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WorksheetsYakap Upskilling
Total questions: 25
Worksheet time: 11mins
The following are the components of YAKAP program, EXCEPT:
PhilHealth GAMOT or Outpatient Medicines
In-Patient Hospitalization
Outpatient Laboratory and Diagnostics
YAKAP Clinic Services
If a PhilHealth YAKAP beneficiary receives a positive result from a cancer screening, to which specialized PhilHealth benefit package are they typically referred for comprehensive disease management?
Outpatient Emergency Care
All Case Rates
Cancer Screening Tests Benefit Packages
Z- Benefit Packages
The following are primary roles and responsibilities of a PhilHealth YAKAP-Accredited Clinic, Except:
A. Prescribe screening for cancers as indicated.
B. Provides health promotion and education to patients.
C. Prescribes appropriate laboratory or diagnostic examinations
D. Providing the full annual Z-Benefit package of financial coverage for catastrophic illnesses like cancer and kidney failure.
Who is eligible to register and avail the PhilHealth YAKAP benefits?
Only employees from government and private sectors
Indigent Members and Pantawid Pamilyang Pilipino Program (4PS) beneficiaries
All Filipinos (under UHC Act) and their dependents
Only members aged 60 and above
How does PhilHealth financially reimburse an accredited YAKAP Clinic for its service?
By paying for each test screening done
By providing a fixed annual payment per registered number (capitation)
By reimbursing only the cost of medicines and supplies used during a visit
By paying only after the patient is referred to a Z-Benefit hospital.
What is the annual benefit limit (ABL) per beneficiary for PhilHealth GAMOT?
Php 10,000.00
Php 15,000.00
Php 20,000.00
There is no limit
What is the GAMOT Availment Slip (GAS)?
A form used by physician to apply for access to the GAMOT App
The application form for a pharmacy to become a GAMOT Facility
A form generated for each transaction showing dispensed drugs and the remaining benefit coverage
A monthly report submitted by the GAMOT Facility to PhilHealth
When a PRO AQAS GAMOT Focal validates a Pharmacist’s account, what key detail must they verify?
The validity of the Pharmacist’s PRC license
The signature on the Application Account Authorization Form (3AF)
The Pharmacist’s affiliation with a YAKAP Facility
The Pharmacist’s PhilHealth Employee ID
In addition to being a licensed and PhilHealth-accredited physician, what other key affiliation is required to become an “Authorized Physician” in the GAMOT App?
They must be a member of the Philippine Medical Association
They must be affiliated with a YAKAP facility
They must be the head of a GAMOT-accredited facility
They must have a registered account in the OS ticket system
Effective care coordination excludes direct communication with hospitals and specialists.
True
False
Patient navigation instructions for emergencies and special cases are outside the scope of care coordination in the YAKAP clinic.
True
False
Is the inclusion of drugs in the prescription that are not in the current GAMOT list reimbursable?
True
False
YAKAP doctors should self-prescribed.
True
False
YAKAP doctors shall provide prescriptions before a medical consultation.
True
False
Facilities that signify intent to provide the selected screening test for cancer may charge co-payment for patients that are not NBB eligible.
True
False
DOH LTO is a mandatory requirement for accreditation of YAKAP clinic.
True
False
Continuity of care includes mechanisms for tracking patients lost to follow-up.
True
False
One of the specific objectives of the Health Care Provider Performance Assessment System (HCPPAS) is to __________ reporting, recording, and analysis of HCP performance monitoring results.
STANDARDIZE
IGNORE
COMPLICATE
LIMIT
Findings with quality of care concerns that are not refuted by the concerned HCP are issued with __________.
NOTICE OF CORRECTIVE ACTION (NCA)
NOTICE OF SUSPENSION (NOS)
NOTICE OF TERMINATION (NOT)
NOTICE OF WARNING (NOW)
The Health Care Provider Performance Assessment System (HCPPAS) feedback mechanism allows the concerned health care provider to submit a justification __________.
WITHIN 10 WORKING DAYS
WITHIN 5 WORKING DAYS
WITHIN 15 WORKING DAYS
WITHIN 20 WORKING DAYS
4. Findings with __________ are endorsed to the regional legal office for appropriate legal process.
LEGAL ISSUES
ADMINISTRATIVE MATTERS
FINANCIAL REPORTS
TECHNICAL ERRORS
5. __________ is the analysis of claims data through utilization review.
CLAIMS REVIEW AND PROFILING
MEDICAL CODING
PATIENT SCHEDULING
BILLING INQUIRY
6. To avoid delays during PCU verification, your personal details must exactly match your __________ record.
PHILSYS
SSS
TIN
VOTER'S
One of the main objectives of the Health Care Provider Performance Assessment System (HCPPAS) is to ensure __________ delivery to our members.
QUALITY OF CARE
TIMELY PAYMENTS
INCREASED PAPERWORK
REDUCED STAFF
8. __________ is the document submitted by an accredited health facility to offer the selected screening tests for cancer.
LETTER OF UNDERTAKING (LOU)
SCREENING REQUEST FORM
PATIENT CONSENT FORM
HEALTH FACILITY ACCREDITATION FORM
