Q No.1: You are the director of internal auditing of a large municipal hospital.
ID: 2544996 • Letter: Q
Question
Q No.1:You are the director of internal auditing of a large municipal hospital. You receive monthly financial reports prepared by the accounting department, and your review of them has shown that total accounts receivable from patients have steadily and rapidly increased over the past eight months.
Other information in the reports shows the following conditions:
1. The number of the available hospital beds has not changed.
2. The bed occupancy rate has not changed.
3. Hospital billing rates have not changed significantly.
4. The hospitalization insurance contracts have not changed since the last modification 12 months ago.
Your internal audit department performed a financial and operational audit of the accounts receivable accounting function ten months ago. The working paper file for that assignment contains financial information, a record of the preliminary survey, documentation of the study, evaluation of internal controls, documentation of the procedures used to produce evidence about the validity and collectability of the counts, and s copy of your report that commented favorably and collectability of the receivables.
However, the current increase in receivables has alerted you to the need for another audit. You remember news stories last year about the manager of the city water system who got into big trouble because the accounting department double-billed all the residential customers for three months. You plan to perform a preliminary survey of the problem, if indeed a problem exists.
Required:
a. Write a memo to your senior auditor listing at least eight questions that should be used to guide and direct the preliminary survey. (Hint: The categories of questions used in the last preliminary survey were these: “Who does the accounts receivable accounting?” “What data processing procedures and policies are in effect?’ and “How is the accounts receivable accounting done?” This time, you will use these categories and add a fourth category of question: “What financial or economic events have occurred in the past 10months?”)
b. Describe the phase of the audit that would be performed after the preliminary survey is completed.
Explanation / Answer
(a)
following are the questions:
1. Is there any change in procedure of billing since previous audit?
2. What are the policies related to collection and credit? Has any change occured since our audit?
3. Have any change in billing staff since our previous audit?
4. Have any change occured in billing and collection since our previous audit?
5. What percantage of patients are not paying in time?
6. Are there some patients exsits who are doubtful to pay their bills?
7. Have any complaint recieved from patients regarding the bills?
8. Have any billing employee resigned from his post?
(b) After the preliminary survey auditor visit the place and find out answer for every question of audit.
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