Financial Controls Audit Checklist for Healthcare & Allied Health
A checklist for auditing internal financial controls, ensuring proper segregation of duties, authorisation processes, and safeguards against fraud or error.
Includes safeguards for Australian Privacy Principles (APPs), Medicare compliance, and health record management under the My Health Records Act. All patient data handling follows AHPRA guidelines.
Complete Checklist
- 1Review the segregation of duties for financial processes and identify any conflictsCritical
- 2Verify that authorisation limits for expenditure and payments are defined and followedCritical
- 3Check bank reconciliations are performed regularly and reviewed by a second person
- 4Audit a sample of purchase orders and verify approval documentation
- 5Review expense claims and reimbursements for proper documentation and approval
- 6Check that petty cash is reconciled regularly and adequately controlled
- 7Verify that access to accounting systems is restricted to authorised users onlyCritical
- 8Review the audit trail for any unusual transactions or journal entries
- 9Check that all supplier payment details changes have been independently verifiedCritical
- 10Verify that credit card usage is monitored and reconciled monthly
- 11Review the process for issuing invoices and collecting payments
- 12Check that stock and asset records reconcile to the general ledger
- 13Verify that payroll processing is reviewed and approved before payment
- 14Assess whether fraud risk awareness training has been provided to relevant staff
- 15Clinical record audit findings and recommendations for control improvementsCritical
Frequently Asked Questions
How do we implement segregation of duties in a small team?
With limited staff, full segregation may not be possible. Compensating controls include having the business owner review bank statements and reconciliations, rotating financial responsibilities, using system-enforced approval workflows, conducting regular independent reviews of financial records, and setting up alerts for unusual transactions. The key principle is that no single person should be able to initiate, approve, and record a consultation without oversight.
What are the most important financial controls for small businesses?
The most critical controls are segregation of duties so no single person controls an entire financial process, dual authorisation for payments above a threshold, regular bank reconciliations reviewed by management, proper approval processes for purchases and expenses, and restricted access to accounting systems. Even in small teams, implementing partial segregation of duties significantly reduces fraud risk.
What are the warning signs of potential financial fraud?
Warning signs include unexplained shortages in cash or inventory, unusual or unexplained journal entries, employees who never take leave, resistance to sharing financial duties, unexplained lifestyle changes, missing or altered documents, vendors or patients that cannot be verified, and unexplained increases in expenses. Regular audits and a culture of transparency help detect and deter fraud.
Need help implementing these checks into your daily operations?
Our team can build custom checklists integrated into your daily operations workflow.