70+ Access Healthcare Interview Questions and Answers

Journal Entry is a record of financial transactions. Depreciation is the decrease in value of an asset over time. Reconciliation Statements are used to compare financial records. R2R and P2P are accounting processes.

• Journal Entry is a record of financial transactions in chronological order

• Depreciation is the decrease in value of an asset over time due to wear and tear or obsolescence

• Reconciliation Statements are used to compare financial records to ensure accuracy and identif...read more

India currently uses the Indian Standard Time (IST) which is 5 hours and 30 minutes ahead of Coordinated Universal Time (UTC+5:30).

• India uses the 24-hour clock system.

• IST is observed throughout the country, including major cities like Mumbai, Delhi, Bangalore, and Kolkata.

• During daylight saving time, India does not change its clocks.

• IST is also used in neighboring countries like Sri Lanka and Bangladesh.

GC and GE modifiers are used in Medicare billing to indicate the level of supervision provided by a physician.

• GC modifier is used to indicate that a service was performed under the general supervision of a physician

• GE modifier is used to indicate that a service was performed under the direct supervision of a physician

• GC modifier is used for services that do not require the physical presence of a physician

• GE modifier is used for services that require the physical presence of a...read more

Payment posting is the process of recording and reconciling payments received from patients or insurance companies.

• It involves entering payment information into the billing system

• Verifying that the payment matches the amount owed

• Applying the payment to the correct account or invoice

• Identifying and resolving any discrepancies or errors

• Examples include posting payments for medical services, rent, or utilities

An independent historian is a historian who is not affiliated with any institution or organization.

• Independent historians conduct research and write about historical events without any institutional or organizational influence.

• They may work as freelance historians or as academics who choose to work independently.

• Independent historians may have more freedom to pursue unconventional or controversial topics.

• Examples of independent historians include Howard Zinn, David McCullough...read more

The responsible party for payment if AOB is not signed depends on the specific circumstances and agreements between the parties involved.

• If the AOB (Assignment of Benefits) is not signed, the responsibility for payment may fall on the patient themselves.

• In some cases, the healthcare provider may still bill the insurance company directly, but without the AOB, the patient may be responsible for any unpaid amounts.

• If there is a third-party involved, such as a legal guardian or a...read more

Bundled denial refers to the denial of multiple medical procedures that are considered part of a larger bundle of services.

• Bundled denial occurs when multiple medical procedures are denied because they are considered part of a larger bundle of services.

• This is often seen in cases where a patient undergoes a surgery and multiple procedures are performed during the same operation.

• Insurance companies may deny payment for certain procedures if they are considered part of the bund...read more

Pune is my preferred location due to its pleasant climate, rich culture, and ample job opportunities.

• Pune has a moderate climate throughout the year, making it comfortable to live in.

• The city has a rich cultural heritage, with numerous historical sites and festivals.

• Pune is a hub for IT and manufacturing industries, providing ample job opportunities.

• The city has a good education system, with several renowned universities and colleges.

• Pune is well-connected to other major citi...read more

Types of denials in client partnerships include authorization, eligibility, medical necessity, and timely filing denials.

• Authorization denials occur when services are provided without proper approval from insurance.

• Eligibility denials happen when the patient's insurance coverage is not active or does not cover the service.

• Medical necessity denials occur when the service provided is not deemed medically necessary by the insurance.

• Timely filing denials happen when claims are no...read more

Patient responsibilities refer to the actions and behaviors expected from individuals seeking medical care.

• Following treatment plans as prescribed by healthcare providers

• Providing accurate medical history and information

• Adhering to appointment schedules

• Informing healthcare providers of any changes in symptoms or condition

• Respecting healthcare staff and facilities

Glands are specialized organs that produce and release substances necessary for bodily functions.

• Endocrine glands secrete hormones directly into the bloodstream, e.g., pituitary gland

• Exocrine glands release substances through ducts, e.g., sweat glands

• Salivary glands produce saliva to aid in digestion

• Thyroid gland regulates metabolism

• Adrenal glands produce hormones like adrenaline

• Pancreas secretes digestive enzymes and insulin

• Mammary glands produce milk in females

• Testes produc...read more

The new MDM table is designed to store master data related to customers, products, and suppliers.

• The table will have columns for unique identifiers, names, addresses, and contact information.

• It will also include columns for classification, such as customer type or product category.

• The table will be linked to other tables in the database to ensure data consistency and accuracy.

• The MDM table will be regularly updated and maintained to ensure data quality and completeness.

Adjustment reason code 51 is used for non-covered services because the service is not deemed a medical necessity.

• Adjustment reason code 51 is used when a service is not covered because it is not considered medically necessary.

• This code is often used by insurance companies to explain why they are not paying for a specific service.

