RCM Specialist

RCM Specialist Interview Questions and Answers

Updated 29 May 2024

Q1. Common type of denials in Orthopedics

Ans.

Common denials in Orthopedics include lack of medical necessity, incorrect coding, and missing documentation.

  • Lack of medical necessity for procedures

  • Incorrect coding of procedures or diagnoses

  • Missing documentation to support services rendered

Q2. How to resolve TFL Denial

Ans.

To resolve TFL Denial, review the denial reason, resubmit with corrected information, and follow up with the payer.

  • Review the denial reason provided by the payer to understand why the claim was denied.

  • Correct any errors or missing information in the claim and resubmit it to the payer.

  • Follow up with the payer to ensure that the corrected claim is processed and paid correctly.

  • Consider appealing the denial if you believe it was incorrect or unjustified.

Q3. Reason for switch

Ans.

Seeking new challenges and growth opportunities in a specialized field

  • Desire to expand knowledge and skills in a specific area

  • Opportunity for career advancement and professional development

  • Interest in working with a different patient population or healthcare setting

RCM Specialist Jobs

Rcm Specialist 0-0 years
Eclinicalworks
3.8
Mumbai
SuccessFactors RCM Specialist 5-10 years
HR India Solutions
0.0
₹ 20 L/yr - ₹ 35 L/yr
Gurgaon / Gurugram
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