Medical Auditing Practice Exam 2025 – 400 Free Practice Questions to Pass the Exam

Question: 1 / 400

What is the primary aim of audits conducted by Recovery Audit Contractors (RACs)?

To limit the number of services provided to patients

To recover overpayments and ensure Medicare Trust Fund integrity

The primary aim of audits conducted by Recovery Audit Contractors (RACs) is to recover overpayments and ensure the integrity of the Medicare Trust Fund. RACs are tasked with identifying and correcting improper payments made to healthcare providers by Medicare. This involves reviewing claims to confirm that they were billed correctly in accordance with Medicare guidelines.

By focusing on the recovery of overpayments, RACs help to maintain the financial health of the Medicare program, ensuring that funds are used appropriately and remain available for beneficiaries. This process also serves to deter fraudulent activities and promotes compliance among healthcare providers, which ultimately supports the overall integrity of the Medicare system.

Other choices, such as limiting services provided to patients or verifying patient consent, do not align with the primary mission of RACs. Similarly, streamlining the billing process, while potentially a beneficial outcome of accuracy in claims submission, is not the direct focus of what RACs aim to accomplish through their audits.

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To verify patient consent for procedures

To streamline the billing process

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