• Providers may receive this code when submitting claims for services that are not deemed essential for the patient's health.

• Examples of services that ...read more

The deductible for Medicare Part B this year is $203.

• The deductible for Medicare Part B is an annual amount that beneficiaries must pay before Medicare begins to cover their medical expenses.

• For 2021, the deductible for Medicare Part B is $203.

• This deductible applies to services such as doctor visits, outpatient care, and medical equipment.

• Some beneficiaries may have a different deductible amount based on their income level.

ICD coding guidelines and sequencing are essential for accurate medical coding and billing.

• ICD coding guidelines provide rules for assigning diagnostic codes to patient encounters

• Sequencing involves determining the primary diagnosis code based on the patient's condition

• Proper sequencing ensures accurate reimbursement and data analysis

• For example, in cases of pneumonia and sepsis, the primary diagnosis should be sequenced first

Authentication (Auth) is the process of verifying the identity of a user or system. There are various types of authentication methods.

• Authentication is crucial for ensuring security in systems and applications.

• Types of authentication include password-based, biometric, two-factor authentication, and OAuth.

• Examples: Password-based authentication requires users to enter a password to access their accounts. Biometric authentication uses fingerprints or facial recognition for veri...read more

Non-covered refers to services not included in an insurance policy. Types include cosmetic procedures, experimental treatments, and certain elective surgeries.

• Non-covered services are typically outlined in the insurance policy's exclusions section.

• Examples of non-covered services may include cosmetic procedures like teeth whitening, experimental treatments not approved by the FDA, and elective surgeries like plastic surgery for purely aesthetic reasons.

Revenue Cycle Management is the process of managing the financial aspects of a patient's journey through the healthcare system.

• It involves tasks such as patient registration, insurance verification, coding, billing, and payment collection.

• Efficient revenue cycle management helps healthcare organizations optimize their financial performance and improve cash flow.

• Examples of revenue cycle management software include Epic Systems, Cerner, and Meditech.

MDM table is a master data management table that stores key information about entities in an organization.

• MDM tables store unique identifiers for entities such as customers, products, or employees.

• They also store attributes related to these entities, such as names, addresses, and contact information.

• MDM tables help ensure data consistency and accuracy across different systems in an organization.

• Examples of MDM tables include Customer_Master, Product_Master, and Employee_Maste...read more

Hormones are chemical messengers produced by glands in the endocrine system that regulate various bodily functions.

• Hormones are secreted by glands in the endocrine system

• They act as chemical messengers, carrying signals between cells and organs

• Hormones regulate various bodily functions such as growth, metabolism, reproduction, and mood

• Examples of hormones include insulin, estrogen, testosterone, and adrenaline

An out of network provider is a healthcare provider that does not have a contract with a particular health insurance plan.

• Out of network providers may result in higher out-of-pocket costs for patients

• Patients may need to submit claims themselves for reimbursement

• Examples include seeing a specialist who is not in-network with your insurance plan

RCM cycle stands for Revenue Cycle Management cycle, which is the process of managing claims, payments, and revenue generation in the healthcare industry.

• RCM cycle involves patient registration, insurance verification, charge capture, claim submission, payment posting, denial management, and reporting.

• It ensures that healthcare providers are properly reimbursed for their services.

• For example, a medical billing company may handle the RCM cycle for a hospital to ensure timely a...read more

The cardiovascular system is responsible for circulating blood throughout the body.

• Consists of the heart, blood vessels, and blood

• Delivers oxygen, nutrients, and hormones to cells

• Removes waste products and carbon dioxide

• Helps regulate body temperature

• Examples: heart pumping blood, arteries carrying oxygenated blood, veins returning deoxygenated blood

Managing operations, technology adoption, and financial targets requires a strategic approach.

• Develop a comprehensive strategy that aligns with the company's goals and objectives

• Identify key performance indicators (KPIs) to measure progress and success

• Implement technology solutions that streamline operations and improve efficiency

• Regularly review financial targets and adjust strategies as needed

• Collaborate with cross-functional teams to ensure alignment and effective communic...read more

The human body has three main layers of skin: the epidermis, dermis, and hypodermis.

• The outermost layer of the skin is called the epidermis, which provides a protective barrier against external factors.

• Beneath the epidermis is the dermis, which contains blood vessels, nerves, hair follicles, and sweat glands.

• The deepest layer is the hypodermis, also known as subcutaneous tissue, which consists of fat cells that provide insulation and cushioning.

• Each layer of the skin has its ...read more

Access health care refers to the ability of individuals to obtain medical services and treatment.

• Access to health care can be affected by factors such as location, income, and insurance coverage.

• Barriers to access can include lack of transportation, language barriers, and discrimination.

