Why is external audit important and how does it work?

The medical audit is an important tool when we talk about managing a health institution. This is because this activity is used to ensure the quality of the health unit, paying attention to all aspects of management and services provided.

In addition, this feature is also used to check if a patient’s medical bill is in compliance, that is, if the items used by the patient must be paid for. Thus, it ensures that the payment made by the operator to the hospital is within the agreement between the parties.

In this context, the activity can be carried out by an external or internal Auditors in Dubai. Thus, the health unit can decide which is the most viable option to implement the medical audit activity in the unit.

This process can be carried out by a team or by a single professional, depending on the unit’s demand. But if, according to the size of the hospital, the need to hire an external audit is identified, the unit must certainly do so.

But you might be asking yourself, why hire an audit? Well, the reasons for this are numerous.

Undoubtedly, the first is to guarantee the quality standard of medical care . Next, you are making sure that the communication between doctor and patient happens in the best possible way. And finally, ensure that the patient’s accounts are correct, and that the payment made by the operator is not greater than necessary.

Furthermore, the external audit is responsible for ensuring compliance with contractual clauses . That is, they must ensure that:

The application of the clauses is correct;
If the clauses are adequate to the needs;
Whether existing resources are available;
Transparency in relation to the items and care used by the patient;
Finally, if the activities meet the expected quality standard.

In short, the external audit ensures that the service is provided with the necessary quality. It also presents a plan so that, if this is not happening, activities start to occur normally.

How to do a good external audit?

Knowing the importance of carrying out an external audit in health facilities, the question remains: how to carry out, implement and guarantee the effectiveness of the audit?

First, it is important to highlight that there are 3 types of audits, they are:

Preventive: as the name implies, this audit is used before some activities are carried out, in order to prevent possible errors.
Operational: Occurs, as the name also says, during operation. Thus, the auditor can evaluate the service provided while it is taking place.
Analytical: Performs all the study of the reports prepared by previous audits, and identifies results, comparing them. Seeking this way, find the improvements to be made.

With that in mind, it is time to define the audit objectives. That is, what is intended to change with it.

During the process, professionals need to be aware of how the external audit will work and the steps to be taken to make it effective. Another important step for a good medical audit is to analyze every detail about the service provided. After all, we are talking about health, so the assessment must be thorough.

It is also important that all information is passed on to professionals working in auditing. For this, there are technologies that are very useful for everyone to have the necessary access to important information. Consider having a BI or Analytics for this communication to be more assertive.

Furthermore, it is essential that the medical team is 100% qualified to carry out the activity. Also, as we said before, we are talking about health services, and in this case, everything needs to be done very carefully. Last but not least, have software to contribute to the management and contribute to the management of the medical audit process.

How does medical auditing technology work?

Many branches are investing in new technologies to optimize the work. When we talk about healthcare, this is no different! Today, there are several health technologies that contribute to the management of the units.

But not only that! In external auditing, systems such as Iris, contribute to making the collection and processing of data safer. In addition to providing effective interaction management.

They also contribute to ensuring that the healthcare provider’s patient expenses in a hospital are correct. Thus, the health care provider ensures data transparency between patient, provider, and hospital and the financial health of the business.

With systems like this, it is possible to increase the assertiveness of data collection and processing, save time in analyzing possible gaps in your external audit and ensure greater profit for the unit. This is because it allows analyzing not only the efficiency of the services provided, but also customer satisfaction and cost reduction.

What is the best solution for external auditing?

Now that you know everything about the topic, it’s time to choose the ideal solution to increase the efficiency of your external audit.

Good unit management;
It manages to make registrations and movements in a more optimized way;
Ensures all medical regularization.

In addition to these benefits, such as Iris, which allows for the management of inpatients at health units and ensures an improvement in the relationship between service providers and payers?

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Why is external audit important and how does it work?

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