i
Health Prime Services
(India)
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If Medicare denies the claim as a captition, we need to take certain steps to address the issue.
Review the denial reason provided by Medicare
Check if the claim was submitted correctly and all necessary documentation was included
Identify any errors or missing information in the claim
Contact the Medicare Administrative Contractor (MAC) to discuss the denial and seek clarification
Submit an appeal if the denial was in...
The difference between 25 modified and 15 and modifier
25 modified refers to a value that has been altered or adjusted in some way
15 and modifier implies the combination of the number 15 with a modifier
The specific context and purpose of the modification or modifier are not provided
The global period time frame can be checked on the CMS website.
The CMS website provides information on the global period time frame for medical procedures.
The global period is a period of time during which all related services for a specific procedure are considered part of the initial procedure.
The global period time frame varies depending on the procedure and can range from 0 to 90 days.
By visiting the CMS websi...
Caption is a text that provides a description or explanation for an image or video.
A caption is typically displayed below or beside the image or video it describes.
It helps provide context, clarify content, or add additional information.
Captions are commonly used in social media posts, news articles, and presentations.
For example, a caption for a photo of a beach could be 'Enjoying a sunny day at the beach.'
A crossover reason code is a code used to identify the reason for a customer switching from one product or service to another.
Crossover reason codes help businesses understand why customers are leaving and make improvements to retain them.
These codes can be used in customer surveys, feedback forms, or data analysis to categorize the reasons for customer churn.
Examples of crossover reason codes include price dissat...
Inclusive denial refers to the act of denying access or opportunities to individuals or groups based on their characteristics or identities.
Inclusive denial is a form of discrimination that excludes certain individuals or groups from participating in social, economic, or political activities.
It can occur in various contexts such as employment, education, housing, healthcare, and public services.
Examples of inclusi...
NCC edits are a set of rules used by insurance companies to determine the appropriateness and accuracy of medical claims.
NCC edits stand for National Correct Coding edits.
They are developed by the Centers for Medicare and Medicaid Services (CMS) and used by insurance companies to prevent improper payments.
NCC edits compare the codes submitted on medical claims to identify any discrepancies or errors.
These edits he...
The 22 modifier is a billing modifier used in medical coding to indicate that a procedure was discontinued due to extenuating circumstances.
The 22 modifier is used to report a procedure that required additional time, effort, or complexity beyond the usual
It is typically used when a surgeon encounters unexpected difficulties during a procedure
The 22 modifier can result in increased reimbursement for the procedure
Fo...
The 59 modifier is a coding modifier used in medical billing to indicate a distinct procedural service.
The 59 modifier is used to identify procedures or services that are separate and distinct from other services performed on the same day.
It is used to bypass the National Correct Coding Initiative (NCCI) edits and allow separate payment for the additional procedure or service.
The 59 modifier should only be used wh...
I applied via Referral and was interviewed in Jan 2024. There was 1 interview round.
Inclusive denial refers to the act of denying access or opportunities to individuals or groups based on their characteristics or identities.
Inclusive denial is a form of discrimination that excludes certain individuals or groups from participating in social, economic, or political activities.
It can occur in various contexts such as employment, education, housing, healthcare, and public services.
Examples of inclusive de...
The difference between 25 modified and 15 and modifier
25 modified refers to a value that has been altered or adjusted in some way
15 and modifier implies the combination of the number 15 with a modifier
The specific context and purpose of the modification or modifier are not provided
Caption is a text that provides a description or explanation for an image or video.
A caption is typically displayed below or beside the image or video it describes.
It helps provide context, clarify content, or add additional information.
Captions are commonly used in social media posts, news articles, and presentations.
For example, a caption for a photo of a beach could be 'Enjoying a sunny day at the beach.'
A crossover reason code is a code used to identify the reason for a customer switching from one product or service to another.
Crossover reason codes help businesses understand why customers are leaving and make improvements to retain them.
These codes can be used in customer surveys, feedback forms, or data analysis to categorize the reasons for customer churn.
Examples of crossover reason codes include price dissatisfac...
I applied via Referral and was interviewed before May 2023. There was 1 interview round.
I have over 10 years of experience in project management, specializing in cross-functional team leadership and process optimization.
Led a team of 15 in a successful product launch, resulting in a 30% increase in market share.
Implemented Agile methodologies, reducing project delivery time by 25%.
Managed a $2 million budget for a key project, ensuring all deliverables were met on time and within budget.
Conducted training...
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I applied via Pradeep and was interviewed in Feb 2024. There was 1 interview round.
I appeared for an interview before Feb 2024.
Knowledge and work experience
posted on 14 Sep 2024
I applied via Approached by Company and was interviewed before Sep 2023. There was 1 interview round.
IT NETWORKING QUESTIONS AND SCREENING
I applied via google search and was interviewed in Jul 2024. There were 5 interview rounds.
