Family Medicine Billing Made Simple: Guide for FHO Doctors in Ontario (Pt 1)

Hi everyone it's Dr Steph I'm an assistant  professor at the University of Toronto where I teach the financial literacy curriculum recently  I worked with two residents doctors Abir Islam and Vivesh Patel on an academic project to develop  and evaluate these this lecture as a resource for new family doctors as we already know a lot  of family doctors are retiring and new grads don't want to start new practices and become small  business owners so hopefully by providing more resources to new grad

s like this it will ease  the transition to practice and reduce burnout so the FHO or the family health organization model  is a type of billing model for Ontario family doctors and it is the most complex billing  model it is complicated because it is like learning a new language there are a lot of rules  and sometimes those rules change frequently so it took me almost a month to think about how to teach  this in an organized and simple manner so I've developed I've broken it up into two parts a

nd  I'll also try to give some tips that our Clinic uses when billing as well if you do have any  additional tips for the new grads or new family doctors please leave a comment in down below so to  talk a bit about my own practice I do addictions and Family Medicine I have a roster of about  900 patients and I work two full days of family medicine as the FHO lead and then on the other  days I do addictions inpatient and outpatient clinics so in this photo I'm with the team of  students and resid

ents in my addictions clinic in terms of what I what else I do in the other  time I also develop and give lectures as I am doing here with the undergrad medical students I  do research and I also have an administrative role at the hospital when it comes to doing EDI work on  the weekends I record my lectures so that Learners across Canada can access them for free and I also  supervise you know Psychiatry and Family Medicine residents and clerks five days a week so if you  want to join me in clin

ic feel free to reach out leave a comment comment and then also feel free  to support the Channel with a like or subscribe I don't have any conflicts of interest to disclose um so these slides were just made as part of  an academic project with two PGY-2 residents who are at Sunnybrook I just want to give credit  to all of the residents at Sunnybrook whom we've tested this lecture on as well as Dr Sharon  Domb and Dr Steven Singh who is part of the Department of Family Medicine at McMaster and 

also chair of the Oma section on palliative care so I always wanted to start with the resources  because that is literally the most high-yield part so 90 of what you have to know probably  comes into these couple of next slides so first of all if you're following along  with this lecture especially as you go into the practice cases section I do encourage  you to have a second screen open where you can search up codes using these resources  the First Resource is the SGFP billing codes documents a

nd so this is a very condensed document  that can be really helpful for just doing a quick search of different billing codes the one  downside is that it is a bit outdated it's from 2015 so I think if they ever end up making a  new one I will link that in the description below um the other resource that I really like is  the first five years in Family Medicine Family Practice Facebook group um I like this resource  because it not doesn't it doesn't just have um people in the first five years in

it there  are people who are uh past their five years and extremely experienced in their knowledge of  not just um practice management billing but also when it comes to clinical cases so you're  not too sure about what to do about something either clinically or ethically like this  can be a good place to ask your colleagues the schedule of benefits is a very massive  document and if that SGFP document that you have doesn't really give you what you're looking for  or you want to go into a deeper

dive into certain billing codes you can look them up in the schedule  of benefits now just something to note is that there is a FHO Physicians billing guide but it is  a bit outdated as there are some codes on there that are now obsolete so for example like you  used to be able to get five dollars per patient rostered but not anymore so I guess the only thing  is it might be able to provide some helpful info on rejection codes or what the bonus that you're  getting is for or let's say when you'r

e reading through your RA or remittance advice which is  like a receipt that you get from the Ministry of Health you can kind of look through that to  get some understanding of the items on your RA so like I said before billing codes are changing  constantly and in fact in the span of one year a lot of the virtual care billing codes  have changed usually I will add updates to the description or pinned comment part of  this talk as I can't edit a video once it's been uploaded so if you also want

to get updated  information this is where you can find it as well and just for a refresher on billing because let's  say you're not working in a FHO or you just want to get some baseline understanding of billing  feel free to check out these two lectures that I've recorded in the past for residents as well  and if you want to know a bit about some of the changes that's been happening to the billing  codes please check out the pinned comment and description section of those videos now when  it co

mes to different billing models in Family Medicine there are so many different types  so many different acronyms out there today we're going to be focusing specifically on  the FHO model billing model but everywhere everything else like the FHG fee for service  and FHN are other types of billing models feel free to watch this particular video I'll link  it above and in the description for a bit more of an overview on all of them but for the today's  purposes we're going to focus on the faux mode

