tci Medicare Compliance & Reimbursement - 2021 Issue Q4

Quiz: Check Your Medicare Audit Know-How

Tip: ADR timelines may differ by audit type. Now that Medicare claims reviews are back in full swing, you should prepare for heightened scrutiny. Whether you are re-training staff or need a refresher course on the various claims auditors or audit types yourself, it’s a good idea to start with the fundamentals. Gauge your understanding of the different Medicare claims auditors and kinds of reviews with 10 tough questions and answers on the basics. 1. Which claims auditor determines the improper payment rate for the Medicare fee-for-service (FFS) program? A. Recovery Audit Contractor B. Zone Program Integrity Contractor...

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