How to answer: Mention looking for "unlisted" codes or using (like -22 for increased procedural services) to provide a more accurate picture of the service without "upcoding." "Explain the importance of 'Medical Necessity' in coding."
If you know your past "clean claim rate" or accuracy percentage, share it. Data speaks volumes in this field. AI responses may include mistakes. Learn more
How to answer: Define as assigning a higher-level code than supported by documentation to increase payment. Define Unbundling as billing multiple codes for parts of a procedure that should be covered by a single comprehensive code. State clearly that both are fraudulent. 4. Software & Soft Skills medical billing and coding interview questions
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If you have your CPC (Certified Professional Coder) or CCS (Certified Coding Specialist), mention how keeping up with CEUs helps you stay current on annual code updates. How to answer: Mention looking for "unlisted" codes
How to answer: Focus on the (protecting PHI) and the Security Rule (safeguarding electronic data). Mention "Minimum Necessary" standards—only accessing the data needed to do your job. "How do you define 'Upcoding' and 'Unbundling'?"
How to answer: Link the diagnosis code to the procedure code. If the diagnosis doesn't justify the procedure according to the payer’s policy, the claim will be denied. 2. The Billing Cycle & Revenue Management Learn more How to answer: Define as assigning
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