We make audits

EASIER FOR YOU

Have a 'hassle-free' audit experience by outsourcing your provider credentialing to the experts at InteCare

Compliant Policies & Procedures

Smooth On-site Visit (OSV)

Reduced Corrective Actions

Out of Date Policies & Procedures Are Leading to Dings

You must be collecting and verifying providers' credentials to match what your organization’s policies and procedures state. To mitigate risk, our experts ensure that your checklist matches policies and procedures and securely stores files for easy access to documentation and verifications.

Our 3 Step System to

Help You Pass Healthcare Audits With Confidence

Review Policies & Procedures

We collaborate with your team to identify issues and opportunities to improve practice efficiency

Our fee included all costs (i.e. verifying education, board certification, NPDB, etc.). No surprise costs!
Deep industry knowledge of NCQA, HRSA, and ACHC standards to ensure compliance

Optimize Checklist

PSV specialist and HR Team revamp your checklist so that it matches all your policies and procedures

Standardized workflows built for your specific healthcare organization’s technology and processes
Managed tasks so that everyone can meet deadlines and understand priorities for optimal efficiency
Automation tools eliminate tedious manual processes and the risk of human error

Audit-Ready

With our expert system, your credentialing files will be ready for auditors

Data integrity with the right information delivered to the right people for peace of mind
File backup so that our team can quickly pull and send you files to avoid delays and corrective actions
Restore calm & balance when 'dinged' with corrective action through responsive rep ready to address issues that arise during audits

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Case Study: How a Large FQHC passed their On-Site Visit with ZERO findings

The struggle: Their checklist was unclear and did not list all of the policies. (The policy said one thing, checklist another.) All policies and procedures need to be on the checklist since the organization MUST be doing everything on their policy and procedures.

The solution: Our PSV specialist and HR Team revamped the client’s checklist so that it matched their policies and procedures. Specifically, on the pre-on-site visit, the auditor discovered the immunization policy didn’t include important details like provider declinations. The revamped immunization attestation form spelled out all required immunizations with an area to decline individual immunization — so it was in writing and signed by the provider and the client had backup to support the policy.

The result: This was the client’s first audit since outsourcing to InteCare, and it was completed without dings. The large California FQHC passed with flying colors!

“Hi Tricia, I want to give you a major THANK YOU for helping ensure our credentialing files were prepared for our OSV. The OSV ended last week and we had ZERO findings. Our files were perfect! We could not have done it without you! You taking part in multiple calls and your re-review of our files to make sure we were ready made all the difference. We can all breathe now and get back to our normal work. Thank you again and you are such a pleasure to work with. Deb” - Large California FQHC

Experience the Relief of Our Expert Audit Process

No more panic and stress during pop-up auditor visits. Our expert process ensures your policies and procedures are compliant.

Schedule a Consultation

FAQs

Got questions about healthcare audits?

What are healthcare audits?

Healthcare audits are systematic reviews and evaluations of healthcare organization’s policies and procedures to ensure compliance with regulatory standards, quality assurance, and financial accuracy.
Who conducts your HRSA and other accreditation agency audits?

These types of audits are conducted by independent entities, such as government agencies or private firms, to assess the effectiveness, efficiency, and safety of healthcare practices. Depending on your organization, you may have to follow NCQA, HRSA, ACHC, or other accreditation agency standards.
When can auditors come to your facility or request information?

Healthcare auditors can come at any time to conduct audits. Their On-site Visit (OSV) are typically scheduled in advance, but they may also perform surprise audits to ensure compliance and accuracy of records. Healthcare organizations need to be prepared and maintain accurate documentation at all times to facilitate a smooth audit process.
What happens during the audit?

During a healthcare audit, various aspects of the organization's operations may be examined, including provider credentialing and privileging, medical records, billing and coding practices, adherence to legal and regulatory requirements, infection control procedures, medication management, and overall patient care. Auditors typically review documentation, interview staff members, observe processes, and analyze data to evaluate the organization's performance.

Learn how integrating your professional and financial credentialing process can help you be audit-ready here!
What happens if your policies and procedures don’t match up?

If an auditor comes in and reviews your policies and procedures. For example: your employee policy may read “TB test required every 12 months” but in practice, the organization switched to a questionnaire. Since they changed what they collect but didn’t change it in policy and procedure. They’ll get “deemed” or dinged. Getting dinged doesn’t mean you’ve failed; however, there is corrective action required. And after following through with the corrective actions, auditors might come back to the site or virtually check anywhere right away or 2 years later at the next audit.

Get our advanced audit guide here!