Key Pieces of the Risk Assessment, Audit Process

By Nina Youngstrom

The Office of Billing Compliance at Penn Medicine in Pennsylvania uses a risk assessment process with a risk ranking guide to assign a numerical score to areas in the risk universe, according to Karen Smith, vice president and billing compliance officer at Penn Medicine, and Amber Farkas, manager of government audit and appeals.[1] Five factors are individually scored and the final score determines whether a risk area lands on the billing compliance work plan. Contact Smith at karen.smith5@pennmedicine.upenn.edu and Farkas at amber.farkas@pennmedicine.upeenn.edu.

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