Compliance

Creating an Internal Audit System That Actually Works

Design a proactive compliance program that catches errors before external audits do

13 min readUpdated November 2024

The best compliance audits are the ones you conduct yourself—before external auditors arrive. An effective internal audit system helps you identify and correct issues proactively, demonstrates good faith compliance efforts, and provides valuable documentation during formal reviews. Yet many VASCO offices lack structured audit programs, relying instead on reactive problem-solving.

This guide walks you through building a sustainable internal audit system tailored to your institution's size and complexity, with practical tools and templates you can implement immediately.

✓ Benefits of Internal Audits

  • • Catch errors before they become overpayments
  • • Demonstrate due diligence during external audits
  • • Identify training needs for staff
  • • Improve certification accuracy over time
  • • Reduce stress when formal audits occur

Audit Program Framework

Building Your Audit Schedule

Monthly Audits (High Priority)

Sample Size: 5-10 recent certifications

  • ✓ Verify training time calculations
  • ✓ Check term dates for accuracy
  • ✓ Confirm credit hour totals
  • ✓ Review benefit chapter selections
  • ✓ Validate prior credit evaluations completed

Quarterly Audits (Moderate Priority)

Sample Size: 15-20 certifications from past quarter

  • ✓ SAP compliance documentation
  • ✓ Enrollment change reporting timeliness
  • ✓ Yellow Ribbon calculations (if applicable)
  • ✓ Document retention compliance
  • ✓ Communication with students

Annual Comprehensive Audits

Sample Size: 50-100 certifications stratified by program

  • ✓ All monthly/quarterly items plus:
  • ✓ Policy compliance review
  • ✓ Staff certification accuracy rates
  • ✓ System and process effectiveness
  • ✓ Corrective action follow-up
  • ✓ Benchmarking against best practices

Risk-Based Sampling Methods

Prioritize High-Risk Areas

Don't audit randomly—focus on areas where errors are most likely or have highest impact:

High Risk = Audit More

  • • New VASCO staff certifications
  • • Non-standard term programs
  • • Clock hour to credit conversions
  • • Programs with frequent changes
  • • Yellow Ribbon participants
  • • Students with prior credit
  • • Concurrent enrollment situations

Lower Risk = Audit Less

  • • Standard semester programs
  • • Experienced staff certifications
  • • Continuing students (no changes)
  • • Traditional credit hour programs
  • • Automated certification systems
  • • Programs with clean audit history

Sample Selection Strategy

Stratified Random Sampling

Divide certifications into groups (by program, staff member, student type) then randomly select from each group to ensure representation.

Judgmental Sampling

Deliberately select cases that meet high-risk criteria or where errors have occurred previously.

Systematic Sampling

Review every Nth certification (e.g., every 10th enrollment) to maintain consistency.

Documenting Audit Findings

Finding Classification System

CRITICAL

Major Compliance Issues

Errors that result in overpayments or significant compliance violations requiring immediate correction.

Examples:

  • • Incorrect benefit rate certified (full-time vs. 3/4 time)
  • • Missing prior credit evaluation before certification
  • • Certifying courses outside approved program

Action Required: Immediate correction, notify VA if overpayment occurred

MODERATE

Process Deficiencies

Errors that could lead to compliance issues but haven't yet resulted in overpayments.

Examples:

  • • Incomplete file documentation
  • • Delayed reporting of enrollment changes
  • • Inconsistent application of policies

Action Required: Correction within 30 days, staff retraining

MINOR

Administrative Improvements

Best practice suggestions that improve efficiency but don't indicate compliance failures.

Examples:

  • • File organization improvements
  • • Template formatting inconsistencies
  • • Workflow efficiency opportunities

Action Required: Address as resources allow, track for trends

Audit Finding Template

Finding #:

[Sequential number]

Severity Level:

[Critical / Moderate / Minor]

Description:

[Clear explanation of what was found]

Criterion:

[What regulation/policy was violated]

Impact:

[Overpayment amount, students affected, etc.]

Recommendation:

[Specific corrective action needed]

Responsible Party:

[Who will fix it]

Due Date:

[When correction must be completed]

Continuous Improvement Process

The PDCA Cycle for Audit Programs

PLAN

  • ✓ Design audit schedule
  • ✓ Identify risk areas
  • ✓ Develop checklists
  • ✓ Assign responsibilities

DO

  • ✓ Conduct audits
  • ✓ Document findings
  • ✓ Classify by severity
  • ✓ Report results

CHECK

  • ✓ Analyze patterns
  • ✓ Identify root causes
  • ✓ Measure trends
  • ✓ Benchmark performance

ACT

  • ✓ Implement corrections
  • ✓ Provide training
  • ✓ Update procedures
  • ✓ Refine audit program

Metrics and Reporting

Track these key metrics to demonstrate audit program effectiveness:

Error Rate

% of certifications with errors

Correction Time

Average days to resolve findings

Repeat Issues

% of same errors recurring

Key Takeaways

  • 1.Regular internal audits catch errors before external auditors do
  • 2.Risk-based sampling focuses limited resources on highest-impact areas
  • 3.Documented findings and corrective actions demonstrate due diligence
  • 4.Continuous improvement cycles turn audit data into lasting process improvements