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Exam RHIA topic 1 question 412 discussion

Actual exam question from AHIMA's RHIA
Question #: 412
Topic #: 1
[All RHIA Questions]

Targeted states (California, Flordia, and New York) with a large Medicare population were included in a Medicare payment recovery demonstration project. This projects purpose was to determine if the use of ___________ is a cost-effective means of ensuring correct payments are provided under Medicare. These are charged with identifying underpayments and overpayments for claims filed under Medicare Part A and Part B. They recoup overpayments from the providers.

  • A. clinical data abstraction centers (CDAC)
  • B. quality improvement organizations (QIO)
  • C. recovery audit contractors (RAC)
  • D. peer review organizations (PRO)
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Suggested Answer: C 🗳️

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