MOA1301 financial management
questions with verified answers latest
update
number of days a physician has to submit a claim to AHW once he has seen a client. - correct
answer ✔✔180 days.
code that identifies a specific medical condition, AKA as the why - correct answer ✔✔Diagnostic
code.
code that indicates why AB H&W has changed, refused, or reduced the amount of a claim paid
to a physician - correct answer ✔✔Explanatory Code.
code that identifies services and procedures - correct answer ✔✔Health Service Code.
code that is used on a claim to increase or decrease the base payment - correct answer ✔✔:
Modifier code
: Good Faith Claim - correct answer ✔✔Allows practitioners to claim a onetime payment
resident - correct answer ✔✔: A person who is legally entitled to be or remain in Canada and
makes his or her permanent home in AB.
Unique lifetime identifier or PHN. - correct answer ✔✔The number assigned by AB H&W to any
service recipient or organization registered with the AHCIP.
, A physician providing services for another physician who is temporarily away from work. -
correct answer ✔✔locum
The number of time blocks (usually 15 min) taken during a client encounter - correct answer
✔✔call(s)
: A physical site or location such as a hospital or clinic where health services are preformed. -
correct answer ✔✔facility
Number of separate times a client is seen for a different health complaint - correct answer
✔✔Encounter.
Weekly report to physician health offices - correct answer ✔✔: Statement of Assessment
Process whereby a physician receives payment for services provided to a resident of another
province - correct answer ✔✔Medical reciprocation program
Name 5 things that you can look up in the SOMB guide. - correct answer ✔✔: Explanatory
Codes,
Fee Modifier Definitions,
Medical Benefits Price List,
Medical Benefits Procedure Lists,
and Medical Governing Rules.
Name the five W's that are absolutely necessary when completing a claim for submission. -
correct answer ✔✔Who: was involved (name/PHN),
what: service was provided (HSC),
Why: procedure was done (DX code),
questions with verified answers latest
update
number of days a physician has to submit a claim to AHW once he has seen a client. - correct
answer ✔✔180 days.
code that identifies a specific medical condition, AKA as the why - correct answer ✔✔Diagnostic
code.
code that indicates why AB H&W has changed, refused, or reduced the amount of a claim paid
to a physician - correct answer ✔✔Explanatory Code.
code that identifies services and procedures - correct answer ✔✔Health Service Code.
code that is used on a claim to increase or decrease the base payment - correct answer ✔✔:
Modifier code
: Good Faith Claim - correct answer ✔✔Allows practitioners to claim a onetime payment
resident - correct answer ✔✔: A person who is legally entitled to be or remain in Canada and
makes his or her permanent home in AB.
Unique lifetime identifier or PHN. - correct answer ✔✔The number assigned by AB H&W to any
service recipient or organization registered with the AHCIP.
, A physician providing services for another physician who is temporarily away from work. -
correct answer ✔✔locum
The number of time blocks (usually 15 min) taken during a client encounter - correct answer
✔✔call(s)
: A physical site or location such as a hospital or clinic where health services are preformed. -
correct answer ✔✔facility
Number of separate times a client is seen for a different health complaint - correct answer
✔✔Encounter.
Weekly report to physician health offices - correct answer ✔✔: Statement of Assessment
Process whereby a physician receives payment for services provided to a resident of another
province - correct answer ✔✔Medical reciprocation program
Name 5 things that you can look up in the SOMB guide. - correct answer ✔✔: Explanatory
Codes,
Fee Modifier Definitions,
Medical Benefits Price List,
Medical Benefits Procedure Lists,
and Medical Governing Rules.
Name the five W's that are absolutely necessary when completing a claim for submission. -
correct answer ✔✔Who: was involved (name/PHN),
what: service was provided (HSC),
Why: procedure was done (DX code),
