How to answer: Explain that (International Classification of Diseases) codes describe the patient's diagnosis or condition, while CPT (Current Procedural Terminology) codes describe the services or procedures performed by the provider.
How to answer: Focus on your investigative skills. Mention checking the (Electronic Remittance Advice) for the denial code, correcting the error (e.g., demographic mismatch or missing modifier), and resubmitting within the timely filing limit. 3. Compliance & Ethics This is the most critical area for risk management.
Expect "quiz-style" questions to test your knowledge of standard systems.