Claims Specialist

Claims Specialist Interview Questions and Answers

Updated 1 Jun 2024

Q1. What is revenue code, CPT code

Ans.

Revenue code and CPT code are both codes used in healthcare billing to identify specific services and procedures.

  • Revenue code is a four-digit code used to identify specific services or procedures provided to a patient.

  • CPT code (Current Procedural Terminology) is a five-digit code used to describe medical, surgical, and diagnostic services.

  • Revenue codes are used for hospital billing, while CPT codes are used for physician and outpatient services.

  • Examples: Revenue code 450 for ...read more

Q2. What is claims, ICD 10

Ans.

ICD-10 is a coding system used to classify and code diagnoses, symptoms, and procedures for healthcare claims.

  • ICD-10 stands for International Classification of Diseases, 10th Revision

  • It is used by healthcare providers to accurately report medical diagnoses and procedures

  • ICD-10 codes are alphanumeric codes that provide detailed information about a patient's condition or treatment

  • Health insurance companies use ICD-10 codes to process claims and determine reimbursement

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