Healthcare Provider Contracting Audit Work Program

This healthcare audit work program is intended to determine whether internal controls in the provider contracting and capitated payment processes are in place and working effectively. Starting steps include: reviewing the prior year’s work papers to obtain an understanding of the control environment, inquiring with provider contracting management as to whether any changes in the control environment have occurred since the last audit, and documenting changes, if any, in the work papers and determine if audit steps in this program should be adjusted.