Ensure effective internal controls and compliance in provider contracting and capitated payment processes with our detai...

ToolsThe following tools were published on KnowledgeLeader this week:Intercompany Accounting PolicyThi...

Analyze and evaluate the adequacy of your organization's charge master maintenance process to verify that all charges ar...

Effectively evaluate whether internal controls in the health insurance claims review process are in place and working ef...

Protiviti’s risk and compliance experts weigh in on the top compliance priorities for healthcare organizations in 2025 a...

Use the healthcare risk management strategies in this blog post to assess the impact and likelihood of pote...

Maintain transparency, accountability and adherence to policy in the administration of charity care programs within hosp...

Review and assess baseline controls for various areas, including billing and collections, cash controls, accounts payabl...

This audit work program assesses the controls related to cash collections at multiple locations for a healthcare organiz...

Our Membership and Billing Audit Work Program reviews the membership and billing process within a healthcare cooperative...

Optimize and ensure compliance within your healthcare dependents processes with this sample audit program.

How the shift from consolidation to focused operations reflects broader strategies within the healthcare sector as organi...