Medical Aid Industry
Quiz by Jeanette Nel
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- Q1
Who is the custodian of the International classification of disease 10th version (ICD10)
Board of Healthcare Funders (BHF)
World Health Organisation (WHO)
South African Medical Association (SAMA)
Council for Medical Schemes (CMS)
30s - Q2
If a claim is received without a practice number will CAMAF pay the claim or reject the claim?
Pay the claim
Reject the claim
30s - Q3
What is the name of the legislation that governs Medical Schemes?
Medical Schemes Act Act 131 of 1998
Health Professions Act 56 of 1974
Medicines and Related Substances Act 101 of 1965
Pharmacy Act 53 of 1974
30s - Q4
Is the SAHPRA, HPCSA and CMS, legally binding or self-governing councils.
Self-governing
Legally binding
30s - Q5
True or False. The appropriate management of a patient’s medical conditions, is a benefit of using ICD10 codes.
False
True
30s - Q6
What does the acronym CMS stand for?
Council for Medical Schemes
Council for Medical Services
Council of the Ministry Services
30s - Q7
True or false. CAMAF will always pay a claim even if the doctor did not supply an ICD10 code
False
True
30s - Q8
True or False. PMBs is a set of defined benefits to ensure that all medical scheme members have access to certain minimum health services, regardless of the benefit option they have selected.
True
False
30s - Q9
Is CAMAF a Medical aid scheme or medical insurance?
Medical Insurance
Medical Scheme
30s - Q10
Is CAMAF an open or close scheme?
Open Scheme
Closed Scheme
30s - Q11
Which one of the following services is a CAMAF exclusion?
Radiology
Dental extractions
Examinations conducted for insurance purposes
Glasses
30s - Q12
Who is responsible for allocating practice numbers to healthcare providers?
Board of Healthcare Funders (BHF)
Council for Medical Schemes (CMS)
World Health Organisation (WHO)
South African Medical Association (SAMA)
30s - Q13
What does PCNS stand for?
Password Change Notification System
Psychiatric Clinical Nurse Specialist
Practice Code Numbering System
Perioperative Clinical Nurse Specialist
30s - Q14
What does the first three digits of the practice number indicate?
The discipline number of the practice
The unique practice number
The name of the practice
The sub discipline number of the practice
30s - Q15
The last 7 digits of a practice number indicates....
The discipline of the practice
The practice name
The sub discipline of the practice
The unique practice number
30s