pre-risk assessment check list

1. attorney directed+involved for various privileges of product
2. determine scope, resources: labor, team, compliance expertise, time
3. which departments, systems, processes, personnel
4. 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

references and further reading

1. http://www.cbhc.org/news/wp-content/uploads/2011/05/Conducting-Baseline-Risk-Assessments.pdf
2. https://www.healthcentercompliance.com/sites/default/files/e-library-file-downloads/rm-22-08.pdf
3. http://www.slideshare.net/theHCCA/risk-assessments-internalcontrolsnueske
4. https://www.ahia.org/assets/Uploads/pdfUpload/WhitePapers/Article2Risk-Assessment.pdf
5. 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)