l so the main difference between the faux model and  the other models is that it's meant to incentivize comprehensive and preventative care whereas  a model like fee for service May incentivize volumes of patients seeing for instance so  how does this capitation work and how does capitation help incentivize comprehensive care  well a capitation is kind of like a subscription fee that is paid per patient to you on behalf of  the Ministry of Health on behalf of OHIP for you to provide this their c

are to care for them  as a whole and note that all key terms in my lecture is in blue now capitation consists of a  base rate which is paid to you based on the age or the sex of the patient roster to your practice  so for example this 24 year old male you might get 90 bucks per year on that on that patient or you  might have another patient 24 year old female you might get 199 bucks for them instead on average it  comes out to be about 280 dollars per patient per year so let's dive a little bit

deeper into this  because it can be a bit more detailed and and out so capitation consists of the base rate so the  base rate is basically meant to kind of mostly replace those fever Service Billings otherwise  build in a FHG model or in a Fee for service model and it includes the comprehensive care payment so  you know as part of providing that comprehensive care and then also includes an access bonus which  is deducted from your base rate if there if there is a lot of outside use and if there

is no  outside use then the bonus gets paid back so this is a chart that I've kind of which I've  taken from this website down below and it kind of gives you a little bit of the breakdown between  the three components of what makes up a capitation now it looks like you know it looks like it's  like quite a lot per patient per year but you it's also unrealistic to expect to receive the  full amount right because sometimes especially if you're practicing in an area with a lot of virtual  walk-in c

linics or in-person walk-in clinics you know it can often reduce your access bonus by  quite a lot if your access bonus starts going into the negative then it starts cutting into  your group's access bonus so your group meaning the clinic of where everyone else is working with  you right all the other doctors working with you and so it kind of depends on your governance model  of your clinic to ensure whether there is some sort of payback policy often we have about six  months to retroactively d

e-roster the patient and so in that case then the patient if they're not on  your roster then they'll take away the capitation payments as reconciliation for the month and  you'll just get paid for for them as a fee for service patient um so the other thing to the  other assumption I guess these charts make is that they assume equal distribution across age range  but in fact roster income does vary quite a lot depending on age and gender distribution so it's  really hard to kind of answer the qu

estion how much exactly do you make but let's try to do work  through a bit of an example to help you understand so generally speaking a lot of doctors will ask  okay how many patients should you kind of roster uh for how many days that you work the general  guideline is about 150 to 200 patients rostered per half day that you work let's assume that  you work about three to four days a week and the reality is most family doctors don't work five  days a week simply because there is just a lot of

paperwork that you need you often need one day  as your administrative day to sort through all those labs consult notes prescription refills and  things like that and the other assumption that we're making with um this this example is assuming  that the patient does not use any outside services so assuming all making all these assumptions  let's say you have a 1200 patient roster at that particular capitation per  year that comes out to be about $337 000. so that looks like it's quite a lot righ

t and  in addition to that you might get Shadow billing which is a term I will talk about in a later slide  you also want to keep in mind because you're a small business owner you will have overhead that  you have to pay and that in general comes out to be about 30 percent this can vary depending  on the geographic location that you work so after that it is about $236 000. and you also  want to think about taxes because of course you want to pay taxes so let's assume using the  53.5% marginal ta

x rate it reduces it comes out to be about $92 000 in terms of about the  taxes you owe and that ends up with about $144 000. so you also want to keep in mind um you  know this income it does not include all the time you spend doing paperwork billing reviewing  charts and things like that um or participating in continuing medical education or CME those are all  things that you would have to pay for yourself or do on your own time and you're not really getting  paid for that in the past you might

see a billing code like Q555 to cover CME but that is now  obsolete and also remember not all doctors have a hundred percent of their patients rostered  so it makes it more complicated to exactly figure out how much you make when there might be fever  service coming in or there might be full bonuses coming in as well preventative care bonuses that  I'll touch on in the next couple of slides so how does this look like when it comes to comparing a  faux model with other payment models so comparin

g comparatively for the same around around the same  roster size you might think that the faux model does end up paying more but you also want to keep  in mind that the purpose of the full model is to incentivize comprehensive care not Rapid Care  so I don't want you to just look at this slide and think okay I'm going to just roster a lot of  patience because you also want to remember the priority is to be a good doctor first you want to  provide good care which means being available to patients