• Examples of access to health care initiatives include community health clinics, telemedicine, and mobile health clinics.

ABN form stands for Advance Beneficiary Notice form, used in healthcare to inform Medicare beneficiaries of potential denial of payment for services.

• ABN form is used in healthcare to notify Medicare beneficiaries that Medicare may not cover a specific service or item.

• It is used when a provider believes Medicare will not pay for a particular service, and the patient may be responsible for payment.

• The ABN form must be signed by the patient before the service is provided.

• It help...read more

Copay is a fixed amount paid by the patient for a covered healthcare service, while deductible is the amount the patient must pay before insurance starts covering costs.

• Copay is a set fee paid by the patient at the time of service (e.g. $20 for a doctor's visit)

• Deductible is the amount the patient must pay out of pocket before insurance kicks in (e.g. $1000 deductible before insurance covers costs)

• Both copay and deductible are common terms in health insurance and impact the p...read more

The cardiovascular system is responsible for circulating blood throughout the body.

• Consists of the heart, blood vessels, and blood

• Delivers oxygen and nutrients to cells

• Removes waste products from tissues

• Helps regulate body temperature

• Examples: heart pumps blood, arteries carry oxygen-rich blood

Physician billing is for services provided by individual doctors, while hospital billing is for services provided by the hospital facility.

• Physician billing is for professional services rendered by individual doctors, such as consultations, surgeries, and procedures.

• Hospital billing includes charges for facility fees, equipment usage, room and board, and other hospital services.

• Physician billing is typically billed separately from hospital billing, even if the physician is em...read more

UB04 claims are used for inpatient and outpatient hospital services billed to insurance companies.

• UB04 claims are used for inpatient and outpatient hospital services

• They include information such as patient demographics, dates of service, procedures performed, and diagnosis codes

• UB04 claims are typically used by hospitals, skilled nursing facilities, and other institutional providers

CO-50 denial is a common denial code in medical billing indicating that the services provided were not deemed medically necessary.

• CO-50 denial is used when the services provided are not considered medically necessary by the insurance company.

• It is important to review the documentation and ensure that the services meet the medical necessity criteria.

• Providers may need to submit additional documentation or appeal the denial to overturn a CO-50 denial.

• Examples of services that m...read more

BPO services refer to outsourcing business processes to third-party service providers to improve efficiency and reduce costs.

• BPO stands for Business Process Outsourcing

• Common BPO services include customer support, technical support, data entry, and back-office operations

• Companies often outsource BPO services to countries like India, the Philippines, and Eastern Europe for cost savings

• BPO services can help companies focus on core business activities and improve overall product...read more

Find the first unique element in an array of integers.

• Iterate through the array and count the frequency of each element.

• Return the first element with a frequency of 1.

• If no unique element is found, return -1.

Denial codes from physician billing refer to the specific codes used to indicate reasons for claim denials.

• Denial codes help identify the specific reason for a claim denial, such as lack of medical necessity or incorrect coding.

• Common denial codes include CO-97 (payment adjusted because this procedure/service is not paid separately), CO-96 (non-covered charge(s)), and CO-16 (claim/service lacks information or has submission/billing error(s)).

• Understanding denial codes is cruc...read more

Relieving is done to ensure smooth functioning of the team and to address any issues or concerns that may be hindering productivity.

• Relieving helps in addressing any conflicts or misunderstandings within the team.

• It allows for a fresh perspective and new ideas to be brought in by a new leader.

• Sometimes relieving is necessary if the current leader is unable to effectively manage the team or achieve desired results.

Health care is crucial for maintaining physical and mental well-being.

• Prevents and treats illnesses and injuries

• Promotes healthy lifestyle choices

• Improves quality of life

• Reduces healthcare costs in the long run

• Ensures access to necessary medical services

• Provides emotional and psychological support

• Contributes to economic growth and productivity

To troubleshoot a printer, check for paper jams, ensure proper connections, update drivers, and restart the printer.

• Check for paper jams and clear any obstructions

• Ensure the printer is properly connected to power and the computer

• Update printer drivers to the latest version

• Restart the printer and the computer

QC tools are methods used to monitor and control the quality of processes and products in various industries.

• Statistical Process Control (SPC) charts

• Pareto analysis

• Cause and effect diagrams (Fishbone diagrams)

• Histograms

• Scatter diagrams

• Control charts

General billing in US healthcare involves complex processes of submitting claims, coding procedures, and handling insurance payments.

• Billing in US healthcare involves submitting claims to insurance companies for reimbursement.

• Medical coding is essential for accurately documenting procedures and diagnoses.

• Healthcare providers must follow specific billing guidelines to ensure proper reimbursement.

