CPA Publisher is a peer-reviewed digital and print publication, dedicated to publishing high-quality, practitioner-focused research, analysis, and thought leadership that enhances the accounting profession.
Many CPAs may be unfamiliar with Electronic Health Records (EHR) and their impact on accounting, reporting, and auditing of healthcare entities’ financial statements. This article provides an initial understanding of potential deficiencies in EHR systems and the role of CPAs in assessing controls for improving the quality of financial reporting.
CPAs learn early about the “fraud triangle” – pressure, opportunity, rationalization – yet we underscore that it comprises numerous sub‑triangles. Breaking these down reveals more specific combinations of red flags and behaviors that can illuminate risks hiding in plain sight. For auditors and tax professionals, dissecting each component helps reveal the fraud’s nuance rather than relying on generic checklist items.
Introduction
Two decades ago, the Public Company Accounting Oversight Board (PCAOB) was conceived and established to address various high-priority concerns....