DENTAL PRACTICE AUDIT CHECKLIST 2026: INTERNAL CONTROLS & REVENUE INTEGRITY

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--- REVENUE CYCLE MANAGEMENT AUDIT ---
[ ] Billing Accuracy Rating (High Accuracy, Moderate Discrepancies Found, Critical Errors Detected)
[ ] Percentage of Denied Claims
[ ] Summary of Coding Discrepancies
[ ] Audit Completion Date
[ ] Identified Revenue Leaks (Unbilled Procedures, Incorrect Insurance Coding, Uncollected Patient Co-pays, Expired Pre-authorizations)
[ ] Auditor Verification

--- ACCOUNTS RECEIVABLE & COLLECTION CONTROLS ---
[ ] Audit Review Date
[ ] Total Outstanding AR Balance (Over 90 Days)
[ ] Discrepancies Identified (Unapplied Credits, Unmatched Deposits, Missing Patient Insurance Info, Inaccurate Payment Posting)
[ ] Collection Rate Status (Above Target, Within Target, Below Target)
[ ] Notes on Collection Discrepancies
[ ] Auditor Signature

--- PATIENT RECORD & DOCUMENTATION INTEGRITY ---
[ ] Clinical Note Completion Status (Fully Completed, Incomplete - Pending Provider Signature, Missing Essential Data)
[ ] Required Documentation Present (Informed Consent Form, Medical History Update, Radiograph/Imaging Attached, Anesthesia/Sedation Logs, Post-Op Instructions Signed)
[ ] Last Audit Review Date
[ ] Identified Documentation Discrepancies
[ ] Auditor Verification Signature
[ ] Upload Sample Error Log/Evidence

--- FINANCIAL RECONCILIATION & CASH HANDLING ---
[ ] Audit Date
[ ] Total Daily Cash Deposits
[ ] Total Credit Card Transactions Volume
[ ] Discrepancy Status (Balanced, Discrepancy Found)
[ ] Discrepancy Explanation & Resolution Plan
[ ] Daily Deposit Slip Scan
[ ] Auditor Signature

--- INSURANCE VERIFICATION & CLAIMS SUBMISSION ---
[ ] Verification Status (Verified, Pending Information, Needs Re-verification, No Insurance Found)
[ ] Verification Date
[ ] Insurance Carrier Name
[ ] Member ID & Group Number
[ ] Coverage Effective Date (Year)
[ ] Coverage Benefits Verified (Basic Restorative, Major Restorative, Periodontal Services, Endodontic Services, Radiology/X-Ray)
[ ] Insurance Benefit Breakdown Document
[ ] Verification Officer Signature

--- INVENTORY COST CONTROL & PROCUREMENT ---
[ ] Current Inventory Audit Date
[ ] Supplies Audited (Dental Consumables (Gauze, Gloves, Masks), Restorative Materials (Composites, Bonding Agents), Anesthetics & Local Anesthetics, Sterilization Supplies, Laboratory Supplies)
[ ] Estimated Monthly Supply Spend
[ ] Inventory Discrepancy Level (Low (Under 5% variance), Medium (5% - 15% variance), High (>15% variance))
[ ] Discrepancy Notes & Root Cause Analysis
[ ] Upload Inventory Log/Spreadsheet
[ ] Inventory Manager Verification

--- COMPLIANCE & REGULATORY INTERNAL CONTROLS ---
[ ] Compliance Checklist Items (HIPAA Privacy Training Records Updated, Digital Backup Integrity Verified, Staff Access Permissions Reviewed, OSHA/Safety Training Documentation Complete, Incident Reports Logged & Reviewed)
[ ] Date of Compliance Audit
[ ] Auditor Name
[ ] Discrepancies or Non-Compliance Observations
[ ] Evidence of Compliance (Certificates/Logs)
[ ] Compliance Officer Signature

--- STAFF TRAINING & PROTOCOL ADHERENCE ---
[ ] Completed Training Modules (HIPAA & Privacy Compliance, Infection Control & Sterilization Protocols, New Software/EHR Updates, Customer Service & Patient Communication, Emergency & Safety Procedures)
[ ] Last Training Completion Date
[ ] Staff Member Name
[ ] Identified Training Gaps or Skill Deficiencies
[ ] Training Certificates or Competency Documentation
[ ] Manager/Auditor Validation Signature

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