Once an Improper Payment Is Identified, the RAC Would Contact

question 8

Multiple Choice

Once an improper payment is identified, the RAC would contact the provider and notify them of an overpayment that they received. They would look to collect that amount from the provider, or an underpayment that the provider received from CMS and pay that amount to the provider. This process is called:

• A) Automated Review.
• B) Retrospective Review.
• C) Prospective Review.
• D) Complex Review.

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Definitions:

Cervix

Narrow end of the uterus, which leads into the vagina.

Labor

The process of childbirth, starting from the onset of contractions to the delivery of the baby and placenta.

Dilation

The process of widening, stretching, or expanding.

Fetal Heartbeat

The heart rate of a fetus, which can typically be detected by ultrasound as early as 5-6 weeks of pregnancy.