Which of the following is  not  a method of scheduling…

JudgeBoulder8124
Which of the following is  not  a method of scheduling…

Which of the following is not a method of scheduling appointments?

Question 4 options:

 

Affinity

 

Wave

 

Centralized

 

Open

 

Question 5 (1 point)

 

 

 

 

 

 

 

 

 

A patient is leaving the exam room, visibly upset. When she approaches the MOA to make a return appointment, she indicates that she is very worried about a procedure the physician has just recommended the patient undergo. How should the MOA respond?

Question 5 options:

 

“There’s no reason to be worried – lots of our patients have had the same procedure performed with no problems.”

 

“I can see you’re upset. That’s understandable when you’ve never had the procedure before. I have some information for you here about what to expect. Can we take a minute to go through it together?”

 

“Don’t get so worked up about it! You’re going to make yourself sick with worry!”

 

“That’s too bad. Would next Friday at 2pm work for your schedule?”

 

Question 6 (1 point)

 

 

 

 

 

 

 

 

A phone call comes in while you are giving a patient directions to the diagnostic imaging clinic, which is often difficult to find. You should:

Question 6 options:

 

Answer the phone and deal with the caller’s needs before returning to the patient needing directions.

 

Answer the phone, immediately say “hold please”, then return to the patient in front of the desk.

 

Quickly hand the patient at the desk a set of written directions so you can pick up the call.

 

Answer the call, ask if you can put the caller on hold, wait for a response, then quickly finish your discussion with the first patient before returning to the call.

 

Question 7 (1 point)

 

 

 

 

 

 

 

 

 

Tina wants to make sure Dr. Bazir gets paid for as many service claims as possible in this billing cycle. To guarantee payment, she should make sure she submits claims by the:

Question 7 options:

 

18th day of the month

 

10th day of the month

 

last day of the week

 

1st day of the month

 

Question 8 (1 point)

 

 

 

 

 

 

 

 

 

How are physicians usually paid for participation in medical-legal issues?

Question 8 options:

 

Through OHIP submission

 

Directly by the patient

 

From the money received by the client, once the case has concluded

 

As a disbursement from the lawyer

 

Question 9 (1 point)

 

 

 

 

 

 

 

 

 

The report received within 24 hours of submitting a claim that notifies the sender that a claims batch has been received and meets technical specifications:

Question 9 options:

 

Batch Edit Report

 

File Reject Message

 

Remittance Advice

 

Error Report

 

Question 10 (1 point)

 

 

 

 

 

 

 

The Ministry of Health’s current preferred method of claims submission is:

Question 10 options:

 

Magnetic Tape Cartridge

 

Medical Claims Electronic Data Transfer

 

Diskette

 

Billing Cards

 

Question 11 (1 point)

 

 

Saved

 

 

 

 

 

 

Keith calls to schedule an appointment for a driver’s physical. The fee for the service will be $75. When should the MOA inform Keith of the cost?

Question 11 options:

 

When Keith books the appointment.

 

When Keith arrives for his appointment and shows his health card.

 

After the physical has been completed and Keith is leaving the office.

 

When Keith returns to pick up his completed form.

 

Question 12 (1 point)

 

 

 

 

 

 

 

 

 

To reconcile Dr. Bazir’s submitted claims with the amounts paid and unpaid (rejected) by OHIP, Tina should reference the:

Question 12 options:

 

Batch Edit Report

 

Remittance Advice

 

File Reject Message

 

Claims Error Report

 

Question 13 (1 point)

 

 

 

 

 

 

 

 

 

Indira would like to validate the health cards of all patients scheduled to come in tomorrow as efficiently as possible. Her best option is to use:

Question 13 options:

 

Overnight Batch Eligibility Checking (OBEC)

 

Health Card Validation Web Service

 

Interactive Voice Response (IVR)

 

Health Card Reader software

 

Question 14 (1 point)

 

 

Saved

 

 

 

 

 

 

Mrs. Lamb saw the doctor in order to obtain a completed insurance form. When the MOA reminded her that the charge would be $20 she said she did not bring her purse. Which of the following would be the best response?

Question 14 options:

 

“That’s fine. Drop the money off the next time you’re in this area.”

 

“That’s fine. When you have the money, you can come back and the form will be waiting.”

 

“That’s fine. Drop the money off tomorrow before 4pm.”

 

“That’s fine. I see you have an appointment next week. You can pay then.”

 

Question 15 (1 point)

 

 

 

 

 

 

 

 

 

Assertive communication involves:

Question 15 options:

 

Refraining from expressing your feelings and opinions.

 

Expressing feelings and opinions in a manner that considers the worth and rights of the other person.

 

Relating to the other’s emotions so you can demonstrate your feelings.

 

Expressing feelings and opinions as strongly as possible.

 

Question 16 (1 point)

 

 

Saved

 

 

 

 

 

 

Which of the following is an example of a service that is uninsured under the Ontario Health Insurance Plan?

Question 16 options:

 

Physical examinations

 

House call assessments

 

Obstetrical services

 

Back to school notes

 

Minor surgery

 

Question 17 (1 point)

 

 

Saved

 

 

 

 

 

 

Why should the MOA ask the patient for the reason for the appointment during booking?

Question 17 options:

 

The MOA can ensure the required amount of time with the doctor is booked, and any necessary equipment is organized.

 

The physician may only see clients with specific symptom groups.

 

It gives the doctor time to submit referral requests to specialists before the patient visit.

 

It makes it easier to set priorities, making sure clients with interesting problems are seen first.

