Notes

Employee Name :

1) What is difference between Employer Group Health Program & Workers Compensation?

2) What do you understand by Taxonomy code?

3) What all point of analysis you would be taking into account while planning inventory allocation/Assignment ?

4) What all steps are required to resolve Claim denied due to "Missing Pre-Authorization"?

5) What do understand by DAR? What should be ideal value for electronically filed claims and How will you calculate DAR?

6) What all metrics you will review from Month End Client reports to analyze Client performance? List any 4 indicators or points of analysis.

7) How would you handle denial CO97 "Benefit for this Service is included in the payment". List all steps.

8) Patient got CO27 denial "expenses incurred after coverage terminated" on two visits performed in month of Jan'17 and there are 3 more visits in the month of Mar'18. What would be your action?

9) The office receives an EOB from commercial payer. One of the denial has reason Code CO97: Benefits included in Payment/allowance for another service. What type of denial is this?

10) Which of the following is not usually data entry denial?

11) All work related injuries are to be billed to Employer sponsored Group Health Plan.

12) If a non-PAR provider's usual fee is $700, the allowed amount is $250, and balance billing is permitted, what amount is written off?

13) What all point of analysis you would be taking into account while planning inventory allocation ?

14How would you handle the following EOB denials or
“$0.00 pays? a)Non-Covered Service

b.) Patient ineligible on date of service



15 )How will you identify training requirements for your Team? List criteria?

SUBMIT

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