rostering too much might result in a lot  of outside use which decreases your access bonus and now there is also a cap to how many patients  you can roster and that cap is at 2400 after that cap you no longer really get that comprehensive  care or base rate capitation it's just kind of as like a fee for service model so you also want  to remember that with increased patient volume comes increase administrative burden and that  part is unpaid so while you might be earning a high salary you'll al

so be working quite long  hours maybe evenings and weekends so you have to think about how much work-life balance you want  to have it's not always just about the income okay so now let's touch on Shadow billing I  used this term earlier so what does it mean basically Shadow billing is when you Bill for  each billing code but you don't get the full amount of it you only get 15% of that code when  you're working in a full model and the reason why is because there are several billing codes  that a

re considered in basket which means that they're part of that subscription you're already  expected to provide those those services so you only get maybe like a shadow of that particular  billing quantity and also it might be a way for the ministry to kind of track um what type of  diagnoses you're seeing or how many patients you're seeing if you're kind of billing for them  and receiving a shadow billing code for this um now there are other codes that are called  out of basket codes and those o

ut of basket codes those are the ones you get to keep  a hundred percent of instead of a fifteen percent and often those codes are found in the OB  or ER or palliative section of the SGFP document so how do you know if something is um like in  basket or out of basket you can tell by this little symbol right here the N and the O so  basically the N just indicates that the code is an out-of-basket code if you're working in  a thin a family health network or if it's an O beside it it just means tha

t you're basically  working you get that out of basket in a FHO so that's like a visual trigger to help you  recognize what is considered in or out of basket so let's talk a bit about the pros and cons  of working a focus when a lot of people are graduating they're thinking okay should I should  I join a foe or should I not or should I join any of the different other practice models out  there so the main benefit I guess of joining a foe is that it incentivizes comprehensive care  that's the pur

pose of why it was created so if you're someone who wants to provide you know  Cradle to grave Family Medicine working a film might be a good way to do that especially  if you want to do mostly Family Medicine um the other benefit is that because it's  a capitation that's paid to you monthly you still can get paid if you're taking time off  so for example um let's say you need to take time off to find a Locum it might be easier  to do that comparatively to a fee for service like enhanced fever s

ervice type model like fig  or purify for service because you know locums might not be able to see as high volumes as you  can and so it might be you might be able to kind of pay them and still be able to afford a certain  Locum when you're in a foe for instance likewise you also if you do like the longitudinal type care  these patients are rostered to you right so these are your patients and now you're responsible  for for their longitudinal care in the future now what are the downsides of work

ing in a foe  uh well I touch on this billing is more complex in a foe and it can be frequently affected by  policy as we've seen in the past people who use walk-in clinics or telemed Services a lot can  eat into your access bonus right now for this year um the $57 000 cap on any sort of work that you  might do for in basket fee for Service Billings so let's say you might have like a walk-in uh  day like a clinic day uh while working as a phone doctor for just patients to walk in um they may  no

t necessarily a roster to you um there's kind of like a cap for that right but this cap right now  is at a group level so even though you may have used up that fifty thousand fifty seven thousand  you can start using other people in your clinics cap assuming they didn't exceed it but as of April  1st 2024 that hard cap will now be changed to a solo level so each individual physician will  have a cap of $57 000 and then if it goes beyond then it gets clawed back so and the other  thing to remembe

r is only in basket Services count in the hard cap so for example like pain clinics  they tend to use a lot of in-basket codes whereas for myself in addictions I build a lot of out of  basket codes so it doesn't really affect the cap for me um the other thing to remember is because  you're responsible for your patients it can be difficult to take a really long time off compared  to working in a walk-in clinic where you do shifts and you can do a shift and be flexible about  when you want to work

so you also want to think about your inbox management and whether other  people in your group can kind of cover for you so now let's talk a bit about the foe specific  billing codes so I thought a lot about what is the best way to teach this in an organized Manner  and so I figured you might as well just start from the very beginning when you obtain a new patient  the premise of full billing is to have a patient roster and that roster is what contributes  to your capitation payments every month

