The following 64 items are listed by Content Data.
Methodologies & Models
Fundraising Management Capability Maturity Model and Six Elements of Infrastructure
This capability maturity model can be used to measure the maturity of an organization’s fundraising management process a...
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Articles
Sustainability and the City: Reinventing the Future With High-Tech and Low-Tech Solutions
The COVID-19 pandemic provides an opportunity to reinvent cities as we know them through both high-tech and low-tech ini...
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Benchmarking Reports
2021 Healthcare Internal Audit Plan Priorities Survey Report
The latest survey conducted by Protiviti and AHIA finds internal audit provider functions under intense pressure to audi...
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Articles
COVID-19 Vaccine — Is Your Organization Prepared to Meet Compliance Requirements?
In this article, we include a checklist of key vaccine requirements organizations can use to ensure that their policies ...
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Performer Profiles
Centene Corporation: Resilience Stems From the Resolve to Help Others
Matt Snyder, senior vice president of internal audit, compliance and risk management at Centene, explains how his team’s...
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Articles
Credit Balances and Government Overpayments
In this article, we provide guidance on the Centers for Medicare and Medicaid Services’ Final Rule governing the investi...
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Articles
Healthcare Internal Audit During a Pandemic — Going From React to Rethink
This article offers several approaches healthcare internal audit functions can use as they adapt and extend their capabi...
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Articles
Automating Revenue — Healthcare Revenue Cycle Quick Wins Amid COVID-19
This article explores the benefits of automation and identifies opportunities healthcare organizations can use to improv...
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Policies & Procedures
Authorization to Use or Disclose PHI: HIPAA Policy
This sample policy outlines procedures organizations should follow common to proper use or disclosure of protected healt...
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Articles
Adjusting Internal Audit Priorities in Healthcare Organizations
This white paper covers three areas of focus, two related to the healthcare industry-specific results from the 2020 Next...
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Articles
Get Ready to Resume Elective Procedures and Surgeries
This article highlights the current procedural and surgical process and includes key considerations healthcare professio...
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Articles
A Recovery Pathway for Healthcare Organizations
In this article, we explore the global pandemic’s effect on the healthcare industry and outline five critical areas heal...
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Articles
A Different Front in the COVID-19 Outbreak: Information Security
This article explores some of the IT factors that administrative and IT health care workers must stay focused on through...
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Audit Reports
Regulatory Compliance Review Audit Report
This sample audit report can be used by auditors for assessing and improving an organization’s compliance risk managemen...
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Articles
Telehealth — The Game Has Changed
This article outlines why healthcare services professionals will continue to see telehealth as a viable option for provi...
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Articles
Your Healthcare Organization’s Lifeline — A Business Continuity Plan
This article takes a closer look at how organizations can be fully prepared to weather the current COVID-19 pandemic, as...
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Articles
FEMA Funding $$$$ Beginning With the End in Mind: COVID-19 Efforts
This article explains the Federal Emergency Management Agency’s (FEMA) funding process and outlines key considerations h...
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Articles
Automation — Healthcare’s Next Great Workforce
This article outlines several changes for healthcare organizations to incorporate and identifies key areas that serve as...
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Articles
The CARES Act: Understanding Expectations for Healthcare Providers
This article articulates why the CARES Act, signed into law on March 27, 2020, clearly amplifies that healthcare is ‘‘to...
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Articles
Utilizing Technology to Streamline Documentation, Coding and Billing Requirements of COVID-19 Cases
This article explores the new ICD-10-CM code expedited by the Centers for Disease Control and Prevention (CDC) due to th...
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Articles
Section 1135 Waivers: “Patients Over Paperwork” Does Not Mean NO Paperwork
This article summarizes the "Patients Over Paperwork" initiative and identifies six key actions that can be taken to hel...
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Benchmarking Reports
Executive Perspectives on Top Risks in 2020: Healthcare Industry Group Results
This report illustrates the top risks healthcare organizations should keep in mind throughout 2020, based on the results...
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Articles
Healthcare Key Issues Bulletin: Issue No. 9
This industry bulletin highlights recent significant issues and changes within the healthcare industry and provides solu...
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Checklists & Questionnaires
Healthcare Management Planning Risk Assessment Questionnaire
This questionnaire is intended to be sent to managers throughout an organization in order to gather opinions on a number...
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Audit Reports
Physician Contract Compliance Review Audit Report
This sample audit report focuses on the effectiveness of a healthcare organization’s physician contracting and payment p...
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Articles
Cloud Solutions in Healthcare Should Not Be Shunned, and Here’s Why
Many healthcare organizations resist innovations that could help them adapt more easily to today’s demands by patients a...
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Benchmarking Reports
Executive Perspectives on Top Risks in 2019: Healthcare Industry Group Results
Find out what risks and concerns the healthcare industry faces in 2019 in this summary report, based on the results of P...
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Checklists & Questionnaires
Process Control Questionnaire: Managing Patient Financial Services
This document demonstrates one way that an internal auditor can creatively use a simple questionnaire to gain an underst...
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Audit Programs
Membership and Billing Audit Work Program
This audit program reviews the membership and billing process within a healthcare cooperative.
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Requests for Proposals - RFPs
Request for Proposal: Internal Audit – Healthcare Industry
This sample request for proposal (RFP) document focuses on finding an internal audit service provider to support a healt...
