COE
Patients that have minor or no change in their prescriptions should still be charges a refraction fee when refraction was performed. T or F
T
Practice review minus the cost of goods sold is referred to as gross profit. T or F
T
Practices should compare their payer fee schedules to their local Medicare allowable. T or F
T
Preparation for the strategic planning process should include an assessment of the financial health of the practice. T or F
T
Purchasing and housing on-site servers allows control over the data center. T or F
T
Refractive surgery services can be provided either in the doctors office, in a separate refractive laser center, or in an ambulatory surgery center T or F
T
Social networking refers to communicating with groups communities of users using social networking sites. T or F
T
Some employee actions can result in immediate termination, if serious enough in nature. T or F
T
Some team members may not have worked on a team in the past, so there is often a need to teach them about how to work as a team. T or F
T
Starting the computer is known as the boot process. T or F
T
Surveys should include an area for general comments from the patient. T or F
T
Termination may be the practices best option if a payer is unwilling to negotiate an equitable contract. T or F
T
The "Plan, Do, Check, Act" process allows a group to plan, test, and incorporate feedback before committing to the implementation of a new process T or F
T
The ciliary processes secrete fluid in the eye, which is called aqueous humor. T or F
T
The critical elements of internal marketing programs are effective communicating, developing patient advocates, and creating internal demand. T or F
T
The following could be found in a compensation philosophy stmt: "We will seek out entry-level candidates with the right personality match for the practice and provide on-th-job training to help them become successful. This will allow for a lower starting hourly wage. T or F
T
The new patient ratio healthy range should be between 15% and 30% in a typical general ophthalmology practice. T or F
T
The new patient ratio healthy range should be between 15%-30% in a typical general ophthalmology practice. T or F
T
The new patients ratio healthy range should be between 15%-30% in a typical general ophthalmology practice. T or F
T
Treating people with respect helps diffuse anger and tension during tough conversations. T or F
T
When a practice receives checks for insufficient funds, the practice often adds bank processing fees to the amount owed by the patient. T or F
T
When accounting for transactions, an increase in an asset account must result in either an increase in a liability account, a decrease in another asset account, or an increase in owner's equity. T or F
T
When assessing net revenue in relation to each provider's total patient encounters, patient encounters should include all new patient visits, consultations, established patient visits, and no-charge visits. T or F
T
When coding services for eyelids, if no bilateral code exists, and the condition affects all four eyelids, separate codes must be assigned for all four eyelids. T or F
T
When collecting outstanding patient debts, a practice should follow the guidelines outlined in the Federal Debt Collection Practices Act (FDCPA), as well as any state-specific guidelines. T or F
T
Network infrastructure is the physical hardware used to _______ computers and users
Interconnect
What is a numerical identification assigned to devices participating in a computer network called?
Internet protocol address
IOP
Intraocular Pressure - Fluid pressure inside the eye; measured in mmHg; too high glaucoma
Which tissue regulates the amount of light entering the eye?
Iris
When considering a capital investment, such as a satellite location, the strategic plan should accurately illustrate the reward for all partners. T or F
T
Under the ADA, which question would be allowed during an interview? What church do you attend? Are you married How old are you? Is there anything that would not allow you to perform as a technician?
Is there anything that would not allow you to perform as a technician?
Which of the following is most true of FMLA? It applies to all businesses regardless of the number of employees It applies to any employee regardless of the length of service It requires the employer to pay the employee when out under FMLA It allows a covered employee to take up to 12 weeks uncompensated.
It allows a covered employee to take up to 12 weeks uncompensated.
Even patients with poor visual acuity are periodically refracted for best acuity because:
It is legally and medically important to know what the best correct visual acuity is
When a condition is noted as bilateral and no bilateral code exists, how should it be reported?
It should be assigned separate codes for both left an right side
Implementing a structured inventory plan will provide which of the following benefits?
