CPCO prep Exam 2025 Questions and
Answers
Audit MICs can audit a Medicaid provider throughout his or her__________. -
....ANSWER ...-Country
What type of software process identifies potential claim errors? - ....ANSWER ...-?
Data mining
What does Medicare Part D cover? - ....ANSWER ...-Prescription Drugs
RACs perform what type of review(s) - ....ANSWER ...-Automated and complex
What description below best describes ZPICs? - ....ANSWER ...-ZPICs are private
companies contracted by CMS, used to conduct audits for Medicare and Medicaid
overpayments
What is the level 3 of the RAC Claims appeals process? - ....ANSWER ...-Hearing
by an Administrative Law Judge (ALJ)
What sets ZPIC audits apart from other Medicare audits? - ....ANSWER ...-The
audits are targeted by potential Medicare fraud
How many regions are part of the Medicaid Fraud Control Unit? - ....ANSWER ...-
6
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
Answers
Audit MICs can audit a Medicaid provider throughout his or her__________. -
....ANSWER ...-Country
What type of software process identifies potential claim errors? - ....ANSWER ...-?
Data mining
What does Medicare Part D cover? - ....ANSWER ...-Prescription Drugs
RACs perform what type of review(s) - ....ANSWER ...-Automated and complex
What description below best describes ZPICs? - ....ANSWER ...-ZPICs are private
companies contracted by CMS, used to conduct audits for Medicare and Medicaid
overpayments
What is the level 3 of the RAC Claims appeals process? - ....ANSWER ...-Hearing
by an Administrative Law Judge (ALJ)
What sets ZPIC audits apart from other Medicare audits? - ....ANSWER ...-The
audits are targeted by potential Medicare fraud
How many regions are part of the Medicaid Fraud Control Unit? - ....ANSWER ...-
6
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
