VH

Audit & Risk Center

MCO audit readiness · Compliance risk management · Corrective action tracking

3 Overdue Compliance Tasks — MCO Audit Risk

Overdue compliance tasks are the #1 reason agencies fail MCO audits. Resolve these immediately to protect your Medicaid provider agreement.

Caregiver ComplianceCaregiver ComplianceCare Plan Review

Audit Readiness Score

0out of 100HIGH RISK

Based on 10 tracked compliance tasks

Overdue Tasks

3

Immediate action required

High Priority

3

Due within 30 days

Credential Failures

4

Caregivers with issues

Completed

0

0% completion rate

10 Tasks

3 overdue · 0 complete

TB test renewal — Patricia Owens (OVERDUE)

ACTION REQUIRED
Caregiver Compliance→ HR / Monique WilliamsCaregiver on hold from assignments until resolved.

⚠ 2026-03-15

due date

Overdue

CPR renewal — Patricia Owens (EXPIRED)

ACTION REQUIRED
Caregiver Compliance→ HR / Monique WilliamsCPR expired 11/2025. Must be renewed before return to service.

⚠ 2025-11-15

due date

Overdue

6-month care plan review — Evelyn Carter (CLT-003)

ACTION REQUIRED
Care Plan Review→ Marcus Webb, RNReview overdue. Client condition change reported by caregiver.

⚠ 2026-04-20

due date

Overdue

Monthly OIG exclusion check — all caregivers

HIGH PRIORITY
OIG Check→ Monique Williams5 of 6 caregivers checked. Patricia Owens pending.

2026-04-30

due date

In Progress

Monthly SAM.gov check — all staff

HIGH PRIORITY
SAM Check→ Monique Williams

2026-04-30

due date

Not Started

Review authorization balances — all active clients

HIGH PRIORITY
Authorization Review→ Billing DeptCLT-006 near exhaustion. CLT-003 at 79%.

2026-04-25

due date

In Progress

Annual policy & procedure manual review

Policy Review→ Monique Williams

2026-05-31

due date

Not Started

30-day supervisory visit — Ruth Baker (CLT-007)

Supervisory Visit→ Sandra Okafor, RNDue within 30 days of 4/14 start date.

2026-05-14

due date

Not Started

Q2 client file audit — all active clients

Client File Audit→ Sandra Okafor, RN

2026-06-30

due date

Not Started

Quarterly caregiver file review

Caregiver File Audit→ Monique Williams

2026-06-30

due date

Not Started