Healthcare Clinical & Compliance Audit

Healthcare · Joint Commission · CMS · HIPAA

Healthcare audit
across clinical, billing, and IT

The Joint Commission tracer methodology, CMS Conditions of Participation, HIPAA Privacy + Security, OIG seven-element compliance programme, FDA 21 CFR Part 11. Clinical chart audits, billing-coding audits, IT security audits — one product, one cascade.

Clinical chart audits

  • Tracer methodology procedure templates
  • Sampling guidance per service line
  • Mortality / readmission / HAC tracking integration
  • Joint Commission survey-readiness register

Billing & coding audits

  • Coder accuracy + DRG validation
  • OIG work plan focus areas tracker
  • RAC / MAC audit response workflow
  • Self-disclosure protocol evidence retention

HIPAA + IT security audit

  • HIPAA Privacy Rule audit (DSR + breach)
  • HIPAA Security Rule audit (Admin / Phys / Tech)
  • 21 CFR Part 11 audit trail validation
  • MDS-3 / NIST 800-66 crosswalk

Standards & regulators

  • The Joint Commission (TJC)
  • CMS Conditions of Participation
  • OIG seven-element compliance
  • HIPAA / HITECH
  • FDA 21 CFR Part 11
  • DNV-GL / HFAP

Run all your healthcare audits on one platform

Tracer methodology + OIG work-plan + HIPAA controls library on the GRC Enterprise tier.