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MOA

QuestionAnswer
What can you do in the health office to reduce fraudulent use of health cards?
List 6 hospital/medical services that are not covered under most provincial plans.
Assessments Include:
Elements considered when determining the value of a covered service:
What is the purpose of the Version Code on a health card?
To maintain OHIP coverage, how long must a person reside in the Province?
What are the most common causes of an invalid health card?
What options do you have if a client has forgotten his health card?
The MOH is responsible for:
The 3 steps in the billing process are:
Benefits of health card validation:
List 3 methods of HCV
Explain the structure of the physician billing # in your province/territory
Discuss the format of billing codes for intermediate visit and a complete assessment in your province/territory.
List 4 methods of claim submission.
What should you do when you receive a claims error report?
What is the claims deadline for Ontario?
3 Types of Claims you will bill for?
Batch Edit Report
Claims Error Report
Diagnostic Code
File Rejected Notice
IC
MR
Premium Code
Procedure Code
Remittance Advice
Service Code
UVC
What are some common procedure codes? G014A (rapid strept test) K013A (counseling) G420A (ear syringe) G538A (WCV) G310A & G313A (tech & prof EKG)
Created by: StacWush
 

 



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