What does RAC stand for in CMS claim reviews?

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Study for the NHA Certified Billing and Coding Specialist (CBCS) Exam. Utilize flashcards, multiple choice questions, detailed explanations, and hints. Prepare efficiently for your certification!

Multiple Choice

What does RAC stand for in CMS claim reviews?

Explanation:
RAC stands for Recovery Audit Contractor. This term refers to the CMS program where independent contractors are engaged to perform post-payment reviews of Medicare fee-for-service claims to detect and recover improper payments and overpayments. RACs analyze claims data, request supporting documentation from providers, and recover funds when overpayments are found. The other options aren’t terms CMS uses in claim reviews.

RAC stands for Recovery Audit Contractor. This term refers to the CMS program where independent contractors are engaged to perform post-payment reviews of Medicare fee-for-service claims to detect and recover improper payments and overpayments. RACs analyze claims data, request supporting documentation from providers, and recover funds when overpayments are found. The other options aren’t terms CMS uses in claim reviews.

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