Medical Practice Internal Control Checklist

September 4, 2008

Medical Practice Internal Control Work Program

Name of Practice: _______________

Date Completed:  _______________

1. Compare month end collections per medical billing software management report to actual amount deposited per monthly bank reconciliation(s). Review related reconciliations.

W/P Ref. ________________________

2. Review monthly contractual adjustments posting for reasonableness.

W/P Ref. ________________________

3. Review monthly practice charges for reasonableness. Investigate decreases in production.

W/P Ref. ________________________

4. Take sample of charge tickets and determine if any charge tickets (or charge ticket numbers) are missing. Investigate discrepancies.

W/P Ref. ________________________

5. Ensure that the person who posts payments to patient accounts does not open the mail or prepare the deposit slip.

W/P Ref. ________________________

6. Take sample of daily deposits and compare to computer Daily Report of Posted Payments. Investigate differences.

W/P Ref. ________________________

7. Review selected sample of cancelled checks for appropriate vendor endorsement.

W/P Ref. ________________________

8. Scan list of cash disbursements to identify possible false vendor relationships.

W/P Ref. ________________________

9. Review adequacy of current accounts payable procedures and related approval for vendor payment system.

W/P Ref. ________________________

10. Review sample of petty cash reconciliations.

W/P Ref. ________________________

11. Review access controls to medical billing software system.

W/P Ref. ________________________

12. Ensure that all patient account statements are prepared and mailed each month.

W/P Ref. ________________________

13. Ensure that all available vacation time has been taken by related billing, collection, and management personnel.

W/P Ref. ________________________

14. Ensure that all appropriate personnel are bonded.

W/P Ref. ________________________

15. Conduct on site visit to review cash and disbursement procedures in place, including related employee interviews.

W/P Ref. ________________________

 

 

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