C. Brantley Synco MSHI, MBA, CPA, CIA, CAMS, CHPC, CHC Director, Internal Audit and Compliance Baptist Health System.

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Presentation transcript:

C. Brantley Synco MSHI, MBA, CPA, CIA, CAMS, CHPC, CHC Director, Internal Audit and Compliance Baptist Health System

What is ACL?  Originally known as “Audit Command Language”  SQL “LIKE” coding  GUI Interface  Repeatable queries/reporting

Data Access

ACL Screen Shot

ACL Log

Scripting

1.DEFINE TABLE DB SOURCE "hr90sys“ SCHEMA "HR83SYS" 2.TITLED "hr90sys" 3.DBTABLE "PS_EMPLOYEES“ FIELDS "ALTER_EMPLID"

Scripting

BHS Scripts/Reports in Production

ACL in Use (Finance)  Duplicate Invoices (Amount)  Duplicate Invoices (Inv Number)  Duplicate Invoices (Similar Amount)  Duplicate Invoices (Different Invoice Dates)  Duplicate Invoices (Invoice Layout)

ACL in Use (Finance)  Invoice before PO date.  Patient refunds to BHS employees.  Payments to AP Employees  Vendors with same address  PO created and received by same person  Sequential invoices

ACL in Use (Finance)  Employee address to vendor address match  Employee bank account same as vendor.  Employees with same address  Last work date > 30 days, but no termination date.  Same employee SSN and vendor EID

ACL in Use (OIG Compliance)  OIG scan of physicians (UPIN)  OIG scan of employees (Name)  OIG scan of employees (Address)  OIG scan of Vendors (Address)

ACL in Use (OIG Compliance)

ACL in Use (Stark/AKB Compliance)  Payments to physicians w/o contract  Payments to physicians with expired contracts  Guarantee payments w/o payment in 60 days.  Physician contracts w/o a vendor number  Physician contracts w/o a guarantee date end  Physician contracts with guarantee ending within 45 days.  Physician monthly payment greater than expected amount.

ACL in Use (Stark/AKB Compliance)

Questions?