It will reduce and stabilize good costs
ADA regulations provide three factors to consider in determining whether a person's impairment substantially limits a major life activity. Which of the following factors would fall under that definition? Can be short term Must fall under a list of disabilities provided by the ADA Must be unable to perform any work Its nature and severity
Its nature and severity
Intravitreal enzyme Injection
Jetrea - an enzyme that breaks down proteins responsible for vitreomacular adhesions
An effective sales technique to keep in mind when showing frame product to a patient is the presentation technique use by:
Jewelers
When forecasting revenue for ancillary lines of service, one should assume physician production levels will directly impact service line volume. T or F
T
When reporting diagnosis codes for October 1, 2015, dates of service and beyond, only ICD-10 codes can be used. T or F
T
When teaching communication techniques for conflict resolution to others, it is often necessary to role-play. T or F
T
Worms have the ability to burrow into your email address book and send themselves without any assistance T or F
T
What does TRHCA stand for?
Tax Relief & Health Care Act of 2006
Artificial Tears & Allergy GTTS
Tears: Genteal, Hyptears, Refresh, Optive, Sustane, Xiidra Allergy Drops - Zaditor, Pataday, Alaway
The FDCPA
Technically applies to 3rd party collectors, but practices should conform whenever possible.
The FDCPA
Technically applies to third-party collectors, but practices should conform whenever possible.
Fiber-optics, DSL, T1s and the cable-modem are all examples of ____________, the broad network of data transmission.
Telecommunications
Steroid Eye injections
Kenalog Mac Edema & DME PE IOL Sx & Vitreo Retinal Sx Triesence Trivaris
After instilling drops into the eyes, the patient should close the eyes and gently press on the
Lacrimal sac
Lasik
Laser assisted in situ keramilesus; a refractive surgery procedure
What is the biggest change in the structure of ICD-10 that does not exist in ICD-9 codes?
Laterality
Progressive Lenses are:
Lenses w/3 focal powers w/no visible lines
Single vision lenses are:
Lenses with only one focal power
Progressive lenses are:
Lenses with three focal powers with no visible lines
Which of the following best describe the sequence of events in contracting with a new associate?
Letter of understanding presented and refined as needed, then employment contract signed, then employment
Which of the following perils is most likely to be included in a typical property policy?
Lightning
Which term refers to the process of exchanging hyperlinks with a quality site that is somehow related to a company?
Link exchange
What does LAER stand for?
Listen, Acknowledge, Explore, Respond
What is L-A-E-R stand for?
Listen, Acknowledge, Explore, Respond
What does the abbreviation LAN stands for?
Local Area Network
Medicare payers publish medical policies on their individual websites that provide documentation and billing guidelines for services rendered by providers. These guidelines should be reviewed on a regular basis for updated information and are called what?
Local Coverage Determinations
Overuse of ________ can result in your email ending up at the bottom of your recipients priority lists.
The "high" importance" designation
When monitoring orders received, the staff should:
Verify the original order with the enclosed invoice and the product received
Which of the following may indicate billing, collection, or potential payer issues?
Low net collections ratio
The cost of goods percentage for an optical with in-house surfacing and finishing capabilities as compared to an optical with no in-house lab should be:
Lower
Changes in this disease process are a likely reason for ordering a fluorescein angiogram
Macular Degeneration
The daily deposit includes which of the following Lockbox receipts Mail receipts Direct deposit receipts Charge card slips
Mail receipts
What is best practice for data backup?
Maintain 5 tapes with daily backup and take current tape off site each day
If a patient base is primarily a more mature age group, displaying only manufacturer's point-of-purchase materials promoting trendy designer styles may:
Make the patient perceive the frame inventory is geared more for a younger population
What does MIS stand for - Benchmarket Expense
Management information system budgeting 2-5% of expenses
A numerical value associated with the smallest objects a patient can see on a specific chart at a specific distance is called:
Visual Acuity
Tests the patients peripheral vision
Visual field
Which of the following adult learning styles are discussed?
Visual, auditory, and kinesthetic
QD
Once
Unless unusual circumstances dictate otherwise, patients with outstanding accounts should receive a stmt
Once a month
The clear viscous fluid that fills the posterior portion of the eye is known as:
Vitreous Humor
Patients that experience floaters in their vision often have an abnormality in this part of the eye:
Vitreous humor
The initial greeting of the candidate for the in-person interview:
Should be cordial to ensure the candidate will have a good first impression
Paid-time off usually replaces which of the following paid days?
