Content Preview

CPCO prep Exam 2025 Questions and Answers Audit MICs can audit a Medicaid provider throughout his or her__________. ....ANSWER ...-Country What type of software process identifies potential claim errors? - ....ANSWER ...-? Data mining What does Medicare Part D cover? - ....ANSWER RACs perform what type of review(s) - ....ANSWER ...-Prescription Drugs ...-Automated and complex What description below best describes ZPICs? - ....ANSWER ...-ZPICs are private companies contracted by CMS, used to conduct audits for Medicare and Medicaid overpayments What is the level 3 of the RAC Claims appeals process? - ....ANSWER ...-Hearing by an Administrative Law Judge (ALJ) What sets ZPIC audits apart from other Medicare audits? - ....ANSWER ...-The audits are targeted by potential Medicare fraud How many regions are part of the Medicaid Fraud Control Unit? - ....ANSWER ...- 6 …FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1