Which of the following is NOT one of the types of reviews performed by FFS Recovery Auditors?

Get ready for the AAPC Certified Professional Medical Auditor Test. Enhance your skills with multiple choice questions, each designed to provide thorough explanations. Excel in your exam preparation!

The correct choice indicates that "Pre-emptive review" is not a type of review performed by Fee-for-Service (FFS) Recovery Auditors. FFS Recovery Auditors typically engage in three primary types of reviews: Automated review, Semi-automated review, and Complex review.

Automated reviews involve the use of software to analyze claims data and identify potential overpayments based on existing coding and coverage rules, which makes them efficient for identifying clear-cut errors. Semi-automated reviews may require a combination of automated processes alongside some level of manual intervention to address issues where computer algorithms might not provide a definitive answer. Complex reviews are in-depth examinations of specific claims that require detailed analysis and are often performed by auditors who have specialized knowledge of medical coding and billing.

In contrast, pre-emptive reviews do not fit within the established framework utilized by FFS Recovery Auditors, as they generally pertain to processes aimed at preventing errors before claims are submitted, rather than assessing claims after payment has been made. The focus of FFS Recovery Auditors is primarily on retrospective audits to recover overpayments, making "pre-emptive review" an incorrect selection in this context.

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