Us Healthcare Business Analyst Interview Questions and Answers

PACS stands for Picture Archiving and Communication System. It is a medical imaging technology used for storing, retrieving, presenting, and sharing medical images.

• PACS includes components such as image acquisition devices (like X-ray machines), a secure network for image transmission, a server for image storage, workstations for image viewing, and software for image analysis.

• Examples of PACS vendors include GE Healthcare, Siemens Healthineers, and Philips Healthcare.

• PACS sys...read more

Capitation pays a fixed amount per patient, while FFS pays for each service provided.

• Capitation pays a fixed amount per patient regardless of services provided

• FFS pays for each service provided, leading to potential overutilization

• Capitation incentivizes preventive care and cost-effective treatments

• FFS incentivizes volume of services provided

• Examples: HMOs often use capitation, while fee-for-service is common in traditional Medicare

Definition of Done is criteria that a product must meet to be considered complete, while Definition of Ready is criteria that a task must meet before it can be worked on.

• Definition of Done is used to determine when a product increment is complete and ready for release.

• Definition of Ready is used to ensure that a task is well-defined and ready to be worked on by the team.

• Definition of Done is typically agreed upon by the team at the beginning of a project.

• Definition of Ready i...read more

The life cycle of a claim in US healthcare involves submission, processing, adjudication, payment, and appeal if necessary.

• Claim submission: Healthcare provider submits claim to insurance company with patient information and services provided.

• Claim processing: Insurance company reviews claim for accuracy and completeness.

• Claim adjudication: Insurance company determines the amount they will pay based on coverage and contract agreements.

• Payment: Insurance company sends payment ...read more