1.

 What are risk that is faced by healthcare providers? 

One of the risks they face is the process risk such as:

 Inappropriate waiting time protocols leading to delays in process with adverse impact
 Inappropriate triage processes leading to mistreatment/untimely treatment
 Lack of clinical process guidelines
 Lack of discharge/admission protocols

2. Do you think that medical audit is purely a fault finding activity? Why or why not? 

No, because medical audit is a process that compares the actual results with a specified
standards and plans in the medical facilities and it does not only identify incorrect coding
but also a fact-finding which prevents the incorrect coding from being repeated.

3. What is the importance of having a mortality audit in the healthcare facilities? 

Mortality audit is important for the further improvement of the hospital services and it
helps them in proper allocation of the resources. This audit allows identification of
gaps and quality of care and changes to be made to determine whether the patient care
is consistent with best action.

4. What does a Healthcare auditor do? 

They review financial reports of a health care firm in order to ensure that it meets the
health care compliance standards. Once an audit has been performed, the auditor may
prescribe various business strategies to get the health care firm up to compliance
standards. They also make sure that healthcare providers follow all relevant laws when
providing patient care. Their duties include investigating medical service providers to
ensure that they meet all legal requirements

5. What type of medical audit is frequently used by medical and clinic industries?

The frequently used type of medical audit is the morbidity audit as it is the simplest
method and as the pandemic arises, this audit is used to investigate the policies and procedures
and reasons for the widespread of the virus. For them to have a parameter for the improvement of
the hospital services. 

6. What are the most important things to note when auditing operated cases? 

The important points to note when auditing operated cases are the type of antibiotic used,
number of postoperative infections, anesthesia and operation notes because it can give
necessary information about the surgical condition of the individual who undergoes the
operation.

7. As one of the limitations of medical audit, why there are low number of auditors concern for
hospital audit in the Philippines? 
 There are low numbers of auditor concerns for the hospital audit because of the lack of
clinical support on the part of healthcare professionals who are involved in clinical
auditing.  They always say that they do not have time to find out all the things so many
parts remain untouched for progress.  Another reason is the financing of the audit which
cannot be possible without having sufficient funds. 

8. What is the difference between morbidity and mortality audit?

Morbidity audit refers to the medical audit of a group of cases suffering from a disease
category such as diabetes, heart, respiratory and kidney disease. Whereas mortality
review is the audit of death in the hospital and it helps in identifying the prevalent causes
of death of a person.

ALL

9.  Is having experience in the field of medicine enough to be a clinical or medical auditor or is
it still necessary to have a degree in medicine?

Becoming a medical auditor requires having earned a bachelor’s degree in business

administrative or a healthcare field. An individual need to get a professional certification
from companies like AHIMA or the AAPC to become a Certified Professional Medical
Auditor (CPMA) in order to perform duties that include medical coding, knowledge of
healthcare regulations and other abilities related to auditing. 

10. How do you account transactions in relation to medical malpractice? And how will it be
audited?

The medical malpractice claims or similar contingent liabilities include costs associated
with litigating or settling claims, shall be accrued when the incidents that give rise to the
claims occur. The liability shall not be presented net of anticipated insurance recoveries.
An entity that is indemnified for these liabilities shall recognize an insurance receivable
when it is recognized as liability, subject to the need for a valuation allowance for
uncollectible amounts.  

11. What are some auditing risks that can occur in the medical industry?

The auditing risk that can occur in the medical is the technology risk which involves:

 Data privacy breaches

 Malfunction of medical devices leading to patient harm.
 Inability to access electronic records, leading to missing history/inappropriate
action
 Data-entry error
 Bar coding error, leading to inaccurate tracking or use of equipment/drugs