Question 370
During a routine controls assessment at a regional hospital, the IS auditor learns that a payment solution design has no reconciliation between initiated and settled transactions. The affected operation supports patient-care scheduling and claims processing. Healthcare service continuity and protected records are at stake. Which weakness is MOST material to the control objective in this situation?
Explanation
Correct Answer
Correct. Missing input, processing, authorization or monitoring controls can allow inaccurate or unauthorized business transactions. The described exception is: a payment solution design has no reconciliation between initiated and settled transactions. This risk ties the observation to the business significance of patient-care scheduling and claims processing, rather than treating management's claim as independent assurance.
Incorrect Answers
Projects may proceed with unapproved scope, unmanaged risk or unverified business accountability. That change would not implement evidence appropriate to the audit conclusion.
Incomplete or inaccurate migration can corrupt business records even when the new application starts correctly. The configuration must instead establish evidence appropriate to the audit conclusion.
Unauthorized or unrepeatable deployments can invalidate tested controls and complicate rollback. The evidence appropriate to the audit conclusion prerequisite remains unaddressed.