Risk & Controls Assessment
Risk & Controls Impact Assessment
Enhance Risk Controls Environment to Manage Gafety, Financial Integrity and Compliance
Behavioral Health clinics face the challenge of identifying compliance, financial and clinical risk in a continually changing landscape that serves a socioeconomically diverse population.
Technology presents opportunities to improve the controls environment and mitigate these risks through surveillance and automation. MRI’s competencies in healthcare risk assessment and reporting through innovative controls help better manage the inherent financial, compliance, technology, and clinical risks in care delivery.
Revenue Cycle
- Patient Access
- Charges Capture
- CDM
- Denial Management
- GL Reconciliation
IT General Controls (ITGCS)
And Segregation of duties (SODS)
- Changes Controls
- User Provisioning
- Access Controls
- Roles
- Responsibilities
- Sensitive Access
Patient Safety
- Loop Closure
- Transition of Care
- Unintended Consequences
- (Alert Fatigue, Copy and Paste, CDS, etc.)
Regulatory
And Segregation of duties (SODS)
- MACRA/ MIPS
- Quality Reporting
- Security / Privacy
- HIPAA,
- OIG/OCR Requirements
Foundational Objectives and Activities
- Evaluate risks using data, workflow analysis, and experienced subject matter professionals for controls integration.
- Facilitate functional stakeholder buy-in and support of the controls strategy to reduce risk, sustain the operating environment, and keep the system operating efficiency and effectively.
- Utilize proprietary tools and accelerators to deliver value more quickly and consistently.
- Provide leading practice recommendations from similar organizations to improve the control environment and reduce risk.
- Collaborate with clients, software providers and implementers to integrate and tailor CRSP methodologies and program approach to the EHR/HIT platform to reduce financial, technology, clinical and compliance risks.
