Quality Expert

Quality Expert Interview Questions and Answers

Updated 11 Nov 2023

Q1. What is peer2peer review? What is different types of medical reports? What is eligibility and how to handle eligibility denial? How to initiate prior authorisation via portal or calling, explain with an example...

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Ans.

Peer2peer review is a process where medical professionals review and discuss a patient's case to ensure quality care.

  • Peer2peer review involves medical professionals discussing a patient's case to ensure appropriate treatment and quality care.

  • Different types of medical reports include diagnostic reports, progress notes, discharge summaries, and consultation reports.

  • Eligibility refers to a patient's coverage for medical services by their insurance provider. Handling eligibility...read more

Q2. What is medical prior authorisation and different types of authorisation?

Ans.

Medical prior authorisation is the process of obtaining approval from a health insurance company before receiving certain medical services or medications.

  • Medical prior authorisation is required for certain medical procedures, tests, treatments, or medications to ensure they are medically necessary and covered by insurance.

  • There are different types of authorisation such as pre-service authorisation (obtained before receiving the service), concurrent authorisation (obtained dur...read more

Q3. What is the basic things knows in computers

Ans.

Basic things to know in computers include hardware, software, operating systems, and basic troubleshooting.

  • Hardware components such as CPU, RAM, and hard drive

  • Software programs such as Microsoft Office and web browsers

  • Operating systems such as Windows and macOS

  • Basic troubleshooting skills such as restarting the computer and checking for updates

  • Internet and network basics such as Wi-Fi and Ethernet connections

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