Medical Revenue Audit Checklist Form
Complete this checklist to assess and verify key steps in the medical revenue cycle. Please review each area carefully for compliance and accuracy.
Facility or Practice Name
*
Audit Period (MM/YYYY - MM/YYYY)
*
Auditor Name
*
First Name
Last Name
Patient Registration Accuracy
*
1
2
3
4
5
Charge Capture Completeness
*
1
2
3
4
5
Coding Consistency and Compliance
*
1
2
3
4
5
Claim Submission Timeliness
*
All claims submitted on time
Most claims submitted on time
Some delays in submission
Frequent delays
Denial Management Process
Denials are tracked and categorized
Root causes are analyzed
Corrective actions are implemented
Payment Posting Accuracy
*
1
2
3
4
5
Additional Notes or Observations
Submit Checklist
Should be Empty: