Healthcare
Internal audit, revenue cycle assurance and compliance frameworks for hospitals and healthcare providers.
Hospitals and healthcare providers run a high-volume revenue cycle across many points of capture, with a compliance profile that touches exemption analysis, withholding on professional payments, and the assurance expectations of lenders and trustees. Revenue leakage in this sector is rarely fraud; it is process.
Where we help
- Multi-unit internal audit programmes
- Revenue leakage and billing assurance
- Exemption analysis for healthcare services
- Equipment financing support
What actually comes up in this sector
Revenue cycle assurance
Registration to discharge to billing to collection, across departments, tariffs, packages and third-party payors. Our internal audit programmes are designed to locate where a chargeable event failed to become a charge, which is a different exercise from verifying that recorded revenue was collected.
Exemption analysis
Whether a particular service, supply or arrangement falls within the exemption available to healthcare services requires analysis of the specific facts, and the answer differs across pharmacy, diagnostics, consultancy arrangements, room categories and allied services provided within the same institution.
Withholding on professional arrangements
Consultant doctors, visiting specialists and revenue-share arrangements each carry a withholding characterisation that follows the substance of the engagement rather than its label. Mischaracterisation here creates a recurring monthly exposure.
Multi-unit control frameworks
Where an institution operates across locations, the control framework has to be uniform enough to compare and local enough to work. We build audit programmes that report location-wise against a common standard.
How the engagement runs
Understand
A scoping discussion with a partner covering the facts of your business, the records that already exist and the positions previously taken.
Agree
Written scope and fee, a document checklist and a named team member responsible for the sector work.
Deliver
Execution against tracked deadlines with partner review, and working papers retained for every position taken.
Stand behind
If a filing or position is later questioned, the same team that made it defends it.
Questions we are asked
Do you conduct internal audit for hospitals across multiple locations?
Yes. We design a common programme, execute location-wise, and report both location-level findings and the institution-level themes those findings reveal.
Can you assist a trust-run hospital with its exemption position?
Yes. Charitable-institution status and the healthcare exemption are separate questions and are examined separately; we address both where they arise together.
Frequently paired services
Talk to the sector team
Describe your business in one call — we will map the compliance and advisory picture end to end.
Book a consultation