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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
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
