Medical Billing Interview Questions and Answers for Freshers

Contracted providers have agreements with insurance companies, while non-contracted providers do not, affecting reimbursement rates.

• Contracted Providers: These providers have signed agreements with insurance companies, which outline payment rates and terms. For example, a doctor who is part of an insurance network will receive pre-negotiated rates for services.

• Non-Contracted Providers: These providers do not have agreements with insurance companies, leading to higher out-of-p...read more

Medicare eligibility primarily includes individuals aged 65 and older, as well as certain younger individuals with disabilities.

• Age Requirement: Individuals must be 65 years or older to qualify for Medicare.

• Disability: People under 65 may qualify if they have been receiving Social Security Disability Insurance (SSDI) for 24 months.

• End-Stage Renal Disease (ESRD): Individuals of any age with ESRD requiring dialysis or a kidney transplant are eligible.

• Amyotrophic Lateral Scleros...read more