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
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ARCALLERDENIALS
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 Capitation?
It is like a pre-paid cheque that was paid to the provider periodically. Insurance will assign patients, and capitated providers
Read MoreWhat is Billing Address?
Insurance company EOBs and Cheques were received at this address. It will be in CMS 1500 Box# 33. The billing
Read MoreWhat is the Billed amount of the claim/Charge amount of the claim?
It is the provider’s charge for the services he did. Billed amounts vary from provider to provider.
Read MoreWhat is Authorization Number?
Before providing certain services the provider must receive approval from a staff member of the payer’s UMR dept (Utilization Management
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