Insurance companies often receive electronic hospitalization claims directly from hospitals.
Which of the following control procedures would be most effective in detecting fraud in such an environment?
A . Use integrated test facilities to test the accuracy of processing in a manner that is transparent to data processing.
B . Develop monitoring programs to identify unusual types of claims or an unusual number of claims by demographic class for investigation by the claims department.
C . Use generalized audit software to match the claimant identification number with a master list of valid policyholders.
D . Develop batch controls over all items received from a particular hospital and process those claims in batches.
Answer: B
Latest IIA-CIA-Part2 Dumps Valid Version with 601 Q&As
Latest And Valid Q&A | Instant Download | Once Fail, Full Refund