Question

instructions: select the most appropriate response.
which allows cms to enter into contracts with entities to perform cost reports auditing, medical reviews, and anti - fraud activities?
○ a. recovery audit contractor program
○ b. medicaid integrity program
○ c. patient safety and quality improvement act
○ d. zone program integrity contractor program

Explanation:

The Recovery Audit Contractor (RAC) program is specifically designed to identify and correct improper Medicare payments. It involves activities such as cost reports auditing, medical reviews, and anti - fraud efforts. Medicaid Integrity Program (b) mainly focuses on Medicaid fraud and abuse. The Patient Safety and Quality Improvement Act (c) is about improving patient safety. The Zone Program Integrity Contractor program (d) has a different scope compared to the activities mentioned in the question.

Answer:

A. Recovery Audit Contractor program