This audit flowchart sample was created on the base of the figure illustrating the webpage "Introduction to Claims Edits, Audits, Error Status Codes, and EOBs" from the website of the Ohio Department of Medicaid.
"Process.
As claims are submitted and processed, the data on the claim is validated against a series of rules, edits, and audits. Review the flowchart below to follow the sequence in which claim data is processed to see where edits and audits impact the claim adjudication process." [medicaid.ohio.gov/ PROVIDERS/ MITS/ MITSNonProviderCommunications/ MITSOnlineTutorials/ IntroductiontoClaimsEdits,Audits.aspx]
The audit flowchart example "Claim data processing" was created using the ConceptDraw PRO diagramming and vector drawing software extended with the Audit Flowcharts solution from the Finance and Accounting area of ConceptDraw Solution Park.
www.conceptdraw.com/ solution-park/ finance-audit-flowcharts
"Process.
As claims are submitted and processed, the data on the claim is validated against a series of rules, edits, and audits. Review the flowchart below to follow the sequence in which claim data is processed to see where edits and audits impact the claim adjudication process." [medicaid.ohio.gov/ PROVIDERS/ MITS/ MITSNonProviderCommunications/ MITSOnlineTutorials/ IntroductiontoClaimsEdits,Audits.aspx]
The audit flowchart example "Claim data processing" was created using the ConceptDraw PRO diagramming and vector drawing software extended with the Audit Flowcharts solution from the Finance and Accounting area of ConceptDraw Solution Park.
www.conceptdraw.com/ solution-park/ finance-audit-flowcharts
IDEF0 Visio
ConceptDraw PRO extended with IDEF0 Diagrams solution from the Software Development area of ConceptDraw Solution Park is a powerful diagramming and vector drawing IDEF0 software. All IDEF0 diagrams created in ConceptDraw PRO are vector graphic documents and can be reviewed, modified and converted to MS Visio XML format. To obtain the IDEF0 Visio documents from ConceptDraw PRO documents use the wide export possibilities of ConceptDraw PRO.- Claims Adjudication Process Flow Chart
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