so when you're starting off from scratch you might  have a very small roster that's not paying very much so what I personally did before starting to  convert to a foe is I started off billing as a fee for service in my clinic and that way I get the  full billing code instead of the Shadow billing code for each patient so when you are rostering  the patient obviously you start with a meet and greet and you might Bill your a007 or your k131 or  slash k132 codes for the patient depending on how I

guess comprehensive your discussion is and in  order for the ministry to know that a patient is rostered to you you add a Q200 to that particular  building code and that code is paid at zero um and if that if that patient is coming from  a long-term care home then you would add q202 when you bill um on your EMR system you want to  remember to have the patient complete something called a patient enrollment and consent form  because that is the physical form to show that they are rostered to you a

nd it will also be later  important to have this form when it comes to the virtual care codes as well now let's say the  patient is unattached and they were admitted to an inpatient unit in the last three months  then instead of adding the q200 you would add q023 as your visit code you might see that  in the previous that faux billing document that I showed in the previous slide you might  find that there are codes like q013 or q033 those now no longer apply so I'm just referencing  this here as

a visual cue from the SGFP document in terms of preventative care screening is a big  component of working in a foe the main thing to note is that these are the most common codes that  I tend to bill when it comes to doing your annual physicals um the other thing to remember is often  with doing screening you want to if the patient is at the right age or has the right risk factors  to remember to also build some fit counseling codes for the fecal immunological testing um  and then when you send

out the fit kit this is an out-of-basket code to remember and then  the q0 what q152 is another billing code for when you get the result back from the fit and  then you are telling the patient of the result now the other billing code I want to draw  your attention to is another out of basket code because now that you're in a foe you want to  be more Vigilant about a basket codes if you have a patient who has diabetes just make sure that  you see there see them for their first visit in person wh

ere you can build their k030 and make  sure you do a complete diabetes visit and then after that when you see the patient again you  can see them virtually if needed just you have to remember to add the virtual care code k300  for video and k301 for phone the reason why it's important to build this k030 code for your  diabetes patients is because once you've seen that patient on their third visit it unlocks an  incentive code for people working in a faux model for instance and that is the q040 a

nd so that  gives you an extra sixty dollars for that patient now these are the preventative care tracking codes  and the thing to note is that these codes don't pay anything right they just kind of help the  system uh track uh what percent of your roster has kind of done their preventative screening  up until March 31st the other thing I wanted to point out is that let's say that a certain patient  may not be eligible for a particular preventative care screening so for example if the patient ha

d  a hysterectomy they're not sexually active or they had a mastectomy and so on then you can Bill  an exclusion code so the main purpose of these is that once you hit a certain percentage  of preventative care screening then it can unlock certain bonuses which I'll touch on in  the later slides some EMR systems can track this stuff without uh needing you to Bill any  of these tracking codes it is obviously very EMR dependent because some EMRs where you can  just enter the pap smear code and the

n a date and they can run a search through their EMR but in  other clinics you know the EMR may not be able to do this so for example let's say if you're using  a third-party company to track your Billings and your preventative care they might actually want  you to build the tracking codes to determine if you're meeting your preventative care targets now  the preventative care codes is based on an honor System so it's it's an honor System to determine  what percent of your target population get

their preventative care and I think in April 2024 these  codes will become obsolete they're trying to um you know claw back these codes and the I guess  the the in the money going towards these codes to go towards developing a complexity modifier  um and then the other thing I just lastly I just want to point out about this slide is if  a patient refuses to do a pap smear for example then you can't bill an exclusion code it's only  for these reasons that I have kind of outlined in the slide here

where you can kind of exclude  them from the percent that you have screened for the screening activity report is something that  you can sign up for you can just use your one ID to log in and see the screening activity report  and this kind of allows you to see how how you're doing relative to your peers but also to see how  much percent of your patients have done their screening if you and also what I like about this  is if you um go through the tabs you can actually see all of the the differe

nt patients names who  hasn't done their screening or who is overdue and so on and then you can provide that to your  office manager to reach out to them and ask them to come in to do their screening the important  reason why we would build these tracking codes is because they tell the system how much percent  of our patient roster has done their preventative care and then that translates into a bonus so in  around March 31st because it's an honor system that allows you to Bill one of these bonu

s I guess  codes and let's say you meet the 80 percent Mark for basically every every single preventative  care or I guess you've done immunizations for like 95% of your children that are rostered  then at maximum you can get about like $12 800 um in terms of a bonus that  is paid out sometime in April and I just included the the way that you calculate  your percentage screened on the slide as well um so like I said before remember that  some of these bonuses will be replaced by a complexity mod

ifier so when that  happens I'll update the description below um in April 2024. now the other codes that are  remember that you have to remember to bill in a full model are for vaccinations so a common  one that we often see is for influenza and how you would build this in a foe it's a little bit  different whereas when you were in a fig or a fee for service you might be billing g700 which  is this basic fee and now you are billing Q 590 if that's the sole reason and you can kind of  add it to g

