QUESTION IMAGE
Question
what program uses program integrity contractors to review billing trends and patterns across medicare programs?
a. rac
b. ppaca
c. heat
d. cms
The Recovery Audit Contractor (RAC) program is designed to identify and correct improper Medicare payments. RACs review claims to detect overpayments and underpayments. They analyze billing trends and patterns across Medicare programs. The other options: PPACA (Patient Protection and Affordable Care Act) is a broader healthcare reform law, HEAT (Healthcare Fraud Prevention and Enforcement Action Team) focuses more on fraud enforcement, and CMS (Centers for Medicare & Medicaid Services) is the agency that administers Medicare, not a program specifically using integrity contractors for this billing - trend - review purpose.
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A. RAC