Medical Office Questions

1.

What do you mean my Medicare card is invalid!. It worked last month! You can see my name on it and here is my driving licence to prove who I am. I AM ALWAYS BULK BILLED AND I AM NOT PAYING so you had better sort it out!
- A.
  
  Tell the patient they need a valid Medicare card to bulk bill to Medicare and without it they will have to pay in full, but they can claim the the full amount back from Medicare
- B.
  
  Tell the patient very firmly that this is their responsibility and they should contact Medicare to obtain a valid number.
- C.
  
  Offer to phone Medicare and ask for the patients Medicare number
Correct Answer
C. Offer to phone Medicare and ask for the patients Medicare number

Explanation
If the patient is being bulk billed, Medicare is able to give you the updated medicare card number. Therefore you can phone Medicare for the patients Medicare number. If the patient is being privately billed, the privacy act prevents you from getting the number so the patiet should obtain their Medicare number from Medicare and give it to you.

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2.

Generally a referral letter has a life span of 12 months. This life span starts on the day the letter is written.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
A referral letter is valid from the day it is written but its lifespan starts from the first consultation with the specialist. e.g. letter written on 1st June 2012 and valid from this date. Date of the first appointment with the specialist is 1st Sept 2012 therefore the lifespan of the referral starts on this date and teh referral will run out on 31st August 2013

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3.

The Department of Human Services sets the fee for every medical service listed in the Medicare Benefits Schedule. This fee is called the Schedule Fee
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
The Medical Benefits Schedule lists all services that attract a Medicare rebate. Services that do not attract a medicare rebate include cosmetic surgery, heavy vehicle fitness test, physiotherapy*, chiropractic services, glasses, dentistry*. ( *some exceptions)

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4.

What is the percentage rebate on an item 44
- A.
  
  85%
- B.
  
  75%
- C.
  
  100%
- D.
  
  115%
Correct Answer
C. 100%

Explanation
General Practitioners receive a rebate of 100% for all professional attendance items (e.g. 23 / 36 / 44 etc) 85% rebate is paid for procedural services provided by a General Practitioner or for any services provided in rooms by a Specialist. 75% rebate is paid for all services provided in hospital. 115% rebate is paid for all services provided to Veterans covered by Veterans Affairs'

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5.

Department of Veterans Affairs White Card covers veterans for all services.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
The DVA white card is for specific illness/injury only. The DVA gold card provides for all services listed in the MBS plus other services such as home help, home appliances, transport to and from medical professionals.

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Medical Office Questions

What do you mean my Medicare card is invalid!. It worked last month! You can see my name on it and here is my driving licence to prove who I am. I AM ALWAYS BULK BILLED AND I AM NOT PAYING so you had better sort it out!

Generally a referral letter has a life span of 12 months. This life span starts on the day the letter is written.

The Department of Human Services sets the fee for every medical service listed in the Medicare Benefits Schedule. This fee is called the Schedule Fee

What is the percentage rebate on an item 44

Department of Veterans Affairs White Card covers veterans for all services.