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Dashboard Define Assess Respond Report     Scheme Assessment Scheme: Description: Path: Provider Compliance - Submission of Accurate Claims and Information       Assessment     Risk Assessment (edit) 1. Likelihood ProbableReasonably PossibleRemote   2. Significance HighModerateLow   3. Inherent Risk HighModerateLow   4. Controls Effectiveness WeakAdequateStrong   5. Concealment Risk HighModerateLow   6. Scenario Red Flags Risk HighModerateLow   7. Residual Risk HighModerateLow       Scenario Risks   Scenario Likelihood Significance Inherent Risk Controls Effectiveness Concealment Risk Scenario Red Flags Risk Residual Risk Billing for services not provided - Using existing patient names Reasonably Possible Low Moderate Fair Moderate Low Moderate Billing for services not provided - Using phantom or deceased persons' names Reasonably Possible High Moderate Fair Moderate Low Moderate

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