1. The Recovery Audit Program
... claims. In order to make Medicare's administrative systems more efficient, competitive, and performance based CMS now contracts with ten A/B MACs, whom cover various regions across the country. The goal of the medical review program is to identify and address coverage and coding billing errors made by providers. In order to achieve this goal Medicare Contractors use data analysis and evaluation ... covered by Medicare. As well as publishing educational articles that relate to the medical review process. One evident role of the CMS Medical Review personnel is to provide contractor oversig...
- Word Count: 2577
- Approx Pages: 10
- Grade Level: Undergraduate