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STAGE - I PLANNING START
A PRACTICE UNIT (PU) WILL BE NOTIFIED ABOUT PEER REVIEW BY THE PEER REVIEW BOARD(BOARD) PU WILL BE SENT A QUESTIONNAIRE FOR COMPLETION ALONGWITH THE PANEL OF ATLEAST THREE REVIEWERS DOES PU REQUIRE A REVIEWER FROM ANOTHER STATE/REGION MAKE SPECIAL REQUEST TO BOARD TO PROVIDE NAMES OF REVIEWERS FROM ANOTHER STATE /REGION. YES NO PU INFORMS THE NAME OF REVIEWER TO BOARD (WITHIN 15 DAYS) A COMPLETED QUESTIONNAIRE ENCLOSING A COMPLETE LIST OF ATTESTATION SERVICES’ CLIENTS SENT TO SELECTED REVIEWER WITHIN 1 MONTH PU TO PROVIDE ANY OTHER INFORMATION WHICH THE REVIEWER MAY SEEK AN INITIAL SAMPLE IS SELECTED BY THE REVIEWER, REPRESENTATIVE OF PU’S CLIENT PORTFOLIO PU WILL BE NOTIFIED OF THE SELECTION OF INITIAL SAMPLE TWO WEEKS IN ADVANCE OF COMMENCEMENT OF REVIEW STAGE – II EXECUTION BEGINS
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A A A STAGE - II EXECUTION START STAGE III – REPORTING
FIXATION OF DATE OF INITIAL MEETING INITIAL MEETING BETWEEN PU AND REVIEWER COMPLIANCE REVIEW OF GENERAL CONTROLS (FIVE KEY CONTROLS- INDEPENDENCE, MAINTENANCE OF PROFESSIONAL SKILLS & STANDARDS, OUTSIDE CONSULTATION, STAFF SUPERVISION & DEVELOPMENT AND OFFICE ADMINISTRATION) FINAL SELECTION OF ATTESTATION SERVICES ENGAGEMENTS & CLIENT FILES ON RANDOM SELECTION BASIS TO BE REVIEWED REVIEW OF RECORDS WHICH APROACH TO ADOPT? COMPLIANCE APPROACH SUBSTANTIVE APPROACH A PROPER CONTROL PROCEDURES EXIST? NO A DETERMINE NATURE, TIMING AND EXTENT OF SUBSTANTIVE PROCEDURES – MORE EXTENSIVE YES CONSIDER EFFECTIVENESS AND EFFICACY OF CONTROL PROCEDURES INTEND TO RELY ON CONTROL PROCEDURES NO A YES PERFORM SUBSTANTIVE PROCEDURES – LESS EXTENSIVE PERFORM SUBSTANTIVE PROCEDURES – MORE EXTENSIVE STAGE III – REPORTING
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“PEER-REVIEW CERTIFICATE”
STAGE III REPORTING START IS REVIEWER SATISFIED WITH SYSTEMS AND PROCEUDRES OF PU YES SUBMIT FINAL REPORT TO BOARD C NO REVIEWER SENDS A PRELIMINARY REPORT TO PU. THE PU SUBMITS ITS REPRESENTATION ON DEFICIENCIES/NON-COMPLIANCE, IF ANY, TO REVIEWER WITHIN 21 DAYS OF RECEIPT OF PRELIMINARY REPORT IS REVIEWER SATISFIED WITH REPRESENTATION YES SUBMIT FINAL REPORT TO BOARD C NO SUBMIT INTERIM REPORT TO BOARD IS THERE ANY WEAKNESS REGARDING APPLICATION OF TECHNICAL STANDARDS YES BOARD GIVES RECOMMENDATION TO PU AND GIVES INSTRUCTIONS FOR A FURTHER REVIEW AFTER SIX MONTHS NO BOARD GIVES RECOMMENDATION TO PU FOR IMPROVEMENT IN INTERNAL QUALITY CONTROLS AND FOLLOW UP IS DONE AFTER 12 MONTHS TO ENQUIRE ABOUT IMPLEMENTATION IS REVIEWER SATISFIED BY FURTHER REVIEW SUBMIT FINAL REPORT TO BOARD YES C IS THE BOARD SATISFIED NO YES SUBMIT FINAL REPORT INCORPORATING REASONS FOR DIS-SATIS FACTION NO BOARD SHALL CONSIDER THE REVIEWER’S FINAL REPORT & PU’S SUBMISSIONS FOLLOW UP REVIEW DONE AND REPORT SUBMITTED BY REVIEWER B IS THE BOARD SATISFIED BOARD SHALL ISSUE RECOMMENDATION TO PU & INSTRUCT THE REVIEWER TO FOLLOW UP ACTION YES NO B IS THE BOARD SATISFIED C YES C BOARD WILL ISSUE “PEER-REVIEW CERTIFICATE” NO NO CERTIFICATE WILL BE ISSUED PEER REVIEW ENDS
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