Roger Technologies Interview Questions and Answers

If no auth & auth available, take appropriate action

• Check if there is any alternative method of authentication available

• If yes, use the alternative method to authenticate

• If no alternative method is available, prompt the user to provide necessary authentication

• If the user is unable to provide authentication, restrict access or provide limited functionality

Major denials are significant claim rejections or refusals by insurance companies or payers.

• Major denials are common in the healthcare industry and can have a significant impact on revenue.

• They occur when insurance companies or payers refuse to reimburse healthcare providers for services rendered.

• Denials can be due to various reasons such as incorrect coding, lack of medical necessity, or missing documentation.

• Examples of major denials include denials for expensive procedures...read more

Modifiers are used to describe the degree or extent of an action or condition in certain scenarios.

• Comparative modifiers: used to compare two things or actions (e.g. better, worse, faster)

• Superlative modifiers: used to compare three or more things or actions (e.g. best, worst, fastest)

• Intensifiers: used to emphasize the degree of an action or condition (e.g. very, extremely, highly)

• Diminishers: used to downplay the degree of an action or condition (e.g. somewhat, slightly, a ...read more

Common denials in Orthopedics include lack of medical necessity, incorrect coding, and missing documentation.

• Lack of medical necessity for procedures

• Incorrect coding of procedures or diagnoses

• Missing documentation to support services rendered

To resolve TFL Denial, review the denial reason, resubmit with corrected information, and follow up with the payer.

• Review the denial reason provided by the payer to understand why the claim was denied.

• Correct any errors or missing information in the claim and resubmit it to the payer.

• Follow up with the payer to ensure that the corrected claim is processed and paid correctly.

• Consider appealing the denial if you believe it was incorrect or unjustified.

Seeking new challenges and growth opportunities in a specialized field

• Desire to expand knowledge and skills in a specific area

• Opportunity for career advancement and professional development

• Interest in working with a different patient population or healthcare setting