Physician Credentialing Audit Work Program
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A Sample Work Program to Audit the Hospital Credentialing Process
The objective of this sample audit work program is to analyze and evaluate the current hospital credentialing process and identify the key controls governing the process.
Key steps include: review the department’s policies and procedures as they relate to the physician credentialing process; interview key departmental personnel responsible for performing the process; identify risks that may occur during the process and identify and evaluate the design effectiveness of existing controls designed to mitigate these risks; and identify process gaps or weaknesses and provide recommendations for improvement.