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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MEDICALBILLINGJOBS
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 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 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 Allowed amount/considered amount/Approved amount?
The dollar amount an insurance company deems fair for a specific service or procedure. This is the maximum amount that
Read MoreWhat is an Advance Beneficiary Notice (ABN)?
A notice that the hospital or doctor gives the patient before the treatment, telling the patient that Medicare will not
Read MoreWhat is Ambulatory Surgery (ASC)?
Outpatient surgery or surgery that does not require an overnight hospital stay (more than 24 hours). Other names Day surgery
Read MoreMOCK-CALL_DEDUCTIBLE
Sandy: Thanks for calling this is Sandy how may I help you today? James: Hai my name is James I
Read MoreMaximum Benefit Exhausted/Met Denial.
Meaning: Some insurance companies limit the dollar amount they will pay per year for certain services or they limit the
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