MIDTERM STUDY NOTES 2023

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Fanshawe College *

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6041

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Health Science

Date

Dec 6, 2023

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pdf

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2

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MIDTERM STUDY NOTES – INFO6057 1. What are the 5 principles that provide the foundation for health care in Canada? Public Administration, Comprehensiveness, Universality, Portability, Accessibility 2. What is the provincial responsibility for health care? Delivering health care to eligible residents in the province. 3. What is the federal responsibility for health care? Setting, Administering, and Monitoring all National Standards for Medicare. 4. True or False – Primary Health Care is moving to a multi-disciplinary team approach for health services? True 5. Which of the following is the best description of the primary health care setting known as family health networks (FHN)? Services are restricted to patients who are rostered with the practice or patients of physicians participating in the group. 6. Services are restricted to patients who are rostered with the practice or patients of physicians participating in the group. Prompt, polite, precise, professional, positive, patient. 7. Mrs. A calls the office to ask if she should bring her two-year-old son, Sammie, for his scheduled immunization because he is lethargic, has a productive cough, a fever, and increased, laboured respirations. Which of the following would be your best response? Keep the appointment and the doctor will assess Sammie and decide about the immunization. 8. Under PHIPA, an individual cannot stop a custodian from using their name and mailing address for fundraising purposes. True 9. When an individual gives verbal consent to the collection, use or disclosure of personal health information this is a form of express consent. True 10. What type of remuneration is the physician receiving when the AHP submits a claim for a minor assessment and a dressing change to the province? Fee for Service Billing
11. Which of the following statements is the best example of deregulation? Routine eye examinations have been removed from the provincial fee schedule. 12. What is the disadvantage of electronic validation of health cards through a web-based telecommunication system? It validates only patients who have made appointments ahead of time. 13. How do professional health care providers go about getting a provincial billing number? Register with their professional body and then apply for a billing number 14. In Ontario what does the three-number service code represent? The type and/or complexity of the service rendered 15. What is the claims submission deadline in order to guarantee reimbursement within the next billing cycle in most provinces except Newfoundland? Monthly 16. What is the first step of submitting a claim? Registering the patient in the system. 17. A/CPx is a commonly used health office medical abbreviation for scheduling. Which of the following best indicates what it means? Annual Physical 18. Which of the following is the best example of scheduling by exception? Scheduling the times you know the doctor is not going to be available. 19. What does the alpha suffix component of the alphanumeric service or billing code represent? The person who provided the service or examination 20. A physician is able to bill for both procedure and technical fees. True.
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