590 which is the influenza shot code um and then don't forget about the um so the other  thing is don't forget about the preventative care codes um even when a patient gets the flu shot  somewhere else like a pharmacy or another clinic and they told you they got their flu shot you  also still want to add that patient as part of tracking for your preventative care bonuses one  other thing to point out I forgot to mention is if you're nursed as a shot and you didn't  see the patient then you would

n't Bill a q590 right you might build the g700 instead  so that is still kind of tracks the flu shot if you have a well child and they come in for  their vaccines I've kind of listed the codes here first you want to make sure you Bill  your vaccine code and then if they're age eligible you want to add on their tracking code  and this is assuming that they have done all of their vaccines and they've been up to date on  all their vaccines up to that 18 months mark and then the other thing to remem

ber because  this is out of basket as well is if that patient coming in is 18 months old remember to add on  an a002 for doing a Nipissing screen the other thing to remember is that if you have a child  that's coming in that's less than one years old you can also Bill a q015 so this gives you an  additional little bit of a bonus up to eight times you can build this for all of those newborns  that you see because you see them quite frequently now what about evening weekends and holidays  right th

is is something that is characteristic of working in a foe that you have to  provide evening and weekend coverage so the Q Triple Eight is actually a new code  that they introduced in Jan in July 2022 for seeing rostered patients on holidays and weekends  and this is as part of the mandatory after hours shift that you have to do while working in a foe  in order to build this code you have to have at least three pre-booked slots where the patient  is where you would build a007 so this would be a

pre-booked and then the rest are can could  be like any sort of walk-in rostered patient and so this code you can bill for the rest of  the other patients not for your three pre-booked patients where you get the shadow billing of  A007 for instance and this code is out of basket if you are seeing a patient in the evening after  5 PM then you can add on a q012 billing code and the other thing to keep in mind is  sometimes you might hear about the A888 code this code is now it's it's to avoid conf

usion  A888 is different from Q888 if you are let's say working in a separate walk in clinic  and you don't want to dock any of your faux colleagues from their access bonus then  you can potentially build a triple eight and that prevents negation of your access bonus  so for more information on this I've kind of linked the document that or the bulletin that  explains this new code that was introduced now you'll also have some patients coming in  who might have certain chronic diseases and there

are codes that are specific to foes for that  as well the ones I wanted to highlight for you is uh firstly the heart failure management incentive  which gives you 125 dollars which is a good bonus to have when managing a patient with CHF and  in order to build this you need to be able to complete their CHF flow sheet and often your  EMR system might actually have that in there already and you need to have build two of those  CHF diagnostic codes to build that bonus incentive yes this code can be

combined with the after  hours code the q012 for a bit of a 30 bonus on top of that if you saw this patient after hours the  other code to point out is the smoking cessation counseling fee which you can combine with a k039  which is the smoking cessation follow-up code this this code gives a little bit of a bonus to folks  working in a faux model um now something I just wanted to point out is that when you see a patient  for the first time for some issue and they bring up that they are a smoker

or you bring up in the  conversation that they're a smoker um and this is the first time that you're talking about smoking  you talk to them about whether they want to stop in the stop options to stop smoking you can add on  the e079 code to your visit code a007 for instance kind of to cover that additional conversation you  had with the patient but let's say if the patient comes and sees you later on in the future and you  have a dedicated visit just to talk about smoking then you can build th

is k039 smoking cessation  code with the q042 keep in mind that the k039 code is not a code you can combine with something like  an a007 that's why I suggest booking a separate dedicated visit just to talk to the patient  about smoking so to incentivize comprehensive care in the area of home visits long-term care  labor and delivery and palliative care the full model has access to some premiums when it comes to  incentivizing those areas of comprehensive care so the first premium that I want to

