AdvantEdge Healthcare Solutions
Mallabhum Institute of Polytechnic Interview Questions and Answers
Q1. Explain about Medicare and Medicaid eligibility
Medicare and Medicaid are government-funded healthcare programs for eligible individuals.
Medicare is for people aged 65 and older, or those with certain disabilities or end-stage renal disease
Medicaid is for low-income individuals and families, pregnant women, children, and people with disabilities
Medicare is funded by payroll taxes and premiums, while Medicaid is funded by both federal and state governments
Eligibility for both programs is based on income, assets, and other f...read more
Q2. Explain about Authorization
Authorization is the process of granting or denying access to a resource or service.
Authorization involves verifying the identity of a user or system attempting to access a resource.
It also involves determining what level of access the user or system should have.
Authorization can be implemented through various methods such as role-based access control, attribute-based access control, and discretionary access control.
Examples of authorization include granting a user access to ...read more
Q3. Explain about modifier
A modifier is a word or phrase that describes or changes the meaning of another word or phrase in a sentence.
Modifiers can be adjectives, adverbs, or phrases.
They provide additional information about the subject, verb, or object in a sentence.
Examples of modifiers include 'very' in 'very fast car' and 'in the park' in 'playing in the park.'
Q4. Explain whats modifiers ?
Modifiers are words or phrases that provide additional information about other words in a sentence.
Modifiers can be adjectives, adverbs, or phrases that describe nouns or verbs.
They can be used to provide more detail, clarify meaning, or add emphasis.
Examples: 'The quick brown fox' (adjective modifier), 'She ran quickly' (adverb modifier), 'In the morning' (phrase modifier)
Q5. What is Authorization?
Authorization is the process of granting or denying access to resources based on identity and permissions.
Authorization determines what a user can access and what actions they can perform.
It involves verifying the identity of a user and checking if they have the necessary permissions.
Examples include logging into a website with a username and password, and then being able to view specific pages based on your role.
Authorization is often implemented using access control lists (...read more
Q6. 10 common denials on which we work.
Common denials we work on in our role as Sr. Specialist.
Missing or invalid information
Lack of medical necessity
Untimely filing
Duplicate claim
Service not covered by plan
Out of network provider
Coordination of benefits issue
Pre-existing condition exclusion
Non-covered service
Experimental or investigational service
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