10+ Crisil Interview Questions and Answers

Answering questions related to Medicare eligibility, capitated providers, Medicare deductibles, Medicaid eligibility, medical necessity, HCPCS, CPT, and sequestration.

• Capitated providers submit claims to insurance for services rendered beyond the capitated amount

• Medicare deductible for 2023 is set by the Centers for Medicare & Medicaid Services (CMS)

• Patients with both Medicare Advantage and Medicaid may be eligible for Medicaid based on income and other criteria

• Medical necess...read more

I have exposure to data science through my academic background and previous work experience.

• Studied data analysis and statistics in college

• Worked as a data analyst for a marketing firm

• Completed online courses in machine learning and data visualization

• Participated in data-driven projects during internships

Implementing targeted strategies can significantly enhance business growth through innovation, market expansion, and customer engagement.

• Diversify product offerings to meet changing customer needs, such as introducing eco-friendly products.

• Expand into new markets, like entering international markets to tap into new customer bases.

• Leverage digital marketing strategies, such as social media campaigns, to increase brand visibility.

• Enhance customer experience through personalized...read more

Increase profits by optimizing operations, enhancing customer experience, and leveraging existing resources effectively.

• Streamline operations: Identify inefficiencies in processes to reduce costs. For example, implementing lean management techniques.

• Enhance customer service: Improve customer satisfaction to boost repeat business. For instance, training staff to provide better support.

• Optimize pricing strategies: Analyze competitors and adjust pricing to maximize revenue witho...read more

RCM stands for Reliability Centered Maintenance. It is a proactive maintenance strategy focused on ensuring equipment reliability.

• Identify critical assets

• Determine failure modes and effects

• Develop maintenance strategies

• Implement maintenance plans

• Monitor effectiveness and adjust as needed

RCM involves multiple steps including patient registration, insurance verification, coding, billing, and collections.

• Patient registration: Collecting patient information and insurance details.

• Insurance verification: Confirming coverage and eligibility.

• Coding: Assigning appropriate medical codes to diagnoses and procedures.

• Billing: Generating and submitting claims to insurance companies.

• Collections: Following up on unpaid claims and patient payments.

My name is John. WAP to check palindrome number and generate Fibonacci series.

• Name: John

• WAP for palindrome number: Check if a number is equal to its reverse

• WAP for Fibonacci series: Generate a series where each number is the sum of the two preceding ones

Order of execution concept refers to the sequence in which instructions are executed in a program.

• Instructions are executed in the order they appear in the code unless specified otherwise.

• Some programming languages have specific rules for order of execution, such as PEMDAS in mathematics.

• Understanding order of execution is crucial for debugging and optimizing code.

• Example: In Python, arithmetic operators follow the PEMDAS rule for order of execution.

Master detail relationship is a parent-child relationship where the child record is dependent on the parent record, while lookup relationship is a loose association between two objects.

• Master detail relationship is a strict relationship where the child record cannot exist without the parent record.

• Lookup relationship is a more flexible relationship where the child record can exist without the parent record.

• In master detail relationship, if the parent record is deleted, all re...read more

Types of inheritance include autosomal dominant, autosomal recessive, X-linked dominant, and X-linked recessive.

• Autosomal dominant inheritance: only one copy of the mutated gene is needed for the disease to be expressed (e.g. Huntington's disease)

• Autosomal recessive inheritance: two copies of the mutated gene are needed for the disease to be expressed (e.g. cystic fibrosis)

• X-linked dominant inheritance: the mutated gene is located on the X chromosome and only one copy is need...read more

Joins are used in databases to combine rows from two or more tables based on a related column between them.

• Joins are used to retrieve data from multiple tables based on a related column between them

• Common types of joins include INNER JOIN, LEFT JOIN, RIGHT JOIN, and FULL JOIN

• INNER JOIN returns rows when there is at least one match in both tables

• LEFT JOIN returns all rows from the left table and the matched rows from the right table

• RIGHT JOIN returns all rows from the right ta...read more

Nulls are placeholders for missing or unknown values in a database.

• Nulls represent the absence of a value in a database field.

• Nulls are different from empty strings or zero values.

• Nulls can cause issues in database queries if not handled properly.

• Nulls can be used to indicate missing data or unknown values.

• Nulls can be replaced with default values or handled using functions like COALESCE.

The 837 claim form is a standard electronic format used by healthcare providers to submit healthcare claims to payers.

• Standard format for submitting healthcare claims electronically

• Contains information such as patient demographics, provider information, diagnosis codes, procedure codes, and billing information

• Used by healthcare providers to request payment for services rendered

• Helps streamline the claims submission process and reduce errors

• Ensures consistency and accuracy in ...read more

NoSQL is a non-relational database management system, while SQL is a relational database management system.

• NoSQL databases are schema-less, allowing for flexibility in data storage.

• SQL databases use structured query language for defining and manipulating data.

• NoSQL databases are horizontally scalable, making them suitable for big data applications.

• SQL databases are vertically scalable, meaning they can handle increased load by upgrading hardware.

• Examples of NoSQL databases in...read more

I rate myself 8 out of 10 in SQL. I have strong knowledge and experience in writing complex queries and optimizing database performance.

• I have extensive experience writing complex SQL queries

• I am proficient in optimizing database performance

• I have worked with large datasets and can efficiently manipulate data using SQL