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Exam (elaborations)

Domain 4 CDIP notes Part 1 of 6 verified to pass

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Domain 4 CDIP notes Part 1 of 6Why 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 Whos 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 3 Types of Reviews? - correct answer *Automated *Non Medical Record Review *Medical Record Review "Complex Review"

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