Preparing for a MH Audit

Approximately 30 days prior to the start of the audit, you will receive an audit notification from the lead auditor. Within this audit notification, you will find a list of the clients and the auditing period that we will be reviewing. 

Please acknowledge receipt of this e-mail within two days.

If programs are in Avatar, then we will be reviewing assessments, treatment plans of care, and progress notes electronically via Avatar.

The auditor will reach out to you for any missing documents. 

Your lead auditor will spot-check your files for completeness and let you know if there are any missing documents.

The auditors will conduct audit using this MH audit protocol. 

During this time, you will be permitted to submit additional documentation and explain any deficiencies noted. Services that are disallowed must be made non-billable by the provider.

During this time, you are expected to perform a self-audit keeping these deficiencies in mind and to make any services detected non-billable.

You may request an exit conference during this time by contacting your lead auditor.

Within 2 months of the completion of an audit, a report will be issued by the Compliance Officer.