RCM Specialist Interview Questions and Answers

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

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.

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