Nieves Julio, Yesenia PatriciaBallesteros Coneo, Duván José2023-01-232023-01-232023-01-20https://repositorio.unicordoba.edu.co/handle/ucordoba/6927The health audit is a process of systematic evaluation of the quality and management of resources in health care, in order to identify deficiencies and produce improvements for the benefit of the population. The general objective is oriented to design the procedure of audits to medical accounts in the E.S.E CAMU SANTA TERESITA, in order to know the set of pertinent actions that help to carry it out, which allows obtaining the expected results, and strengthen the finances within the accounts system. Therefore, the type of work is identified in the methodology, which is represented by a diagnosis based on the health accreditation standards 152, 153 and 154 of resolution 5095 of 2018 where the situation found in the E.S.E. CAMU SANTA TERESITA. However, and also importantly, the population that will benefit from the development of this product will be the workers, since they will have the opportunity to learn about the audit procedure for medical accounts of the E.S.E CAMU SANTA TERESITA. It is important to guarantee the development of the product, among the steps to be developed are the following: Situational diagnosis of the area of audits of medical accounts of the E.S.E CAMU SANTA TERESITA, prepare the prioritization of needs, dialogue with those in charge of executing the audit activities and design the step by step and value chain to elaborate the procedure and present work end of the institutional practice plan. Within the techniques and instruments is the collection of information, which will be recorded, evaluated and obtained from secure sources that will validate what is stated. In this way, the pertinent route that gives rise to what has been exposed will be sought and the expected results will be achieved.INTRODUCCION............................................................................................1 OBJETIVOS..............................................................................................181.1 OBJETIVO GENERAL...........................................................................181.2 OBJETIVOS ESPECIFICOS..................................................................182 RESEÑA HISTORICA...............................................................................193 ASPECTOS CORPORATIVOS.................................................................213.1 ORGANIGRAMA....................................................................................213.2 MISIÓN...................................................................................................223.3 VISÓN.....................................................................................................223.4 PRINCIPIOS CORPORATIVOS.............................................................233.5 SERVICIOS HABILITADOS...................................................................234 DESCRIPCIÓN DEL AREA Y UNIDAD FUNCIONAL..............................294.1 PROCESOS DE AUDITORIA Y FACTURACIÓN EM LA E.S.E. CAMU SANTA TERESITA.......................................................................................304.2 ENTRADAS............................................................................................314.3 SALIDAS................................................................................................314.4 INSUMOS Y PRODUCTOS DEL PROCESO DE AUDITORIA DE CUENTAS MEDICAS...................................................................................315 MARCO REFERENCIAL...........................................................................335.1 MARCO HISTORICO.............................................................................335.1.1 ANTECEDENTES...............................................................................345.1.2 EVOLUCIÓN.......................................................................................355.2 MARCO TEORICO.................................................................................365.2.1 GENERALIDADES DE AUDITORÍA...................................................365.3 MARCO CONCEPTUAL........................................................................405.3.1 AUDITORÍA.........................................................................................405.3.2 AUDITORÍA DE SALUD.....................................................................405.3.3 AUDITORÍA DEL SERVICIO..............................................................405.4.1 AUDITORÍA DE CUENTAS MÉDICAS...............................................405.4.2 AUDITORÍA DE LAS FACTURAS RADICADAS...............................405.4.3 AUDITORÍA DIRECTA........................................................................415.5 MARCO LEGAL.....................................................................................426 METOLOGÍA.............................................................................................447. RESULTADOS OBTENIDOS...................................................................478. CONCLUSIONES.....................................................................................499. RECOMENDACIONES............................................................................5110. REFERENCIAS BIBLIOGRAFICAS......................................................52application/pdfspaCopyright Universidad de Córdoba, 2023Trabajo de grado - Pregradoinfo:eu-repo/semantics/openAccessAtribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)Cuentas médicasAuditoríaProcesos de auditoríaAde saludDiagnósticoMedical billsAuditAudit processesHealth auditDiagnosis