• Insurance companies may deny claims if they are not submitted correctly or if the ...read more

I enjoy spending my weekends exploring new places and trying out new restaurants.

• I like to plan a day trip to a nearby town or city

• I enjoy trying out new restaurants and cuisines

• I also like to spend some time outdoors, either hiking or going for a walk in a park

• Sometimes I like to attend events or concerts happening in the area

• If I'm feeling more low-key, I'll spend time at home cooking or reading a book

As a Delivery Manager, my day to day activities involve overseeing project timelines, managing resources, communicating with stakeholders, and ensuring successful project delivery.

• Creating and maintaining project plans

• Assigning tasks to team members

• Monitoring project progress and addressing any issues

• Communicating with clients and stakeholders

• Ensuring projects are delivered on time and within budget

• Conducting regular team meetings to discuss progress and challenges

The name of the skin layer is the epidermis.

• The epidermis is the outermost layer of the skin.

• It is composed of multiple layers of cells, including keratinocytes.

• The epidermis acts as a protective barrier against external factors.

• It is responsible for the production of melanin, which gives color to the skin.

• The epidermis also plays a role in regulating body temperature.

Shrinkage can be managed by implementing strict inventory control measures, conducting regular audits, training employees on theft prevention, and utilizing technology like surveillance cameras.

• Implement strict inventory control measures to track all products entering and leaving the store

• Conduct regular audits to identify any discrepancies in inventory levels

• Train employees on theft prevention techniques and the importance of reporting any suspicious activity

• Utilize technolo...read more

My strength lies in my excellent communication skills, ability to build rapport with customers, and determination to meet targets.

• Excellent communication skills

• Ability to build rapport with customers

• Determination to meet targets

Access Health Services offers a supportive work environment and opportunities for growth.

• Access Health Services has a strong reputation for providing quality healthcare services.

• The company values its employees and offers competitive benefits.

• There are opportunities for career advancement and professional development at Access Health Services.

API lifecycle refers to the stages an API goes through from design to retirement.

• Design: Planning and creating the API

• Development: Implementing the API

• Testing: Ensuring the API functions correctly

• Deployment: Making the API available for use

• Monitoring: Tracking API performance and usage

• Retirement: Removing the API from service

API architecture refers to the design and structure of APIs to ensure efficient communication between software components.

• API architecture defines how different software components interact with each other through APIs

• It includes the design of endpoints, data formats, authentication methods, and communication protocols

• Well-designed API architecture improves scalability, security, and maintainability of software systems

Assign the appropriate CPT code for a patient undergoing a colonoscopy with biopsy.

• Review the documentation to determine the specific procedures performed during the colonoscopy.

• Identify the CPT code that corresponds to the procedures documented.

• Ensure accurate coding by following coding guidelines and conventions.

• Assign additional codes for any biopsies or other procedures performed during the colonoscopy.

• Example: CPT code 45380 for colonoscopy with biopsy.

Client SLA stands for Service Level Agreement, which is a contract between a service provider and a client that outlines the level of service expected.

• Client SLA defines the agreed upon level of service between the service provider and the client.

• It includes details such as response time, resolution time, uptime guarantees, and penalties for not meeting the agreed upon service levels.

• Client SLA helps in setting clear expectations, measuring performance, and ensuring accountab...read more

Model classes in UIKit are used to represent data in an application's user interface.

• Model classes in UIKit typically subclass NSObject and are used to store and manage data for views.

• They can include properties to represent different data fields, methods to manipulate the data, and sometimes protocols for delegation.

• For example, a model class for a user profile in a social media app might have properties like username, bio, and profile picture.

• Model classes are often used in...read more

As a Group Leader, my daily work routine involves overseeing team activities, setting goals, providing guidance, and ensuring project deadlines are met.

• Start the day by reviewing the team's progress on current projects

• Hold a morning meeting to discuss goals for the day and assign tasks

• Provide guidance and support to team members throughout the day

• Monitor project timelines and adjust schedules as needed

• Communicate with upper management on project updates and challenges

• End the ...read more

The boiling point of MDC is approximately 40 degrees Celsius.

• The boiling point of MDC is around 40 degrees Celsius.

• MDC stands for Methylene Dichloride.

• It is a colorless liquid with a sweet aroma.

• MDC is commonly used as a solvent in various industries.

Key Performance Indicators (KPIs) in Revenue Cycle Management (RCM) measure the efficiency and effectiveness of financial processes.

• Days in Accounts Receivable (AR)

• Denial Rate

• Clean Claim Rate

• Collection Rate

• Average Reimbursement Rate

• Percentage of Claims Denied

• Net Collection Rate

• First Pass Resolution Rate

• Patient Payment Collection Rate

• Percentage of Accounts Receivable Over 90 Days