Medical Office Pro Assignment 3

A fob is a small security device added to a computer, displaying a randomly generated access code which changes every few seconds T/F

True

black

bomb

The Universal Emergency Code "Blue" in Ontario alerts staff to which of the following? a. Fire b. Missing patient c. Cardiac arrest d. Violent/aggressive patient

c. Cardiac arrest

yellow

missing

Clients have a right to access all information contained in their medical charts. T/F

true

In Canada, health- care plans pay only insured health-care services normally defined as "medically necessary" T/F

True

In Canada, no provincial/territorial or federal privacy legislation states how long health information must be kept T/F

True

In Ontario, each person has an OHIP card number for life. T/F

True

Individuals who are not providing care for a specific client can be fired or suspended for accessing that client's medical record. T/F

True

Information from a health card may be manually entered if swiping the card does not work. T/F

True

Numeric filing systems almost always require an index. T/f

True

The AHP is primarily responsible for the claims submission in a medical office T/F

True

The Workplace Safety and Insurance Board (WSIB) is the worker's compensation board ( WCB )in Ontario T/F

True

as an AHP your responsibilities will likely include creating the basic EMR. T/F

True

grey

critical infastructure

green

evac

"Private" health care facilities means that patients pay for services. T/F

False

A tertiary care hospital offers basic care, including health promotion and prevention of illness only. T/F

False

An "electronic medical records system" ( EMR ) is a legal health record in digital format T/F

False

Clients may randomly be asked to show their health card before receiving care in their physician's office T/F

False

EDT stands for External Data Transcription. T/F

False

Included in a clinical secretary's scope of practice is the ability to give basic patient care such as helping a patient get up to the bathroom. T/F

False

It is legal to ask someone to show a health card for identification purposes when cashing a cheque. T/F

False

Services considered medically necessary are the same services in all provinces and territories T/F

False

The fee schedule resource manual in Ontario is called the Medical Payment Schedule. T/F

False

The list of insured services is updated every 5 years. T/F

False

When a client requests that their medical records be transferred, OHIP is charged T/F

False

In Ontario, physicians must retain client's health information for 7 years from the date of the last entry T/F

False (10yrs)

After three notices of an unpaid account, the account goes either to small claims court or to a collection agency. T/F

False (2)

Backups of system data should be performed at least once a week T/F

False (daily)

As a student, you can legally download the OHIP fee schedule for your province or territory, from the internet for study purposes T/F

True

Family practice is a specialty area of medicine T/F

True

In Ontario, "snowbirds" who spend the winter in warmer climates, must reside in Ontario for at least 6 months plus one day each year to be eligible for continuous health coverage. T/F

True

In Ontario, residents pay a health insurance premium. T/F

True

Medical procedures that are done in conjunction with a physician visit, are billed at a lesser amount than those done separately. T/F

True

There is no minimum age for consent to the disclosure of health information T/F

True

What is the remittance advice report? a. A monthly statement from the Ministry of approved claims b. The transmission of medical claims to the Ministry of Health c. Explanation of a payment to a provider of a lesser amount than that claimed d. A message indicating what software is necessary to provide readable claims to Ministry computers.

a. A monthly statement from the Ministry of approved claims

Which of the following is the best description of drug benefit formulary? a. A provincial/territorial list of selected drugs covered by the drug benefit plan? b. A manual listing the recommended use and dosage of common medications. c. A provincial/territorial list of recommended retail cost of prescription drugs. d. A multi-discipline manual that describes the action, use, route of administration and recommended dose of medications.

a. A provincial/territorial list of selected drugs covered by the drug benefit plan

Mr. Lee has experienced a subdural hematoma. Which of the following hospital units would he most likely be admitted to? a. Neurology b. Nephrology c. Systemic therapy d. Psychiatric/mental health services

a. Neurology

Which of the following would you likely find in a clean utility room? a. Sterile dressing trays b. Sterile bed pan hoppers c. Housekeeping supplies d. Used but clean suction machines

a. Sterile dressing trays

Who owns a client's health information record in a group practice? a. The client b. The group practice c. The health ministry d. The most responsible physician

a. The client

Which of the following would be the best response by the medical secretary when someone calls the unit wanting to know the condition of Mr. Jones, a patient? a. I'm sorry but I am not qualified to give that information. b. Can I get you to hold for a minute while I go get Mr. Jones' nurse? c. I heard them say at report that he has taken a turn for the worse. d. I'm sorry, but if you want to know how he is the best thing you could do is come for a visit

b. Can I get you to hold for a minute while I go get Mr. Jones' nurse?

Which of the following methods of claim submission is the method of choice across Canada? a. Billing cards b. Electronic transfer c. Tape cartridge and disk d. Machine readable input/output

b. Electronic transfer

Which of the following statements about health card validation is true? a. The red and white OHIP cards are no longer valid. b. In Ontario, claims submitted with an invalid version code will be rejected. c. Information about a client's health card can be obtained by calling the Ministry of Health. d. Clients no longer have to show their health card if their OHIP number is on file.

b. In Ontario, claims submitted with an invalid version code will be rejected.

