Question

According to the OIG, internal monitoring and auditing should be performed by what means?

1) Focused audits on problems brought to the attention of the compliance officer.
2) Baseline audits.
3) Periodic audits.
4) Audits on all denied claims.

Answer 1

The OIG recommends internal monitoring and auditing through focused audits when problems are identified, baseline audits for initial assessments, periodic audits for ongoing oversight, and audits on all denied claims to improve billing processes. Option 1.

Step-by-step explanation:

Internal monitoring and auditing, as suggested by the Office of Inspector General (OIG), should be performed through a variety of means to ensure compliance and detect any misconduct or inefficiencies within an organization.

Focused audits on problems brought to the attention of the compliance officer are essential when specific issues arise that require detailed examination. Baseline audits serve as an initial assessment to understand the current state of compliance and to identify any areas that may need improvement.

Periodic audits are ongoing audits that are conducted at regular intervals to ensure continuous compliance and to catch any new issues that may have developed since the last audit.

Lastly, audits on all denied claims can help an organization identify trends or issues in the billing process that may lead to better systems and fewer denials in the future.

Each of these auditing methods plays a crucial role in the governance and oversight of organizations to prevent and detect wrongdoing. Option 1.