MOA1301 FINANCIAL MANAGEMENT
EXAM QUESTIONS WITH 100%
CORRECT ANSWERS LATEST VERSION
2025/2026.
Number of days a physician has to submit a claim to AHW once he has seen a client. -
ANS 180 days.
code that identifies a specific medical condition, AKA as the why - ANS Diagnostic code.
code that indicates why AB H&W has changed, refused, or reduced the amount of a claim paid
to a physician - ANS Explanatory Code.
code that identifies services and procedures - ANS Health Service Code.
code that is used on a claim to increase or decrease the base payment - ANS : Modifier code
: Good Faith Claim - ANS Allows practitioners to claim a onetime payment
resident - ANS : A person who is legally entitled to be or remain in Canada and makes his or
her permanent home in AB.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Unique lifetime identifier or PHN. - ANS 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. -
ANS locum
The number of time blocks (usually 15 min) taken during a client encounter - ANS call(s)
: A physical site or location such as a hospital or clinic where health services are preformed. -
ANS facility
Number of separate times a client is seen for a different health complaint - ANS Encounter.
Weekly report to physician health offices - ANS : Statement of Assessment
Process whereby a physician receives payment for services provided to a resident of another
province - ANS Medical reciprocation program
Name 5 things that you can look up in the SOMB guide. - ANS : 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. -
ANS Who: was involved (name/PHN),
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
EXAM QUESTIONS WITH 100%
CORRECT ANSWERS LATEST VERSION
2025/2026.
Number of days a physician has to submit a claim to AHW once he has seen a client. -
ANS 180 days.
code that identifies a specific medical condition, AKA as the why - ANS Diagnostic code.
code that indicates why AB H&W has changed, refused, or reduced the amount of a claim paid
to a physician - ANS Explanatory Code.
code that identifies services and procedures - ANS Health Service Code.
code that is used on a claim to increase or decrease the base payment - ANS : Modifier code
: Good Faith Claim - ANS Allows practitioners to claim a onetime payment
resident - ANS : A person who is legally entitled to be or remain in Canada and makes his or
her permanent home in AB.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Unique lifetime identifier or PHN. - ANS 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. -
ANS locum
The number of time blocks (usually 15 min) taken during a client encounter - ANS call(s)
: A physical site or location such as a hospital or clinic where health services are preformed. -
ANS facility
Number of separate times a client is seen for a different health complaint - ANS Encounter.
Weekly report to physician health offices - ANS : Statement of Assessment
Process whereby a physician receives payment for services provided to a resident of another
province - ANS Medical reciprocation program
Name 5 things that you can look up in the SOMB guide. - ANS : 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. -
ANS Who: was involved (name/PHN),
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
