Rcm Analyst 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