RCM Specialist
RCM Specialist Interview Questions and Answers
Q1. Common type of denials in Orthopedics
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
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
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
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