Vendor Audit Letter Template (Page 5 of 6) in pdf

Vendor Audit Letter Template Page 5

1. Fraud & Abuse policy and procedures

2. Training program/materials related to Fraud & Abuse

3. Policies & Procedures for implementing a corrective action plan once a Fraud &

Abuse violation has been identified (can refer to both vendor or provider)

4. Description of the reporting path for Compliance/Fraud

5. Investigative reports related to (Name)

6. HIPAA Policy and Procedures

7. HIPAA training materials

8. Process for documenting new employee HIPAA training

9. Policy & Procedures for destruction of PHI

10. Compliance policy and procedures

11. Review of Compliance training program

12. Review of procedures relating to the Ethics Hotline

13. Review of internal audit policy and procedures

14. Internal Audit reports & exception reports

15. Formal report with supporting documentation of all investigations and findings

regarding (Name) business

16. Copies of all External Audit findings by Federal and State regulatory agencies and

Corrective Action Plans

17. Copies of the Code of Conduct

18. Copies of the Conflict of Interest Form

19. Evidence that the Code of Conduct and Conflict of Interest form were provided to

all employees as well as any downstream entities

FINANCE

The following information is needed for the Finance Audit:

1. Policies and Procedures

2. Copy of most recent audited financial statements

3. Certificates of insurance including Liability and Errors of Omission

4. SAE 16 Report (if applicable, formerly SAS 70)

DELIVERABLES

Please use the following address to mail the requested materials:

Name

Title

Health Plan

Address

Vendor Audit Letter Template Page 5