RMB SCAVENGER HUNT PARTS 1 and 2_Ebrahana Islam

.docx

School

George Brown College Canada *

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Course

MISC

Subject

Medicine

Date

May 21, 2024

Type

docx

Pages

1

Uploaded by drebrahana2512

SECTION: # Question 1. What does RMB stand for? Reciprocal Medical Billing 2. What is the payment program to enter on this type of claim? Payment program - RMB 3. What should be entered as the payee? Payee - P for pay provide. 4. Is it mandatory for physicians to participate in RMB, yes or no? No 5. Do all provinces participate in RMB, yes or no? No, Because excluding Quebec 6. What province does not participate in RMB? Quebec 7. Other than the payment program, what are four pieces of information that must be filled in that are different from the standard health claim form for Ontario residents? 8. Which province or territory has the most characters (numerics or digits) in its health card number? How many digits is it? NEWFOUNDLAND/LABRADOR 12 digits 9. Which province or territory’s health card number is a combination of alphabetic and numeric characters? Explain the format and total number of characters. NORTHWEST TERRITORIES 8 characters - individual registration One alpha (N, D, M or T and 7 numerics) 10. What is the two-letter abbreviation for Prince Edward Island? PE 2021 Scavenger Hunt: Part 2 Instructions: Use this Central Forms Repository for Health Care Practitioners link for Part 2 of the scavenger hunt. Using the list of forms, fill in the answers or information requested. There will be questions like this on the final exam. Please note that this is a good resource for other forms that you will need, such as the RAI, Manual Review, Health Number Release, and the Application for IVR Participation, all of which you might encounter for billing purposes. # Question 1. What is the form number for a reciprocal claim? 4421-84 2. What does OOP stand for? Out of Province 3. What does OOC stand for? Out of Country 4. What is the form number for the Out of Province Claim for Physician Services ? 0000-80 Under interprovincial agreement, this form is used by patients and physicians to be reimbursed by their home province/territory for health care services that have taken place during within Canada. This form is used for three situations: For physicians who choose not to participate in the RMB program, for Quebec patients visiting Ontario, and for service codes that are OHIP benefits but are excluded from the RMB program (see the list in the Online Resource Manual for Physicians–Section 4.) 5. What is the form number for Request for Prior Approval for Full Payment of Insured Out-of-Province (OOP) Health Services ? 4963-84 6. What is the form number for Prior Approval Application for Full Payment of Insured Out-of-Country (OOC) Health Services ? 4520-84 7. What is the form number for Request for Approval of Payment for Proposed Surgery ? 0691-84
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