3 steps - determine scope
- assess risk
- prioritize
pre-risk assessment check list - attorney directed+involved for various privileges of product
- determine scope, resources: labor, team, compliance expertise, time
- which departments, systems, processes, personnel
- review past RAs, hotline data
qualitative risk assessment work table common
area | review documents
| interview personnel
| identify risk
| strategy to correct risk
| coding and billing
| | | | | documentaion | | | | | COI | | | | | kick backs
| | | |
| self-referal | | | | | | | | | | | | | | |
quantify risk and prioritize risk qualitative
| liability / severity
| probability / likelihood
| risk quantitative | priority | | | | | | | | | | | | | | | | | | | |
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references and further reading - http://www.cbhc.org/news/wp-content/uploads/2011/05/Conducting-Baseline-Risk-Assessments.pdf
- https://www.healthcentercompliance.com/sites/default/files/e-library-file-downloads/rm-22-08.pdf
- http://www.slideshare.net/theHCCA/risk-assessments-internalcontrolsnueske
- https://www.ahia.org/assets/Uploads/pdfUpload/WhitePapers/Article2Risk-Assessment.pdf
- http://www.pwc.com/en_us/us/issues/enterprise-risk-management/assets/risk_assessment_guide.pdf
disclaimer: this is my academic and work product and doesn't constitute advice of any form. visaharan@uky.edu Dr. Visa (c) |
 Updating...
Ĉ Visa Haran, Aug 3, 2015, 1:08 PM
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