Which healthcare entity's mission focuses on reducing Medicare improper payments?

Prepare for the RHIA Domain 4 Test with multiple choice questions, flashcards, and detailed explanations. Get exam-ready confidence!

The Recovery Audit Contractor (RAC) program is specifically designed to identify and recover improper Medicare payments. This entity operates to ensure that payments made under Medicare are appropriate and that any overpayments are recouped. The mission of Recovery Audit Contractors involves reviewing claims and medical records to detect errors, ensuring compliance with Medicare policies. Their efforts help maintain the integrity of the Medicare program by reducing the financial loss due to improper payments, supporting the goal of providing accurate and efficient services to beneficiaries.

In contrast, other options serve different roles. Medicare Administrative Contractors focus on processing claims and providing customer service, rather than directly auditing for improper payments. The Health Insurance Portability and Accountability Act primarily addresses issues of privacy and security of health information, rather than improper payments. Quality Improvement Organizations work on enhancing healthcare service quality instead of focusing specifically on payment accuracy. All these distinctions clarify why the Recovery Audit Contractor is the correct choice for the mission of reducing Medicare improper payments.

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