Important Interview Questions with Answers
Physicians are responsible for submitting claims and getting paid for the services. The CPT codes are updated and copyrighted annually
Read More
MOCK-CALL_PAID_SCENARIO
CLAIM PAID ETHAN is an AR CALLER calling an Insurance rep named EMILY for a claim paid status Emily: Thanks for
Read MoreMedically Not Necessity Denial
Medical necessity is defined as accepted health care services and supplies provided by healthcare entities appropriate to evaluating and treating
Read MoreWhat is Assignment of Benefits (AOB)?
A written consent, signed by the policyholder/patient (in the absence of the policyholder) at the time of registration. This is
Read MoreWhat is Appeal?
A process by which patients or doctors/hospitals can object when they disagree with the health plan’s decision not to pay
Read MoreWhat is Aging Report?
An aging report in medical billing terms means it is an insurance claim or patient’s balances that are unpaid for
Read MoreWhat is CLIA number- (Clinical Laboratory Improvement Amendments)?
CLIA was Passed by Congress in 1988 to ensure the accuracy, reliability, and timeliness of patient test results, wherever a
Read MoreWhat is Clean Claim?
A claim is one that will pass through all front-end edits to the insurance processing units through an electronic clearing
Read MoreWhat is Capitation?
It is like a pre-paid cheque that was paid to the provider periodically. Insurance will assign patients, and capitated providers
Read More