Audit Preparation Checklist

Whether you're facing a scheduled audit or want to be ready for any review, this checklist will help you organize your case files and documentation. Use it as a regular self-audit tool to stay prepared year-round.

If this checklist exposed gaps

Use the demo to review your audit workflow, not just the software

Bring one sample service plan, a recent contact note, and the way your team checks authorizations or billed units. We can walk through how those records would stay organized in One Care Portal and what would still need to be confirmed for your agency.

1. Find missing itemsEligibility, plans, notes, signatures, and document dates. 2. Review supervisor visibilityWhat managers need to see before audit or billing review. 3. Confirm fitCare management, billing support, or both modules.

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Eligibility documentation

Level of care assessment completed and current

Medicaid eligibility verification documented

Freedom of choice form signed and dated

Participant rights acknowledgment signed

HIPAA consent forms current

Service plan documentation

Current service plan within effective date range

Plan signed by participant (or legal representative)

Plan signed by case manager

All services listed with authorized units/hours

Goals are measurable and person-centered

Risk mitigation strategies documented

Backup plans for critical services documented

Provider information accurate and current

Contact notes & monitoring

Required monitoring visits completed on schedule

All contacts documented with date, time, duration

Contact type (face-to-face, phone, etc.) recorded

Purpose and outcome documented for each contact

Notes connect to service plan goals

Health and safety addressed in monitoring notes

Service verification documented

Incident & change documentation

All incidents reported within required timeframes

Incident follow-up documented

Service plan amendments documented when needed

Significant changes in condition documented

Level of care reassessments completed when required

Billing support

Services billed match services documented

Billed units don't exceed authorized amounts

Service dates match documentation dates

Medical necessity supported by documentation

File organization

Documents in chronological order

All documents legible

Electronic files accessible and organized

Able to pull any file within required timeframe

Pre-audit action items

When you know an audit is coming:

Review the specific audit criteria/protocol being used
Pull sample files and self-audit using this checklist
Fix any gaps you find before the audit
Prepare staff who may be interviewed
Organize a workspace for auditors. In OCP, give the auditor a read-only login limited to the records under review.
Have key documents readily accessible

Support ongoing audit preparation

One Care Portal supports configurable document tracking, reminders, and reports that help staff prepare for review. Qualified staff remain responsible for evaluating current program, payer, and audit requirements.

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Frequently asked questions

What case management audit tool can review exported notes?

One Care Portal Compliance Review checks individually uploaded PDFs against organization-configured criteria and shows possible findings with page evidence. Your qualified team reviews the record, resolves findings and makes the final audit-preparation decisions.

For review rules, copy-paste checks, and standalone use, see Compliance Review.

Build a more consistent audit-preparation workflow

See how One Care Portal can help staff organize records, reminders, and review reports while your team applies current requirements.

Book a 30-minute demo