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Kanha Documentation Delhi Interview Questions and Answers

Updated 8 Dec 2024
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Q1. Deposit, what is deposit.?

Ans.

A deposit is a sum of money placed in a bank account or given as security for a rental or purchase.

  • A deposit is a financial transaction where money is placed into a bank account.

  • It can also refer to a sum of money given as security for a rental property or purchase.

  • Deposits can be made in cash, check, or electronically.

  • Deposits are often required when opening a new bank account or renting an apartment.

  • Deposits can earn interest over time, depending on the type of account.

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Q2. What is capitation.?

Ans.

Capitation is a payment arrangement in healthcare where a provider is paid a fixed amount per patient regardless of the services provided.

  • Capitation involves a fixed payment per patient per period of time, regardless of the actual services provided.

  • Providers are incentivized to keep costs low and quality high to maximize profits.

  • It shifts the financial risk from the payer to the provider.

  • Examples include HMOs and managed care organizations that use capitation to control costs...read more

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Q3. What is medical billing

Ans.

Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services provided by a healthcare provider.

  • Involves submitting claims to insurance companies for services rendered

  • Ensures accurate coding of procedures and diagnoses

  • Follows up on claims to ensure timely payment

  • Handles patient billing inquiries and disputes

  • Plays a crucial role in revenue cycle management for healthcare providers

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Q4. What is RCM work process

Ans.

RCM work process refers to the steps involved in revenue cycle management, from patient registration to claim submission and payment collection.

  • Patient registration and insurance verification

  • Coding and charge capture

  • Claim submission to insurance companies

  • Payment posting and denial management

  • Follow-up on unpaid claims and patient balances

  • Reporting and analysis for process improvement

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Q5. What is Medicare and Medicaid

Ans.

Medicare and Medicaid are government-sponsored healthcare programs in the United States.

  • 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 helps with healthcare costs for people with limited income and resources.

  • Medicare is divided into different parts such as Part A (hospital insurance) and Part B (medical insurance), while Medicaid ...read more

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Q6. What is Modifier

Ans.

A modifier is a code used in medical billing to indicate that a service or procedure has been altered in some way.

  • Modifiers are two-digit codes added to a CPT or HCPCS code to provide additional information about the service provided.

  • Modifiers can affect reimbursement rates, indicate that multiple procedures were performed, or specify the location or time of the service.

  • For example, modifier 50 is used to indicate a bilateral procedure, while modifier 25 is used to indicate a...read more

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Q7. What is HMO,PPO

Ans.

HMO and PPO are types of health insurance plans.

  • HMO stands for Health Maintenance Organization, which typically requires members to choose a primary care physician and get referrals for specialists.

  • PPO stands for Preferred Provider Organization, which allows members to see any healthcare provider without a referral, but offers lower costs for using in-network providers.

  • HMO plans usually have lower premiums and out-of-pocket costs, but less flexibility in choosing healthcare p...read more

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