An operational audit should include these components

• Compliance with CMS regulations
• Opportunities for enhanced revenue stream
• Updates on trends with contracts on a national level
• Out of  network billing trends/opportunities
• Coding and charging audit
• Information system review and recommendations
• A/R enhancement and collection opportunities
• Opportunities for further cost containment in all expense areas and inventory control
• Clinical and staffing ratios/ performance: FTE calculations
• Both clinical and financial benchmarking compared to best practices.