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MULTI-SPECIALTY DENIAL PROJECT – INTERVIEW Q&A

MULTI-SPECIALTY DENIAL PROJECT – INTERVIEW Q&A BASIC LEVEL (1–25) 1. What is a denial in medical billing? A denial is when an insurance payer refuses to pay for a claim due to errors, missing information, or policy issues. 2. What is a denial project? A denial project focuses on analyzing, correcting, and resubmitting denied claims to recover revenue. 3. What is RCM? RCM (Revenue Cycle Management) is the process from patient registration to final payment collection. 4. What are common denial types? Coding errors Authorization issues Eligibility issues Medical necessity Duplicate claims 5. What is a soft denial? Temporary denial that can be corrected and resubmitted. 6. What is a hard denial? Permanent denial that cannot be reversed. 7. What is CARC? Claim Adjustment Reason Code – explains why claim denied. 8. What is RARC? Remittance Advice Remark Code – gives additional explanation. 9. What is medical necessity denial...