Compliance and Audit

Compliance and Audit

Lab Audit Checklist: Compliance Audits Identify Ways to Capture Lost Revenue

retail1Every year, billions of dollars are remunerated incorrectly due to laboratory service billing errors, and dollars are lost due to outdated quality programs. At best, this means laboratories are losing potential profit, and at worst this can result in lawsuits, or trouble with regulatory bodies.

A good compliance audit will identify these issues, and provide corrective plans that will both increase revenue, and prevent potential problems related to quality and compliance.

Compliance and Audit Best Practices Get You in Competition with Commercial Labs

LabMetrics can help ensure your labortory and facilities achieve full survey readiness through a variety of assessments and mock surveys. We work with your staff to identify internal barriers to a successful audit, evaluate mock survey scores, develop technology enabled billing and quality programs, and create corrective actions plans for potential problems.

  • Compliance Audit Assessments
  • Corporate Integrity Agreement (CIA) Implementation and Oversight
  • HHS / OIG Assistance
  • Independent Review Organization (IRO) Services
  • Claim Reviews
  • Code Review
  • Joint Commission Readiness / Mock Survey
  • CAP, CLIA, COLA et al Inspection Readiness / Mock Survey / Certification

Case Study

A venture capital firm purchased a pathology lab with a national footprint that held a urine cancer marker patent test. Shortly after the VC acquisition they faced a malpractice lawsuit where a  healthy prostate was removed based on an incorrect  positive test result. LabMetrics assisted the lab in implementing new quality programs by realigning ineffective manual processes with new IT (LIS) and implementing Lean Six Sigma in many areas of the lab.

Contact LabMetrics today for more information about creating an effective lab audit checklist. Our compliance and audit process will improve your overall regulatory compliance and create efficiency gains in billing and operations that lead to capturing more revenue.