Health Care Internal Audit Services

In the complex, ever-evolving health care landscape, internal audits are key to reducing business risk exposures, achieving regulatory compliance, and fostering efficient operations—all of which contribute to delivering on mission and meeting operational and strategic goals.

Create an effective internal audit ecosystem that includes actionable objectives, adapts to evolving value models, and promotes continuous, sustainable organizational improvements with support and guidance from our team of professionals. Our professionals work with you to identify and overcome gaps in internal resources, technical skills, and workflow to develop a seamless internal audit process that contributes to organizational resiliency, improves quality of care, manages risks, and maintains stakeholder confidence whether through fully outsourced or co-sourced internal audit assistance.

Explore how our comprehensive health care internal audit services can help your organization leverage a systematic, disciplined approach to this foundational business process that elevates your organization’s overall effectiveness and sustainability.

Strengthen Your Organization’s Infrastructure

Internal audits are critical to your organization’s overall health and ongoing success. Empower your decision-makers with relevant data and a holistic risk-based view of your organization with internal audit services that keep your organization moving upward.

Manage Risk and Support Organizational Strategy

Risk assessments that support the internal audit plan form the backbone of assessing and addressing risk within the organization. Developing internal audit plans that correlate to the organization’s strategic plan, use effective risk assessment methods, and respond efficiently to change:

  • Builds trust in the internal audit department
  • Contributes vital information for the organization’s overall strategy
  • Improves the organization’s overall sustainability and health

Empower your team to conduct an effective risk assessment—one that takes into account inherent risks in your environment but also encompasses industry and global risks that could affect your organization’s ability to meet its mission and strategic objectives — and results in a risk-based audit plan that addresses your organization’s highest risk areas.

Boost Internal Controls and Process Efficiencies

Health care organizations have very small margins in today’s environment. Inefficiencies in any department can result in wasted resources, patient harm, redundancies, missed opportunities, and undue strategic, operational, financial, reputational harm exposure.

Improve internal controls and process efficiencies with process or departmental internal audits or reviews that identify:

  • Internal control gaps
  • Operational areas for improvement
  • Opportunities to enhance value
  • Risk management opportunities

From finance department functions to physician agreement tracking, implementing robust internal controls, and boosting process efficiencies can enhance operational performance, reduce costs, increase provider engagement—and ultimately improve patient outcomes.

Bridge Talent Gaps

Conducting an effective internal audit requires technical specialization and a designated team—resources that aren’t always readily available. Overcome these hurdles with talent sourcing options that can help fill gaps and meet deadlines without sacrificing quality and effectiveness:

  • Outsourced. Access the technical expertise and experience needed to complete an effective audit without increasing your payroll costs or over-burdening your in-house team. Our professionals undertake the entire internal audit function with close engagement with your organization’s internal audit sponsor.
  • Co-sourced. Complement and supplement an existing internal audit department—and provide technical backgrounds and experience when needed—that result in a project that meets expected results and moves your organization towards its goals. Our professionals collaborate with your team to provide insights, guidance, and support at all role levels.

Maintain 340B Savings

Participating in the 340B Drug Pricing Program can lead to significant savings for covered entities. However, achieving and maintaining 340B Program eligibility is a complex, multi-layered process that can be difficult to manage and keep on an upward trajectory. Internal audit provides risk-based work covering the key program areas such as maintaining organizational eligibility, patient eligibility (diversion), provider eligibility, OPAIS database accuracy, policy and procedure adherence, etc. to all 16 covered entity types.

Explore our suite of 340B Program services manned by experienced health care professionals who can help you overcome common challenges and develop a more holistic approach to your program.

Leverage Growth Opportunities

Risk exists throughout each organization and internal audit plays a pivotal role in assisting with evaluations of the design, implementation, and effectiveness of internal controls, risk management, and governance processes.

In today’s environment, risk expands beyond financial considerations and includes topics such as:

  • Workplace safety
  • Supply chain management
  • Emergency preparedness
  • HIPAA privacy
  • Joint venture oversight and monitoring
  • 340B Drug Pricing Program
  • Physician, nurse, and clinical staff engagement and retention
  • Drug diversion
  • Scheduling and registration processes at physician network, including No Surprises Act requirements
  • Philanthropic foundation processes and controls
  • Incident system reporting
  • Medical documentation education for practice sites

How We Work with You

Our philosophy is client centric, and each relationship is built with meeting your organization needs and culture.

Table outlining firm’s service benefits

Although each project is unique, internal audits and reviews follow a comprehensive yet incremental process that allows technical and non-technical elements to be addressed in tandem.

Table outlining firm’s comprehensive approach to projects

Extensive Health Care and Internal Audit Experience

Deeply immersed within the health care industry, our professionals have extensive knowledge of the nuanced operations of health care organizations and internal audit theories, processes, and best practices aligned to internal auditing standards. Our collaborative approach takes the time to understand the specifics of your organization’s needs and strategically develop unique solutions contextualized among greater industry trends and activity.

We view challenges from the perspective of organizations’ leaders because many of our professionals previously worked in executive roles within the health care industry and possess first-hand experience and knowledge of what it takes to pursue your goals.

Our one-firm approach allows your organization to tap into the full resources of our firm, integrating guidance and solutions related to other integral support areas including finance, tax, and revenue cycle concerns, as well as operational improvement, provider reimbursement, and technology services.

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Baker Tilly US, LLP, Baker Tilly Advisory Group, LP and Moss Adams LLP and their affiliated entities operate under an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable laws, regulations and professional standards. Baker Tilly Advisory Group, LP and its subsidiaries, and Baker Tilly US, LLP and its affiliated entities, trading as Baker Tilly, are members of the global network of Baker Tilly International Ltd., the members of which are separate and independent legal entities. Baker Tilly US, LLP and Moss Adams LLP are licensed CPA firms that provide assurance services to their clients. Baker Tilly Advisory Group, LP and its subsidiary entities provide tax and consulting services to their clients and are not licensed CPA firms. ISO certification services offered through Moss Adams Certifications LLC. Investment advisory offered through either Moss Adams Wealth Advisors LLC or Baker Tilly Wealth Management, LLC.