Interview Questions - Part II

• What is offset?
• What is capitation?
• What is the use of CS modifier?
• What is prior authorization?
• What is retro authorization?
• What is the box number for the authorization on CMS-1500 form?
• What is the locator number for the authorization on UB04 form?
• Who issues referral number?
• What are the patient plans where referral is required?
• What are the patient plans where out-of network benefit is covered?
• What is COB?
• When does a patient qualify for hospice care?
• When a hospice claim is billed to Medicare then what modifiers must be used?
• What is Fee For Service (FFS)?
• What is the reason for getting denial - primary paid more than secondary allowed amount?
• What is auto insurance and what does it cover?
• Who gets correctional or county insurance?
• What is pre-existing condition?
• What is waiting period?
• What is the difference between the GV & GW modifiers?
• What is global period?
• What are revenue codes?
• What are condition codes?
• What are occurrence codes?
• What are occurence span codes?
• What are value codes?
• What are TOB?
• What are the possible reasons for the claims getting paid directly to patient?
• What is the box number for the Tax ID number on CMS-1500 form?
• What is the locator number for the Tax ID number on UB04 form?