies and procedures, interviewing key personnel, identifying risks, and evaluating the effectiveness of existing controls. The work program also emphasizes the importance of verifying core credentials, ensuring proper evaluation and review of physician credentials, and maintaining secure access rights to physician profiles.

Furthermore, it includes steps for re-credentialing processes, validating supporting documents and ensuring proper segregation of duties within the information system. The final phase involves drafting and issuing preliminary reports, incorporating management comments and validating report accuracy. Overall, this document provides a structured approach for ensuring that the physician credentialing process is thorough, compliant with regulations, and effectively managed.

Audit objectives covered in this document include:      

• Reviewing the department’s policies and procedures related to the physician credentialing process
• Interviewing key departmental personnel responsible for performing the process
• Identifying risks that may occur during the process and identifying and evaluating the design effectiveness of existing controls designed to mitigate these risks
• Identifying process gaps or weaknesses and provide recommendations for improvement