Module 3 Flashcards
In Canada, health- care plans pay only insured health-care services normally defined as
“medically necessary”.
T
The list of insured services is updated every 5 years.
F
Services considered medically necessary are the same services in all provinces and
territories.
F
A service that is no longer insured is deregulated
T
Medical procedures that are done in conjunction with a physician visit, are billed at a lesser
amount than those done separately.
T
The fee schedule resource manual in Ontario is called the Medical Payment Schedule.
F
As a student, you can legally download the OHIP fee schedule for your province or
territory, from the internet for study purposes
T
In Ontario, residents pay a health insurance premium
T
In Ontario, each person has an OHIP card number for life.
T
It is legal to ask someone to show a health card for identification purposes when cashing a
cheque.
F
____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
The Workplace Safety and Insurance Board (WSIB) is the worker’s compensation board
( WCB )in Ontario.
T
Clients may randomly be asked to show their health card before receiving care in their
physician’s office.
F
Family practice is a specialty area of medicine.
T
The AHP is primarily responsible for the claims submission in a medical office.
T
EDT stands for External Data Transcription.
F
If a health card will not swipe, putting a thin paper over the magnetic strip may help.
T
Information from a health card may be manually entered if swiping the card does not
work.
T
When a client requests that their medical records be transferred, OHIP is charged.
F
After three notices of an unpaid account, the account goes either to small claims court or
to a collection agency.
F
Canada Health Infoway is a provincially funded organization with a mandate to facilitate
the national implementation of electronic health records.
F
An “electronic medical records system” ( EMR ) is a legal health record in digital format.
F
An “electronic health record” ( EHR ) is an accumulation of essential information from an
individual’s electronic medical records.
T
“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
A fob is a small security device added to a computer, displaying a randomly generated
access code which changes every few seconds.
T
Backups of system data should be performed at least once a week.
F
