This chapter provides an overview of case audit functionality. The delivery of benefits and services to an organization's clients is managed using cases. Case audits are used to monitor the delivery of these benefits and services to the clients.
There are two main types of case audit: quantitative and qualitative audits. Quantitative audits are generally used to measure compliancy with statues and policy while qualitative audits are performed by an auditor on cases to measure and assess case outcomes.
Case audits focus on the evaluation of different areas of case management. These focus areas are the aspects of a case that are to be examined by an auditor. The selection of cases to audit is typically done by generating a random list of cases. Selection queries are used to generate a random list of cases based on specific selection criteria.
There are a number of different roles that individuals play in a case audit including audit coordinator, auditor, and member of an audit team. These are described in the sections below.