I have 15 years of experience in IT, with a focus on project management and system integration.
15 years of experience in IT
Specialize in project management and system integration
Worked on various large-scale projects such as implementing ERP systems
Yes, I have knowledge of hardware configuration including setting up servers, installing components, and troubleshooting hardware issues.
Experience in setting up servers and workstations
Knowledge of installing hardware components such as RAM, hard drives, and graphics cards
Ability to troubleshoot hardware issues like faulty power supplies or overheating
Familiarity with BIOS settings and firmware updates
Yes, I have extensive experience in hardware configuration.
I have configured servers, workstations, and networking devices.
I am proficient in setting up RAID configurations and troubleshooting hardware issues.
I have experience with hardware upgrades and replacements.
I have worked with various operating systems and hardware components.
I have implemented security measures for hardware devices.
Strength: Strong problem-solving skills. Weakness: Difficulty delegating tasks.
Strength: Ability to analyze complex issues and find effective solutions.
Strength: Strong decision-making skills under pressure.
Weakness: Tendency to take on too much work instead of delegating tasks.
Weakness: Struggle to trust others to complete tasks to the same standard.
Seeking new challenges and opportunities for growth in a different organization.
Desire for new challenges and opportunities
Looking for professional growth and development
Seeking a better fit for skills and interests
My expectation is to lead a high-performing IT team, drive innovation, and align technology with business goals.
Lead a high-performing IT team to achieve organizational goals
Drive innovation and implement new technologies to improve efficiency
Align technology initiatives with business objectives to drive growth
Ensure cybersecurity measures are in place to protect company data
Stay updated on industry trends and best pra...
I was responsible for overseeing the IT department and ensuring the smooth operation of all technology systems.
Managed a team of IT professionals
Implemented new technology solutions
Ensured network security and data protection
Collaborated with other departments to meet technology needs
Yes, I have experience handling inventory jobs in previous roles.
I have managed inventory levels to ensure optimal stock levels
I have conducted regular audits to track inventory accuracy
I have implemented inventory management systems to streamline processes
I have a Bachelor's degree in Computer Science and a Master's degree in Information Technology.
Bachelor's degree in Computer Science
Master's degree in Information Technology
I have 15 years of experience in IT, with a focus on project management and software development.
15 years of experience in IT
Specialize in project management and software development
Worked on various projects for different industries
posted on 23 Apr 2022
I applied via Approached by Company and was interviewed in Apr 2024. There was 1 interview round.
I aspire to lead innovative projects, mentor others, and contribute to advancements in my field while achieving personal growth.
Lead cross-functional teams to drive impactful projects, like developing a new product line that increases market share.
Mentor junior colleagues to help them grow professionally, sharing insights from my own experiences.
Stay updated with industry trends and technologies to ensure my contributi...
I manage a team by fostering collaboration, setting clear goals, and providing support to ensure success and growth.
Establish clear communication channels: Regular team meetings and updates to ensure everyone is aligned.
Set SMART goals: For example, implementing quarterly objectives that are Specific, Measurable, Achievable, Relevant, and Time-bound.
Encourage collaboration: Use tools like Slack or Trello to facilitate ...
As a leader, I've faced challenges in team dynamics, resource allocation, and adapting to change while maintaining morale.
Navigating team conflicts: I once mediated a disagreement between two team members that was affecting project progress, leading to a successful resolution.
Resource allocation: During a critical project, I had to prioritize tasks and redistribute resources effectively to meet tight deadlines.
Adapting...
I perform audits by conducting thorough reviews of processes, documentation, and compliance standards.
Reviewing documentation to ensure accuracy and compliance
Interviewing staff members to gather information and insights
Analyzing data and identifying areas for improvement
Creating detailed audit reports with findings and recommendations
ISO clause for Audit structure includes scope, normative references, terms and definitions, context of the organization, leadership, planning, support, operation, performance evaluation, and improvement.
Scope: Defines the boundaries of the audit
Normative references: Lists relevant standards and guidelines
Terms and definitions: Clarifies key terminology
Context of the organization: Considers internal and external factors
...
I appeared for an interview before Sep 2021.
posted on 15 Dec 2019
I applied via Naukri.com and was interviewed in Jul 2019. There were 5 interview rounds.
based on 2 interview experiences
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Rating in categories
Analyst
58
salaries
| ₹2 L/yr - ₹3.1 L/yr |
Senior Specialist
40
salaries
| ₹2.3 L/yr - ₹5.5 L/yr |
Associate Analyst
24
salaries
| ₹2 L/yr - ₹4.3 L/yr |
Associate Manager
20
salaries
| ₹4.7 L/yr - ₹10.6 L/yr |
Consultant
19
salaries
| ₹2.2 L/yr - ₹5.6 L/yr |
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