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Audit Management and HCAI Support

An audit is only painful when the year has been run as though it were not coming. Elevate owns the audit process on the organization's side, from workpapers through to the auditor relationship, and handles California HCAI reporting, formerly OSHPD, along with it. Elevate manages the audit; it does not perform audits and does not provide tax preparation.

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At a glance
Annual cycle or standalone preparation
Hospitals, health systems, nonprofit, and multi-site providers
Remote nationwide, on site when necessary across LA and Orange County

What Audit Management Covers

01

Owning the audit process end-to-end

Running the audit from the organization's side of the table, including the schedules, the requests, and the timeline.

02

Auditor relationships

Managing the external auditor relationship so questions are answered once, by the right person, with the support attached.

03

Workpapers and schedules

Assembled through the year as the transactions happen, so fieldwork has something to stand on.

04

GAAP and regulatory compliance

GAAP, state, and Medicaid and Medicare reimbursement compliance maintained as a standing discipline.

05

HCAI and OSHPD reporting

California HCAI reporting, formerly OSHPD, including responding to regulator inquiries.

06

Audit controls and risk

Expense approval frameworks, financial controls, and the operating discipline that keeps findings out of the report.

How Audit Work Is Sequenced

Audit readiness is a habit to be consistently implemented rather than a project to be completed. The first year is heavier because frameworks are being built: the schedule structure, the control points, the calendar keeping support current through the year. After that, the annual cycle is mostly maintenance. The audit itself stops consuming the finance team’s autumn.

Audit management and preparation only. Elevate does not perform audits and does not provide tax preparation.
[ PRICING PLACEHOLDER — rates to be set after market research ]

Common Questions

Do you perform the audit?
No. Elevate sits on the organization's side of the table, managing the process, the schedules, and the auditor relationship. The audit itself is performed by your external auditor.
Do you do tax preparation?
No. Tax preparation is outside the scope of this practice.
What is HCAI?
California's Department of Health Care Access and Information, formerly OSHPD. Its reporting obligations and inquiries are handled as part of this work.
Our audit is in eight weeks. Is it too late?
Not necessarily, though a compressed preparation is a reconstruction, not a review. The first year is always the heavier one.
Does this reduce findings?
That is the aim. Most findings trace back to controls and support that were not maintained through the year, which is exactly what the standing discipline addresses.
Evidence
$200M+
Multi-site behavioral health organization whose annual audit was owned end-to-end, holding full GAAP, state, and Medicaid and Medicare compliance.
7
Southern California hospitals advised on regulatory matters including OSHPD inquiries, within a PE-backed health system.

Owning the audit is what keeps the external auditor relationship functional. The alternative is discovering in fieldwork what should have been settled in March.

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Partner with a Healthcare CFO

Direct access to seasoned financial leadership changes how healthcare executive teams operate. Contact Elevate to discuss your financial structure, operational bottleneck, or leadership needs.

Email info@elevatecfo.co
Based in Los Angeles, California
Elevate

Executive financial leadership for healthcare organizations: fractional and interim CFO, controller services, margin improvement and revenue cycle recovery.

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info@elevatecfo.co
Los Angeles, California
Remote nationwide
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