 

Question 18 (1 point)

 

 

 

 

 

 

 

 

 

A patient is moving to a new city and has requested transfer of their medical records to their new physician. The MOA should:

Question 18 options:

 

Transfer the records that were billed to OHIP.

 

Transfer the complete, original medical health record.

 

Transfer the records immediately.

 

Have the client sign a consent and transfer a photocopy of the medical record.

 

Question 19 (1 point)

 

 

 

 

 

 

 

 

 

When the Health Care Provider is to be paid directly by OHIP, which letter is entered into the Payee field?

Question 19 options:

 

S

 

P

 

W

 

D

 

Question 20 (1 point)

 

 

 

 

 

 

 

 

 

Harriet is preparing to submit claims to OHIP. OHIP will accept claims under any of the following payment programs except:

Question 20 options:

 

Direct

 

RMB

 

HCP

 

WCB

 

Question 21 (1 point)

 

 

 

 

 

 

 

 

 

Naomi is meeting a patient for the first time, and she wants the patient to feel comfortable attending the office. She starts by introducing herself, her role as the MOA and orienting the patient to the office. Why is it important she introduce her role?

Question 21 options:

 

To avoid misunderstandings regarding the role that can be difficult to correct.

 

To assure the patient she is qualified to answer medical questions.

 

To avoid confusing the patient with medical acronyms that the patient doesn’t understand.

 

It is required by the Ministry of Health.

 

Question 22 (1 point)

 

 

 

 

 

 

 

 

 

Heather notices that the patient’s electronic medical record has a tab labelled “CPP”. What information would be contained on that tab?

Question 22 options:

 

Copies of all documents that have been received electronically or scanned into the patient record.

 

A record of all referrals made for the patient, and the status of the consultation reports.

 

A list of all appointments booked for the patient, along with the appointment status.

 

A continuously updated summary of the patient’s medical and social history and current medical issues.

 

Question 23 (1 point)

 

 

 

 

 

 

 

 

 

What does an “A” suffix on a regular OHIP service code usually mean?

Question 23 options:

 

The provider performed the technical portion of the service.

 

The provider assisted with the service.

 

An anesthetist performed the service.

 

The provider or their staff performed the service.

 

Question 24 (1 point)

 

 

 

 

 

 

 

 

 

Mubashir is new to Canada and has applied for OHIP coverage. Approximately how long will he have to wait for his coverage to become active?

Question 24 options:

 

1 month

 

1 year

 

3 months

 

24 hours

 

Question 25 (1 point)

 

 

 

 

 

 

 

 

 

Deana needs to prepare the appointment schedule for appointments that will be scheduled next month. To properly pre-edit the schedule, she needs all of the following information except:

Question 25 options:

 

Names of patients that need appointments

 

Physician on-call schedules

 

Statutory holidays

 

Times and dates of physician commitments

 

Question 26 (1 point)

 

 

 

 

 

 

 

 

 

Health records:

Question 26 options:

 

Assist the physician in providing patient care

 

Are a source of billing information

 

Protect the provider and client in legal situations

 

All of the above

 

Question 27 (1 point)

 

 

 

 

 

 

 

 

 

When should billing information be entered?

Question 27 options:

 

On the day of service

 

On the same day every week

 

Once a month on the 18th

 

When the Ministry of Health requests it

 

Question 28 (1 point)

 

 

 

 

 

 

 

 

 

What is the primary goal of effective communication?

Question 28 options:

 

Mutual understanding

 

Respect for boundaries

 

Wellness

 

Therapeutic relationship

 

Question 29 (1 point)

 

 

 

 

 

 

 

 

 

The current definition of health is:

Question 29 options:

 

A relative state of optimal physical, mental, and social well-being

 

Practices that maintain physical health

 

Survival within a natural environment

 

An absence of disease

 

Question 30 (1 point)

 

 

 

 

 

 

 

 

 

The physician has marked an OHIP service provided as requiring manual review. What should the MOA do to fulfill the manual review request?

Question 30 options:

 

Carefully review all elements of the claim to ensure accuracy before claims submission.

 

Nothing. Manual review claims are filed just like any other OHIP claim.

 

Submit the claim through the mail using a manual claim card form.

 

Obtain supporting documentation from the physician and fax it to the MOH.

 

Question 31 (1 point)

 

 

 

 

 

 

 

 

 

How long after the service date can a claim still be submitted for payment?

Question 31 options:

 

2 months

 

6 months

 

30 days

 

1 year

 

Question 32 (1 point)

 

 

 

 

 

 

 

 

 

Dr. Maslow runs a clinic and would like his patients to be able to come to the office when they need to, without an appointment. Which type of scheduling should he choose?

Question 32 options:

 

Stream

 

Open

 

Wave

 

Affinity

 

Question 33 (1 point)

 

 

 

 

 

 

 

 

 

Dr. Sellers has indicated that a claim is to be submitted under the RMB payment program. What are the most likely circumstances of the services claimed?

Question 33 options:

 

The patient was being checked to see if they could return to work after being injured.

 

The service was provided to a new patient who moved to Ontario from Saskatchewan 1 month ago.

 

The patient needed a form filled out for their employer.

 

The patient was visiting from Quebec and needed to be seen in an emergency.

 

Question 34 (1 point)

 

 

 

 

 

 

 

 

 

Provincial health care plans have to meet all of the following requirements to be eligible for federal funding except:

Question 34 options:

 

Portability

 

Comprehensive Coverage

 

Accessibility

 

Private Administration

 

Universality