Chokhi Dhani Group Interview Questions and Answers

Medicare and Medicaid are government programs in the United States that provide healthcare coverage to specific groups of people.

• Medicare is a federal health insurance program primarily for people aged 65 and older, as well as certain younger individuals with disabilities.

• Medicaid is a joint federal and state program that provides health coverage to low-income individuals and families.

• Medicare is funded through payroll taxes and premiums, while Medicaid is funded by both the ...read more

MCG guidelines are evidence-based guidelines for medical treatment and management.

• MCG guidelines are developed by MCG Health, a healthcare solutions company.

• They provide evidence-based recommendations for medical treatment and management.

• The guidelines cover a wide range of medical conditions and procedures.

• They are used by healthcare providers and payers to improve patient outcomes and reduce costs.

• Examples of MCG guidelines include those for heart failure, pneumonia, and jo...read more

Milliman care guidelines are used for prior authorization in healthcare.

• Milliman care guidelines are evidence-based clinical guidelines used to determine medical necessity and appropriateness of care.

• They are used by healthcare organizations and insurance companies for prior authorization of medical procedures and treatments.

• The guidelines cover a wide range of medical conditions and treatments, including surgery, imaging, and medications.

• They are updated regularly to reflect...read more

Heart failure is a condition where the heart is unable to pump enough blood to meet the body's needs.

• Heart failure occurs when the heart muscle becomes weak or stiff, leading to a decrease in its ability to pump blood effectively.

• It can be caused by various factors such as coronary artery disease, high blood pressure, heart valve problems, or previous heart attacks.

• Symptoms of heart failure include shortness of breath, fatigue, swelling in the legs, and fluid retention.

• Treatm...read more

Glasgow Coma Scale (GCS) is a neurological scale used to assess the level of consciousness of a patient.

• GCS measures the patient's ability to open their eyes, respond to verbal commands, and move their limbs.

• The scale ranges from 3 to 15, with a score of 3 indicating deep unconsciousness and 15 indicating full consciousness.

• GCS is commonly used in emergency medicine to assess the severity of brain injury.

• A patient with a GCS score of 8 or less is considered to have a severe b...read more

Medical coding is the process of translating medical diagnoses and procedures into codes for billing and record-keeping purposes.

• Knowledge of medical terminology, anatomy, and physiology

• Familiarity with coding systems such as ICD-10 and CPT

• Attention to detail and accuracy

• Ability to work independently and as part of a team

• Strong communication and interpersonal skills

• Proficiency in computer software and data entry

• Understanding of healthcare regulations and compliance

• Continuous ...read more

The respiratory system helps in breathing and oxygen exchange, while the digestive system breaks down food and absorbs nutrients.

• Respiratory system includes lungs, trachea, bronchi, and diaphragm

• Digestive system includes mouth, esophagus, stomach, small and large intestines

• Respiratory system helps in oxygen exchange and removal of carbon dioxide

• Digestive system breaks down food into nutrients and eliminates waste

• Example: Asthma affects the respiratory system, while Crohn's di...read more