CPCO Chapter 11 Review Questions and Answers with Verified
Solutions | Latest 2026 Update
Q: Response Feedback
Answer:
Medicaid Integrity Program
Q: Which of the following is TRUE per CMS website?
Answer:
Providers billing fee-for-service are subjected to RAC audits.
Q: Response Feedback
Answer:
If your practice or health care organization bills fee-for-service programs, your
claims will be
subject to review by the RACs.
, CPCO Chapter 11 Review Questions and Answers with Verified
Solutions | Latest 2026 Update
Q: _________ are paid on a contingency fee basis, receiving a percentage of the
improper
Answer:
overpayments and underpayments they collect from providers. RACs
Q: Response Feedback
Answer:
RACs are paid on a contingency fee basis, receiving a percentage of the improper
overpayments
and underpayments they collect from providers. RACs are required to employ a staff
consisting
of nurses, therapists, certified coders, and a physician serving as a certified medical
director;
therefore, their knowledge cannot be questioned when performing audits.
Q: When did the Medicare Modernization act (MMA) become a law?
Answer:
2003
, CPCO Chapter 11 Review Questions and Answers with Verified
Solutions | Latest 2026 Update
Q: Response Feedback
Answer:
On December 8, 2003, the Medicare Modernization Act (MMA) was signed into law
Q: Mary is the Compliance Officer for Apple Community Hospital. Mary asks the
Billing Manager to
Answer:
remind her of the two types of Recovery Audit Contractor (RAC) reviews. The
answer is:
Automated and Complex
Solutions | Latest 2026 Update
Q: Response Feedback
Answer:
Medicaid Integrity Program
Q: Which of the following is TRUE per CMS website?
Answer:
Providers billing fee-for-service are subjected to RAC audits.
Q: Response Feedback
Answer:
If your practice or health care organization bills fee-for-service programs, your
claims will be
subject to review by the RACs.
, CPCO Chapter 11 Review Questions and Answers with Verified
Solutions | Latest 2026 Update
Q: _________ are paid on a contingency fee basis, receiving a percentage of the
improper
Answer:
overpayments and underpayments they collect from providers. RACs
Q: Response Feedback
Answer:
RACs are paid on a contingency fee basis, receiving a percentage of the improper
overpayments
and underpayments they collect from providers. RACs are required to employ a staff
consisting
of nurses, therapists, certified coders, and a physician serving as a certified medical
director;
therefore, their knowledge cannot be questioned when performing audits.
Q: When did the Medicare Modernization act (MMA) become a law?
Answer:
2003
, CPCO Chapter 11 Review Questions and Answers with Verified
Solutions | Latest 2026 Update
Q: Response Feedback
Answer:
On December 8, 2003, the Medicare Modernization Act (MMA) was signed into law
Q: Mary is the Compliance Officer for Apple Community Hospital. Mary asks the
Billing Manager to
Answer:
remind her of the two types of Recovery Audit Contractor (RAC) reviews. The
answer is:
Automated and Complex
