Question

instructions: select the most appropriate response.
what program contracts with medicaid program to identify and recoup overpayment and underpayment of fees to providers?
a. dme
b. mfcu
c. perm
d. rac

Explanation:

• DME (Durable Medical Equipment): Focuses on equipment, not payment recoupment.
• MFCU (Medicaid Fraud Control Unit): Deals with fraud, not general over/under - payment recoupment.
• PERM (Program for Evaluating Payment Patterns Electronic Review): A CMS tool for Medicare, not Medicaid.
• RAC (Recovery Audit Contractor): By definition, contracts with Medicaid (and Medicare) to identify and recoup overpayments and underpayments.

Answer:

d. RAC