point out is when  it comes to prenatal visits and you can try to Bill these codes for visits with pregnant patients  these are all out of basket codes so the thing to keep in mind is that if you Bill more than five  of these four faux enrolled patients in their first 28 weeks of gestational age then that opens  up a two thousand dollar bonus that you can get now when you are doing Pregnancy Care like you're  actually helping to deliver the baby um you know you can get access to some of these pa

rticular  codes so the p0679 and 18 and the 20 surgical assist codes being able to build these codes allow  you to end up with a bonus of five thousand if you have billed them for more than five patients or  eight thousand if you've built them for more than 23 patients so if you have an interest in OB  or you have a lot of OB patients it might be a good idea to join a foe because a lot of these  codes are out of basket and the I guess the good thing is if you see a certain number of these  patie

nts it allows you to get that annual bonus so and just remember from the previous  slide you know if you are seeing them for the prenatal care you also can get  a 2 000 bonus on top of that as well now termination of pregnancy these codes are  not listed on the SGFP document but I want you to know about them because they are out of  basket so if you do have that interest in OB um and you want to counsel the patient or if  you're giving them a medication you're following up on them up to two visi

ts per pregnancy these  are the codes that I've listed on this slide now if you do palliative care and you also work in  a foe there are some additional bonuses that you get when you build these particular codes which  I've just put on the slide for your reference and I've kind of pointed out to each of them with  arrows here this allows building these codes for more than four patients opens up a bonus of two  thousand dollars and if you build these codes for more than 10 patients it opens up a

bonus  of five thousand dollars now if you'd like to do home visits there are also premiums that you  can get for doing home visits as well keep in mind that on your SGFP document you'll see the  a901 that is now obsolete so it's a 900. um so when you Bill let's say these codes for more than  three patients for instance you would get a bonus of fifteen hundred and then so on and so forth it  comes with an increasing bonus with that as well so if you work in long-term care it's the same  idea so

if you Bill certain long-term care codes for a certain minimum of patients like 12 patients  then that unlocks another bonus for you as well and then finally if you do procedures or you have  a procedure clinic as well if you build more than 1200 in procedures for your enrolled patients then  that gives you a bonus of two thousand dollars so there are a lot of bonuses out there for various  different aspects of providing comprehensive care and then finally if you also provide a hospital  hospita

list care for instance and you let's say build more than 2 000 in hospital care codes and  I've listed these codes on the slide here you know this can give you a bonus of five thousand  dollars now note that this also includes newborn care so h001 as well as care for um for newborns  in their sixth to the 13th week of gestational age so I care for pregnant people of 6th to  13th week gestational age that would be a c007 um the other thing to kind of point out is the  a933 is for an on-call asses

sment A c005 is for a consultation and c003n4 are General assessment  and reassessment codes for non-emergency hospital visits so if you are also in a rural area that  opens up a rurality bonus and you will probably know if you're in a rural area if your rurality  index is more than 39 and that you can find out um before you decide to locum you can ask the  particular clinic or you can look this up online as well finally there is also a mental health  premium too so if you have enrolled patients

that have bipolar disorder or schizophrenia then  there isn't really any um you know um billing code I guess that this is tied to so you have to  build a tracking code for the system to know um that you saw a particular patient that is  bipolar or that has schizophrenia and so if you let's say you saw a patient you add on a q020  you also build the visit code with the diagnostic code for bipolar disorder or schizophrenia and  let's say you've built five of those that gives you a bonus of one th

ousand dollars so the final  bonus that is available to faux doctors is the administrative bonus and this is known as the  group management and Leadership payment so this can show up on your RA if you are the full lead  or the faux Vice lead and it comes up to be about one dollar per patient to a Max of the 25 000 that  gets paid to the foe so this is a bonus for you to help do the administrative work of managing um the  Foe and sometimes there are third-party companies that can help with managi

ng the phone and so  there are also bonuses that can go to them as well so in my next video I'll be going over some of  the practice cases and hopefully if things were very confusing to you in the beginning by doing  the practice cases it will really solidify a lot of the info for you and um you know help you  understand how billing codes and how combining billing codes work and a lot of the practice  cases were tested on Family Medicine residents at the Sunnybrook Family Medicine site so you ca

n  kind of see how you score compared to what they ended up choosing as their answer as well so I'll  see you in the next video thank you for watching