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Checklists & Questionnaires
Medical Clinic Operational Processes Questionnaire
This sample questionnaire can be used when performing an audit of a medical clinic’s operational processes.
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Audit Reports
Business Continuity/Disaster Recovery Program Assessment Report
This audit report sample focuses on whether an appropriate enterprise-wide governance structure is in place to manage th...
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Checklists & Questionnaires
Medical Records, Coding and Billing Processes Compliance Questionnaire
This tool provides questions to consider when performing audits of an organization's medical records, coding and billing...
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Checklists & Questionnaires
Detailed Medical Record Review Questionnaire
This tool provides questions organizations can use when performing a health care audit.
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Performer Profiles
Parkview Health System: Mining Integrated Data for Insights
Innovators look for opportunity in adversity. Parkview Health System found its opportunity in the electronic health reco...
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Audit Reports
Billing and Collections Review Audit Report: Hospitals and Clinics
This sample audit report focuses on accounts receivable (AR) controls and processes associated with hospitals and health...
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Audit Reports
HIPAA Security Gap Assessment Report
This sample report reviews an organization’s compliance with components of the Health Insurance Portability and Accounta...
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Articles
Closing the Gap in Medical Device Cybersecurity
In this article, Protiviti’s Adam Brand explains how and why awareness of medical device cybersecurity vulnerabilities h...
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Checklists & Questionnaires
Healthcare Provider Baseline Controls Assessment Questionnaire
This tool provides questions to consider for assessing and improving the controls in different business processes.
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Process Flows
Healthcare Dependents Process Flow
This flowchart defines the steps for dependents healthcare process.
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Articles
Preparing to Face a HIPAA Audit With Confidence
In 2017, the OCR formally implemented an audit program whose subjects include a wide variety of healthcare organizations...
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Articles
Measuring Up To the New MACRA Quality Standards
On November 2, 2017, the CMS released the 2018 requirements for Year 2 of the Quality Payment Program (QPP) as establish...
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Articles
In Vendor Risk Management, Cybersecurity, Data Governance and Broadening the Board’s Perspective Are Key Goals
More than half of respondents to the 2017 Vendor Risk Management Survey said they are extremely likely or somewhat likel...
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Performer Profiles
Internal Audit Keeps Takeda’s Deeply Rooted Culture in Focus When Assessing Risk
Katsuaki Kaneko, Head of Group Internal Audit at Takeda says, “…Takeda’s senior management team has given me a mandate —...
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Audit Programs
Healthcare Dependents Audit Work Program
This sample audit work program outlines the steps to audit the healthcare dependents process.
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Policies & Procedures
Research and Development Expense Policy
Research and development expenses include the conceptual formulation, design and testing of product alternatives, constr...
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Policies & Procedures
Charge Description Master Policy
This sample policy ensures that the charge description master for all departments within a company is complete and accur...
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Policies & Procedures
Revenue Capture Policy: Patient Accounting
This sample policy ensures that appropriate charges for a company’s supplies and/or services administered are recorded a...
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Policies & Procedures
Patient Admission Policy
This sample policy provides a consistent, standardized and proficient method for the admission of patients.
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Policies & Procedures
Approved Software Policy
This sample policy outlines procedures for the usage and maintenance of approved software in a company.
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Audit Programs
Charity Care Audit Work Program
The objective of this audit program is to perform a high-level review of charity care program practices to validate comp...
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Policies & Procedures
Confidentiality Policy: Sample 3 (Healthcare)
This policy outlines a set of procedures to protect patients' right to privacy, to protect confidential information rega...
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Audit Programs
Physician Credentialing Audit Work Program
The audit objective of this review is to analyze and evaluate the current hospital credentialing process and identify th...
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Audit Programs
Insurance Claims Review (Healthcare) Audit Work Program
This healthcare audit program is intended to assist in determining whether internal controls in the health insurance cla...
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Audit Programs
Healthcare Provider Contracting Audit Work Program
This healthcare audit work program is intended to determine whether internal controls in the provider contracting and ca...
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Audit Programs
Charge Master Maintenance Audit Work Program (Healthcare)
The objective of this audit program is to analyze and evaluate the adequacy of the charge master maintenance process to ...
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Protiviti Booklets
Internal Auditing Around the World: Volume 11
This volume of Internal Auditing Around the World uncovers how internal audit departments, along with their organization...
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Audit Programs
Cash Collections, Security and Recording Review Audit Work Program (Healthcare)
This audit work program assesses the controls related to cash collections at multiple locations for a healthcare organiz...
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Audit Programs
Billing and Collections Review Audit Work Program (Healthcare)
This work program reviews billing, collections and account follow-up processes for a healthcare organization.
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Audit Programs
Baseline Controls Audit Work Program: Healthcare
The purpose of this work program is to provide the general steps used to perform an audit of baseline controls for a com...
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Audit Programs
Cash Controls Audit Work Program: Healthcare Organizations
The purpose of this work program is to provide the general steps used to perform a cash controls audit for an organizati...
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Policies & Procedures
Claim Resolution/Payment Verification Policy
This sample outlines a set of policies and procedures for ensuring that claims submitted to third parties for services a...
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Policies & Procedures
Insurance Verification (Healthcare) Policy
This sample policy outlines a set of policies and procedures to ensure patient benefits are verified prior to or immedia...
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Protiviti Booklets
Internal Auditing Around the World: Volume 8
In this booklet, we detail internal audit best practices, processes and strategies being employed at some of the world’s...
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