Physician Credentialing Audit Work Program

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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.

Key steps include: review the department’s policies and procedures as they relate to the physician credentialing process; interview key departmental personnel responsible for performing the process; identify risks that may occur during the process and identify and evaluate the design effectiveness of existing controls designed to mitigate these risks; and identify process gaps or weaknesses and provide recommendations for improvement.

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