Question

The _______________ are the organizations that contract with Medicare to perform reviews of medical records with the corresponding Medicare claims to detect and correct improper payments.

Answer 1

Answer:

Recovery Audit Contractor

Explanation:

This program was established in 2003 by the Medicare Modernization Acts. It is operational in few States in the United States such as New York and Florida.

This program helps in identifying and reviewing medical records and reconciliation of payments by healthcare providers under fee-for-service (FFS) Medicare plans.

It helps in analyzing and rectifying improper payments. This contractors are also available in other fields and industries asides healthcare.

This program has helped in the recovery of millions of dollars since its inception and plan is underway to make it compulsory for every State in the United States.

Answer 2

Answer:

C. Recover Audit Contractors

Explanation:

The Recovery Audit Contractor (RAC) is a program that was created through the Medicare Modernization Act of 2003 (MMA). It was created to identify and recover improper Medicare payments paid to healthcare providers under fee-for-service (FFS) Medicare plans. The United States Department of Health and Human Services (DHHS) is required to make the program permanent for all states by law. And this was yo be done in January 1, 2010 under section 302 of the Tax Relief and Health Care Act of 2006.

The Recovery Audit Contractors (RAC) are the organizations that contract with Medicare to perform reviews of medical records with the corresponding Medicare claims to detect and correct improper payments from the question.