What does RAC stand for in CMS claim reviews?

Prepare for the NHA Certified Billing and Coding Specialist (CBCS) Exam with engaging quizzes. Study with multiple choice questions, each offering hints and explanations, to enhance your understanding and readiness for the exam!

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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