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Scenario Red Flag – Audit Procedure Assessment
Procedure:
Description:
Detail:
Path: Provider Compliance - Submission of Accurate Claims and Information > Billing - Patient not present > Billing for services not provided - Using phantom or deceased persons' names > Patient File Does Not Agree with Billing Records
 
Assessment
 
Red Flags Audit Assessment (edit)
1. Audit Work Performed  
2. Auditor  
3. Audit Work and Results  
4. Red Flag Frequency  
5. Red Flag Risk  
 
       
 
 
Audit Findings
 
Add Finding...
 
Finding Type Residual Risk  
Test Finding Compliance Red Flag Moderate edit | delete  
Detail
detail finding statement
Residual Risk
some residual risk
Management Response
Management response goes here
 
 
Add Finding...
 
 
Audit Test Evaluation
 
Test Test Description Red Flags Frequency Red Flags Risk Risk Narrative
Test patient files Test
 
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