What is the main role of Fee-For-Service Recovery Auditors in Medicare?

The primary role of Fee-For-Service Recovery Auditors in Medicare is to identify improper payments. These auditors play a crucial role in ensuring the integrity of the Medicare program by reviewing claims to determine whether payments made to healthcare providers for services rendered were appropriate and in accordance with Medicare regulations. This process involves detailed analysis of claims data to spot instances of overpayments, underpayments, or payments for services that were not medically necessary.

Identifying improper payments is vital for maintaining the financial stability of the Medicare program and protecting taxpayer dollars from being misused. By highlighting discrepancies and overpayments, recovery auditors help ensure that healthcare providers adhere to guidelines and that beneficiaries receive appropriate care, thus supporting the overall efficiency of the healthcare system.

The other options, while relevant to different aspects of healthcare management and services, do not accurately describe the specific focus of recovery auditors within the Medicare framework. They do not provide direct healthcare services, manage claims submissions in a general sense, or conduct broad audits on healthcare facilities as their primary mission. Their concentrated effort on identifying improper payments sets them apart as essential oversight entities within the Medicare program.