Are You Ready for 2018 Health Care Entities Audits?

For high-quality audits that comply with AICPA Risk Assessment Standards, equip yourself with Knowledge-Based Audit (KBA) titles. Each title based on the KBA framework includes the latest audit requirements for a specific type of company or organization. Namely, we are excited to introduce the new updates and enhancements for Health Care Entities.

Health Care Entities – Updated & Enhanced

2018 Knowledge-Based Audit of Health Care Entities became available for Knowledge Coach in October 2018. Therefore, it is time to get up to speed on the changes and get ready to increase your realizations and improve your client service!

Based on latest literature, standards, and guidance

To begin with, the updates follow the latest literature, standards, and guidance:

  • FASB Accounting Standards Codification™ as of September 30, 2018, through Accounting Standards Update No. 2018-15
  • AICPA Statement on Auditing Standards (SAS) No. 133, Auditor Involvement with Exempt Offering Documents
  • AU-C 930, Interim Financial Information
  • AU-C 940, An Audit of Internal Control Over Financial Reporting That Is Integrated With an Audit of Financial Statements
  • Government Auditing Standards (GAGAS) 2011 Revision
  • The Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards contained in the 2nd Code of Federal Regulations, Part 200 – 2CFR200
  • Chapter 3 of the Yellow Book, including a new framework for independence with conditions, remediation, and safeguards

What’s new for 2018 Health Care Entities?

If you’re wondering what’s included, consider the following enhancements:

  • Links to TeamMate Analytics throughout the AUD-800 series programs assist the auditor with analytical procedures beneficial to the audit process.
  • Enhanced instructions and procedures throughout the toolset improve workflow.
  • Reorganization of multiple areas within the Audit Programs increase efficiency as well as improve workflow.
  • New columns in the workpapers documenting internal controls (KBA-400s) improve workflow and address questions customers have raised in the past.
  • Activity-level control forms, have updated subprocesses and activity-level control objectives throughout all the KBA-403 series workpapers.
  • Users can document a separate benchmark and rule of thumb percentage not used in the KBA methodology, thanks to changes to the benchmark/rule of thumb percentage table in KBA-301 Worksheet for Determination of Materiality, Performance Materiality, and Thresholds for Trivial Amounts.
  • Lastly, new comments table in AUD-100 Engagement-Level Tailoring Questions document any information you want to capture related to tailoring.

There’s more!

In addition:

  • Audit recommendations from AICPA’s Audit and Accounting Guide: Revenue Recognition is incorporated. This includes several new revenue related steps in AUD-803 Audit Program: Patient Accounts Receivable and Net Patient Service Revenue.
  • There are new tips for the new proposed statements on auditing standards and new finalized FASB standards. This includes Omnibus Statement Auditing Standards, 2018.
  • A new “example planned response” to Management Override of Controls in KBA-502 flows to the AUD-800 series. Modify this in the risk pane for the Financial Statement Level Risk of Management Override of Controls. Additionally, when modified, the user should base the modification on the specific audit.
  • To assist users whose clients have adopted the new Revenue Recognition Standards, a new RES-027 Controls Related to FASB ASC 606, Revenue from Contracts with Customer – Five Step Model is included.
  • AUD-915 Audit or Interim Review Program: Auditor Involvement with Exempt Offering Documents based on AICPA Statement on Auditing Standards (SAS) No. 133, Auditor Involvement with Exempt Offering Documents is now available.
  • AUD-910 Audit Program: Specific Element, Account, or Item of a Financial Statement in Accordance with AU-C 805 is now available. It is included for auditors performing engagements under AU-C 805.

Tips to Improve Realizations & Client Service

Regarding increasing your realizations and improving your client service, it is critical to find ways to maximize efficiencies. Doing so will ensure a healthy bottom line and, at the same time, improved client service. Consider these tips:

  • When you roll-forward your prior year engagements, make sure you get the latest content updates. Also, make sure you keep your responses, where it makes sense. Then, you simply review for changes.
    • CCH ProSystem fx Knowledge Coach allows updating to the latest content at any time, while keeping your answers and customizations. Take advantage of the saved time and start your planning!
  • Give yourself a head start by reducing your client’s PBC list by approximately 25% through technology.
    • CCH Audit Accelerator requests all the data you need from your client’s general ledger, accounts payable and accounts receivable sub-ledger. It then transforms that data into the most commonly used workpapers, including access to the detailed transactions. Then, with TeamMate Analytics, you run analytics to see the anomalies or risky transactions more quickly for planning a higher quality audit. What you gain is more answers at your fingertips and, ultimately, a more informed view of your client at the beginning of each engagement.
  • Tailor your audit programs in direct response to the client’s risk. This will help you avoid over and under auditing. You will also get your ‘best bang for your buck’ with your audit procedures.
    • By design, Knowledge Coach easily ties risks to audit procedures. The result is a higher quality and more efficient audit and, thus, a happier client.

Do you want to increase realizations and improve client service? Then check out the Integrated Audit Approach today.


Kurt Pitts

Kurt Pitts is a Senior Business Analyst at Wolters Kluwer Tax and Accounting North America. Kurt participates in design and development of CCH® ProSystem fx® Knowledge Coach. Kurt also works with internal teams, editorial and customers to provide new features and industry titles for CCH® ProSystem fx® Knowledge Coach. Prior to joining Wolters Kluwer in 2014, Kurt was a CPA with a top Southeast Regional Accounting Firm and has a Bachelor’s Degree in Accounting from Georgia Southwestern State University.

All stories by: Kurt Pitts