Intro to Denial Management Domain 4 CDIP questions with correct answers

Why hire Medicare Contractor Reviewers? CORRECT ANSWER For Protection of Medicare Trust Fund. Who is 1st of 6 Medicare Contract Reviewers? CORRECT ANSWER (MACs) Medicare Administrative Contractors Whose is 2nd of 6 Medicare Contract Reviewers? CORRECT ANSWER (RACs) Recovery Auditor Contractors Who's 3rd of 6 Medicare Contractor Reviewers? CORRECT ANSWER (CERTs) Comprehensive Error Rate Testing Contractors Who's 4th of 6 Medicare Contract Reviewers? CORRECT ANSWER (SMRCs) Supplemental Medical Review Contractors Who's 5th of 6 Medicare Contract Reviewers? CORRECT ANSWER (ZPICs) Zone Program Integrity Contractors Who's 6th of 6 Medicare Contract Reviewers? CORRECT ANSWER (UPICs) Unified Program Integrity Contractor What are the MACs Responsible for? CORRECT ANSWER Performed Medical Reviews of IPPS claims since 2008. What's the purpose of a medical Review? CORRECT ANSWER Validates Medicare payments are made on claims that are truly covered and correctly coded services and they are Med Nec