CPCO prep Questions and Verified Answers

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CPCO prep Questions and Verified Answers

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2025/2026

Institution CPCO Certification

Course CPCO Certification

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CPCO prep Questions and Verified AnswersCPCO prep Questions and Verified Answers

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CPCO prep Questions and Verified Answers

Audit MICs can audit a Medicaid provider throughout his or her__________.
Ans: Country

What type of software process identifies potential claim errors?
Ans: ?
Data mining

What does Medicare Part D cover?
Ans: Prescription Drugs

RACs perform what type of review(s)
Ans: Automated and complex

What description below best describes ZPICs?
Ans: 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?
Ans: Hearing by an Administrative Law Judge (ALJ)

What sets ZPIC audits apart from other Medicare audits?
Ans: The audits are targeted by potential Medicare fraud

How many regions are part of the Medicaid Fraud Control Unit?
Ans: 6

Medicaid Fraud Control Units (MFCUs) operate under the direction of _______.
Ans: Office of Inspector General (OIG)

Comprehensive Error Rate Testing Program (CERT) started in what year?
Ans: 2001

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Uploaded on: August 19, 2025
Number of pages: 4
Written in: 2025/2026
Type: Exam (elaborations)
Contains: Questions & answers

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