Wipro Senior Associate 1 Interview Questions and Answers

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Q1. What do you know about RCM & Denial Management?

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RCM & Denial Management are processes used in healthcare to ensure proper reimbursement and reduce claim denials.

RCM stands for Revenue Cycle Management and involves managing the financial aspects of healthcare services, from patient registration to claim submission and payment.
Denial Management is the process of identifying and resolving claim denials, which can occur for various reasons such as incorrect coding or missing information.
Effective RCM and Denial Management can ...read more

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POS 11, 21, 22 are Point of Sale (POS) transaction codes used in retail and business environments.

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Inclusive bundling refers to the practice of offering a package deal that includes all necessary components for a particular service or product.

Inclusive bundling simplifies the purchasing process for customers by offering a comprehensive package deal.
It can also increase customer loyalty and satisfaction by providing a convenient and cost-effective solution.
Examples of inclusive bundling include a phone plan that includes unlimited data, talk, and text, or a vacation package...read more

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Contractual Adjustment is the difference between the billed amount and the amount paid by the insurance company.

It is a common term used in the medical billing process.
It is the amount that a healthcare provider agrees to write off as part of their contract with an insurance company.
It is the difference between the billed amount and the amount paid by the insurance company.
It is also known as contractual allowance or contractual write-off.
For example, if a healthcare provider...read more

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Order management is the process of overseeing and controlling all aspects of order fulfillment, from order placement to delivery.

It involves receiving and processing customer orders.
It includes inventory management to ensure product availability.
Order management also includes order tracking and monitoring.
It involves coordinating with various departments like sales, warehouse, and shipping.
Examples: receiving an online order, updating inventory, tracking shipment status.

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CO 18 Denial is a denial code used by insurance companies to indicate that a service or procedure is not covered under the patient's plan.

CO 18 Denial is a common denial code used by insurance companies.
It indicates that a service or procedure is not covered under the patient's plan.
This denial code can be caused by a variety of reasons, such as lack of medical necessity or incorrect coding.
Examples of services that may result in a CO 18 Denial include cosmetic procedures or ...read more