Fraud Management System
Home
Risk Tree
Assessment
Environments
Schemes
Scenarios
Concealments
Controls
Red Flags
Audit Procedure
Tests
Findings
Parties
Other
Dashboard
Define
Assess
Respond
Report
Scenario Control Assessment
Control:
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
Assessment Detail
(
edit
)
1.
Control Value
Fair
Moderate
High
Superior
2.
Assessment Performed By
3.
Assessment Date (mm/dd/yyyy)
4.
Control Evaluation
Weak
Fair
Moderate
Strong
Very Strong
5.
Separation of Duties Evaluation
Weak
Fair
Moderate
Strong
Very Strong
6.
Control Effectiveness
Weak
Fair
Moderate
Strong
Very Strong
Control Evaluation
Audit Procedure Results
Audit Procedure
Control Risk
Risk Narrative
Control Evaluation
Review reconcilation of payments to bank accounts
Test Results
Test
Control Risk
Risk Narrative
Control Evaluation
Separation of Duties
Party
Scenario Performed By
Scenario Controls Performed By
Insiders
Clerk
Outsiders
Departments
Sign Up
About Us
Contact
Copyright © 2013 Risk Analytics Strategies, LLC. All Rights Reserved.