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The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA). HEDIS was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks.
The CIA certification is a globally recognized designation by which internal auditors demonstrate their competency and professionalism in the internal audit field. In order to become a CIA, candidates must pass all three parts of the CIA exam as well as meet certain educational and professional experience requirements stipulated by The IIA. [10]
It offers dedicated programs targeting vendor certification, software certification, and compliance auditing. Health plans seek accreditation and measure performance through the administration and submission of the Healthcare Effectiveness Data and Information Set (HEDIS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS ...
It is also a member of the European Confederation of Institutes of Internal Auditors (ECIIA), and is the only professional membership body in the UK dedicated to Internal Audit. The Chartered IIA works closely with the Global Institute of Internal Auditors based in Orlando, Florida, and support the International Professional Practices Framework ...
A quality audit is a process that involves the systematic identification and examination of a production quality system. A Certified Quality Auditor must analyze all elements of a quality system and assess its degree of adherence to the applicable industry criteria. This is described in detail in Russell. [2]
Inform the Audit Committee without delay of any issue of risk, control or management practice that may be of significance. The chief audit executive (CAE) reports the most critical issues to the audit committee quarterly, along with management's progress towards resolving them. Critical issues typically have a reasonable likelihood of causing ...
When the auditor cannot express an overall opinion, the auditor should state the reasons therefore in the auditor's report. In all cases where an auditor's name is associated with financial statements, the auditor should clearly indicate the character of the auditor's work, if any, and the degree of responsibility the auditor is taking, in the ...
The primary bodies in each country are affiliated to the International Federation of Accountants while a few do not belong to IFAC as they operate more like specialist bodies helping the work of accountants and auditors such as the field of taxation, forensic auditing and systems auditing. These bodies include: