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Concealment Assessment
Concealment:
Description:
Path:
Provider Compliance - Submission of Accurate Claims and Information > Billing - Patient not present > Billing for services not provided - Using phantom or deceased persons' names
Assessment
Concealment Detail
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edit
)
1.
Concealment Likelihood
Probable
Reasonably Possible
Remote
2.
Controls Effectiveness
Weak
Fair
Moderate
Strong
Very Strong
3.
Concealment Red Flags Risk
High
Moderate
Low
4.
Concealment Risk
High
Moderate
Low
Concealment Likelihood
Category
Rating
Narrative
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Business Function Management
Control Environment
Concealment Likelihood
Controls Effectiveness
Control
Control
Type
Control Value
Control Evaluation
Separation of Duties Evaluation
Control Effectiveness
Control Effectiveness Narrative
Concealment Red Flags Risk
Red Flag
Area
Type
Occurrence
Risk
Risk Narrative
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