TOP 08 AR CALLING INTERVIEW QUESTIONS AND ANSWERS IN MEDICAL BILLING

TOP 08 AR CALLER INTERVIEW QUESTIONS AND ANSWERS TOP MOST AR CALLER INTERVIEW QUESTIONS AND ANSWERS
Duplicate DENIAL LINK given below.
• DUPLICATE DENIAL IN DE...
#medicalbillingandcoding #provider #insurance
#medicaresupplementplans
#CMS1500 FORM
#hospicecare #MEDICARE PART A
#eligibility_criteria
#modifier #MODIFIER25
#99215 cpt #procedures #duplicate scenario
#PR31
#medicare #medicareinsurance #medicarecoverage
AR CALLING INTERVIEW Q & A (PART 1)
• TOP 10 AR CALLING INTE...
AR CALLING INTERVIEW Q & A (PART 2)
• MEDICAL BILLING AR INT...

[@uviespeer5899]

Bro great job and you provide most valuable and important things that most helpful for clarify, clear doubts and useful for interviews.

[@PKRVibesCareerGrowth]

Thank you and All The Best👍

[@daramallachanakya3869]

Gw and Gv both can be used actually its depend upon the when patient enrolled in hospice and services rendered which are related to diagnosis then Gw and not related to diagnosis Gv can be used.. am i correct bro..!

[@PKRVibesCareerGrowth]

Yes your correct…Superb bro 👌👌

[@daramallachanakya3869]

Thank you so much bro best questions for the interview preparation!

[@PKRVibesCareerGrowth]

Welcome you 🤝

[@HariPrasad-lm3fe]

Could you please explain about medicare and Medicaid claims

[@PKRVibesCareerGrowth]

Sure👍

[@shiva3234]

GW modifier

[@vanitha1956]

GW modifier sir

[@komalasreekomalasee6846]

Hi Anna, koncham claim forms gurinchi chepandi

[@PKRVibesCareerGrowth]

Sure I will do Claim Form series.

[@ssd12397]

Which is best for our carrier
Credentialing or Ar caller?
I have 6 months in credentialing and 6 months in AR deniel management.
Please suggest from your experience

[@PKRVibesCareerGrowth]

AR calling

[@defeatedgoliath]

can you do other scenarios like for ortho procedures and home health?

[@PKRVibesCareerGrowth]

@@defeatedgoliath sure I do.

[@defeatedgoliath]

@@PKRVibesCareerGrowth these videos are very helpful.

[@PKRVibesCareerGrowth]

@@defeatedgoliath got it. Thank you

[@ssd12397]

While we bill the claim to patient if guarantor DOB is missing in that case what we have to do?

[@PKRVibesCareerGrowth]

Just bill patient in case of any missing/invalid patient information.

[@sachinkumar-by9hw]

​@@PKRVibesCareerGrowthHi Sir, we can not bill to patient in every case. If claim denied for missing member I'd then we can found the correct member I'd with SSN, member first and last name and DOB.

[@PKRVibesCareerGrowth]

@sachinkumar-by9hw Yes your right.

[@sachinkumar-by9hw]

Only medicare covered hospice services. If member have medicare part B coverage then we will use GW modifier and rebilled the claim to medicare .

[@PKRVibesCareerGrowth]

Yes we can appended Modifier GW, explains that billed service not related to Hospice but Provider is related/employee of Hospice.

[@ssd12397]

While checking hospice name in Google we get hospice npi using that npi in nppes registry we get mailing address so can we bill the claim to that billing adress
Medicaid dnd E/M codes while patient is in hospice r is any particular cpt code avalible for hospice for medicaid?

[@PKRVibesCareerGrowth]

It’s not like any particular CPT code. In this case as a AR caller you need to transfer the claims to internal coding team. So that they will appended appropriate Modifier based on your procedure and On Hospice details.

[@ssd12397]

@@PKRVibesCareerGrowth Thanks

[@bodyacheivemindsays7781]

Bro tell us a difference between of Offset and Refund

[@PKRVibesCareerGrowth]

Already video available in our channel. Kindly explore

[@PKRVibesCareerGrowth]

Duplicate DENIAL LINK given below...................
czcams.com/video/LTYb-WOpXyk/video.html
And also explore the below links for more info related to Interview Q & A........
AR CALLING INTERVIEW Q & A (PART 1)
czcams.com/video/h9iqDUe6ND0/video.html
AR CALLING INTERVIEW Q & A (PART 2)
czcams.com/video/OEa2MOYsfXE/video.html

[@ssd12397]

If patient is enrolled in hospice patient has only medicaid, medicaid dnd claim as patient is enrolled in hospice, so i called to medicaid get hospice information can we bill to hospice is any payor id avalible for Hospice how to submit the claim to hospice, without payor id how to submit the claim

[@PKRVibesCareerGrowth]

Are you sure payer, Is Traditional Medicare or State Medicaid?

[@ssd12397]

@@PKRVibesCareerGrowth state Medicaid

[@PKRVibesCareerGrowth]

Okay Run eligibility for denied payer (Medicaid) to verify the any Hospice covered details. If hospice details not available on your eligibility page, you need to call to verify complete Hospice details and need to bill claim to Respective Hospice care. Please note that if payer ID not found , submit the claims through Paper.

[@ssd12397]

@@PKRVibesCareerGrowth Thank you

[@lakshmidevireddy9335]

Medicare modifier is GV for Hospice

[@PKRVibesCareerGrowth]

GW

[@lakshmidevireddy9335]

Thank you sir

[@nehashah9541]

Who pay as primary medicare or medigap? Kya Medigap yahi hote h like bcbs medicare UHC medicare

[@PKRVibesCareerGrowth]

@@nehashah9541 Medicare is primary Payer who pays as primary. Medigap (also called Medicare supplement Plan) is always secondary payer to patient who has Medicare coverage. Medigap always supplements the gaps(Copayments or Coinsurance).
Kindly note Bcbs Medicare or UHC Medicare are Medicare Advantage Plans but not Medigaps.

[@nehashah9541]

@@PKRVibesCareerGrowth thank you so much. Better understand now

[@nehashah9541]

@@PKRVibesCareerGrowth one question then if patient have BCBs Medicare and Medicare part a and B in that scenerio who pay as a primary

[@PKRVibesCareerGrowth]

Bcbs Medicare

[@ssd12397]

If the claim got dnd for referral missing while chked in insurance they said no referral found, patient has hmo plan so we get pcp name and phone # and finish the call
Is any possible to get referral# in facility to get connect with medical records team?

[@PKRVibesCareerGrowth]

Good question: Try your best to connect and get. Please note that if not possible to get all your sources, then you will need to contact patient or bill claim to patient for referral missing scenarios

[@ssd12397]

@@PKRVibesCareerGrowth Thanks bro

[@ssd12397]

@@PKRVibesCareerGrowth Thanks

[@ssd12397]

GV modifier

[@ssd12397]

Is it correct answer?

[@cinnamon4605]

Please Call for AR caller job I am HR from ACN healthcare

[@gajagatlakalpana9407]

Please provide your contact details

[@Review_Premi]

GV mod