Is it necessary to have the patient sign a "permission to release information form" before submitting a billing claim which includes the required personal information? a. Yes b. No

b. No

Which Ontario statute requires the reporting of any misconduct on the part of a health-care provider? a. The Aeronautics Act b. Regulated health Professions Act c. The Child and Family Services Act d. The Health Protection and Promotion Act

b. Regulated health Professions Act

Medical records are making the transition from paper charts to electronic records. If a patient's chart is completely uploaded , how long does the Colleges of Physicians and Surgeons across Canada recommend keeping the paper version of the medical records? a. One month b. Six months c. One year d. Two years

b. Six months

Mr. Snider will require a portable Gomco suction when he returns to the unit following his gastric surgery. Which of the following departments would you call to obtain that piece of equipment? a. Purchasing department b. Stores/materials management c. Environmental services/housekeeping d. Risk management/infection control

b. Stores/materials management

Which of the following care services can be billed as physician encounters with the provincial health care plans? a. Sadie visits the office to get a back to school note for her daughter. b. Susan has the nurse take her blood pressure and sees the doctor to have her medications renewed. c. Charlie comes to the office to have the nurse change his dressing and assess his wound. d. Martha comes to the office to have the nurse administer her monthly vitamin B6 (pyridoxidine) injection.

b. Susan has the nurse take her blood pressure and sees the doctor to have her medications renewed.

The suffix in a service or billing code has a specific meaning in codes for diagnostic tests. What are the two insurable components related to diagnostic tests? a. Therapeutic and diagnostic b. Technical and professional c. Physician and assistant initiated d. Hospital or nursing home initiated

b. Technical and professional

What does shadow billing refer to? a. It is used in third-party payment situations. b. It is the type of billing used for physicians opted out of OHIP. c. It is used in practices that have entered into primary care reform. d. It is a billing method used for doctors who offer services at more than one facility.

c. It is used in practices that have entered into primary care reform.

Which of the following statements is the best example of deregulation? a. Provincial plan covers in-patient physiotherapy services. b. Health insurance covers physician examination to investigate patient symptoms. c. Routine eye examinations have been removed from the provincial fee schedule. d. Only medically necessary health services are covered by the provincial plan.

c. Routine eye examinations have been removed from the provincial fee schedule.

Which of the following individuals would you typically report to in your role as clinical secretary? a. The client b. The physician c. The clinical resource nurse d. The personal support worker

c. The clinical resource nurse

Mr. T., a senior citizen, has been prescribed a generic medication from the provincial drug benefit formulary. It is not managing her pain and makes her feel sick and lethargic. Previously she was using a brand name medication with good results and fewer side effects, but it was not listed in the drug benefit formulary and so was not paid for by the plan. How can the doctor attempt to get the more effective drug paid for by the provincial drug benefits plan when it is not on the list of selected drugs covered by the drug benefit plan? a. The doctor can call the pharmacy and explain the situation b. The doctor can call the Ministry of Health and demand they allow the client the use of the best drug c. The doctor can submit a limited use form for some drugs or write a letter and submit a different form for other drugs. d. The doctor can call the local media and put out a public call for help in funding the more effective drug.

c. The doctor can submit a limited use form for some drugs or write a letter and submit a different form for other drugs.

blue

cardiac arrest/adult medical emerg

What should the AHP do if unsure whether a service is insured by the provincial health plan? a. Ask the physician in charge b. Check with the office nurse c. Call another practice and check with their AHP. d. Contact the health ministry regional information service.

d. Contact the health ministry regional information service.

Mr. Hank has suffered from COPD for a number of years. He has come to the office today to investigate a temperature of 38.5C , productive cough and SOB ( shortness of breath ) with chest discomfort. The doctor diagnosed pneumonia. What diagnosis would be used for the diagnostic code column on a claims submission form? a. COPD b. Pneumonia c. Chest pain d. Either a or b

d. Either a (COPD) or b (pneumonia)

What is the AHP's most important responsibility when a patient requests the transfer of their medical records to a new physician? a. Transfer the records immediately. b. Transfer the complete, original medical health record. c. Transfer the billing records from the provincial health care plan. d. Have the client sign a consent and then transfer a copy of the medical record.

d. Have the client sign a consent and then transfer a copy of the medical record.

Dr. Jacob asks Martha , the clinical secretary , to slip down to Mr. Harvey's room and get the vital signs graph. Martha is in the process of transcribing orders. Which of the following would be Martha's best response? a. I'm too busy right now. b. I'm busy - someone else will have to get the graph. c. That task is beyond my scope of practice and therefore I can't get the graph. d. I can go in a minute, Dr. Jacob. I am just about finished transcribing this order.

d. I can go in a minute, Dr. Jacob. I am just about finished transcribing this order.

In Ontario, what does the three number service code represent? a. The type of assessment b. The provider rendering the service c. The assistant rendering the service d. The type and/or complexity of the service rendered

d. The type and/or complexity of the service rendered

. In which of the following circumstances must the AHP mark the MR field option on the computer when submitting a claim? a. When a hand written hard copy of a claim is submitted. b. When a new client has been added to the practice c. When a physician has examined a client without using any diagnostic technology d. When a manual review of the claim is requested because the service provided contravenes the provincial billing guidelines.

d. When a manual review of the claim is requested because the service provided contravenes the provincial billing guidelines.

Canada Health Infoway is a provincially funded organization with a mandate to facilitate the national implementation of electronic health records. t/f

fALSE

red

fire

brown

hazard/chemical spill

pink

kid emerg

orange

lock down

Clinical/secretarial responsibilities include processing diet changes for clients T/F

true

white

violent person

Chronic care facilities provide long-term inpatient medical care for people with little or no potential for rehabilitation. t/f

True

Federal hospitals provide health care services for First Nations people, veterans and military personnel T/F

True

An "electronic health record" ( EHR ) is an accumulation of essential information from an individual's electronic medical records T/F

True

"Open text" clinical records allows the provider of care to record the findings on a blank page or a template such as one for SOAP charting T/F

True

A service that is no longer insured is deregulated T/F

True

Accreditation is the process by which facilities are granted recognition for meeting certain preset standards of care T/F

True

If a health card will not swipe, putting a thin paper over the magnetic strip may help T/F

True