Sick leave, personal days, and vacation
A _____ of glaucoma medication is an action produced by the drug beyond the intended one of lowering the IOP.
Side effect
Impairment is defined as a physiological or mental disorder that limits one or more major life activities. Which of the following is not considered an impairment issue? Simple physical characteristics Inability to read due to dyslexia HIV Mental or emotional health
Simple physical characteristics
What types of lenses provide patients with only one focal power, near or distant vision?
Single vision
STP
Situation, Target, Plan
The biomicropscope, or also known as the ____, is an instrument that allows close examination of the eyelids, eyelashes, cornea, conjunctiva, iris, crystalline lens, and clear fluids within the eye.
Slit Lamp
large network serves are ______ to accommodate the growing needs of their users.
Specialized
Which of the following is NOT a recommended method for determining a pay increase?
Staff member's spouse got laid-off
After an active shooting incident is over, management must take over and:
Start the healing process
Which of the following documents would not be considered a standard financial statement? Balance sheet Statement of purpose Statement of cash flow Summary of operations
Statement of purpose
When a computer uses the same IP address each time it powers up, it is considered to have a __________ IP address
Static
When a computer uses the same internet protocol(IP) address each time it powers up, it is said to be using the _________
Status IP address
Pre Forte
Steroid
EOB's should be:
Stored for future reference based on practice policy or local regulations.
What does SWOT stand for?
Strength, Weakness, Opportunities, Threats
One primary change included in the HIPAA Omnibus Final Rule of 2013 requires a business associate of the covered entity (physician practice) to sign a Business Associate Agreement with:
Subcontractors of business associates
SOAP
Subjective, Objective, Assessment, and Plan
If a practice offers benefits (health and/or retirement) to its employees, which of the following is a required communication? Summary plan descriptions, W-4, W-4 and summary plan descriptions and None of the above
Summary plan descriptions
ERISA Bond
Surety Bond Protects employees against fraud Protects employees against unethical actions
Which of the following is considered PPE? Surgical shoes, Surgical mask, surgical tape, surgical locker
Surgical mask
A SDS is required for all items in the office that contain any kind of potentially harmful substances. T or F
T
A dispensing optician performs the same duties as an optician T or F
T
A non-exempt employee is eligible for overtime pay for hours worked in excess of 40 hours per week. T or F
T
A properly composed patient satisfaction survey can help practice strengths and weaknesses. T or F
T
A referral guide is an effective marketing tool. T or F
T
A visual field instrument is used to document abnormal defects in a patients central peripheral vision. T or F
T
According to regulations contained in the Omnibus Final Rule of 2013, patients have the right too receive a copy of their medical record in an electronic format if the associated provider utilizes electronic health records. T or F
T
According to the basic accounting equation, the sum of a medical practice's assets must always equal the sum of its liabilities plus the value of owner's equity. T or F
T
Although FLSA does not require breaks or meal periods, employers must provide such breaks if state law requires them. T or F
T
An area of the retina known as the macula provides the clearest and most detailed vision T or F
T
An area of the retina known as the macula provides the clearest and most detailed vision. T or F
T
A patient satisfaction survey should be lengthy to obtain a variety of feedback. T or F
F
A practice website is considered a "push" medium T or F
F
A team leader should be careful to eliminate any negative thoughts expressed by team members. T or F
F
All unpaid accounts are sent to a collection agency after 120 days. T or F
F
An ambulatory surgery center is an outpatient facility that provides the ability to perform all types of eye care surgery, regardless of the nature of the procedure T or F
F
An employment agreement and an independent contractor agreement are the same thing T or F
F
An exempt employee is defined as someone who is most commonly paid an hourly wage. T or F
F
Because of it's simplicity, the majority of medial practices use thee accrual method of accounting. T or F
F
Business planning should be done after the budget process is complete. T or F
F
COBRA only applies to employees who have been involuntarily terminated. T or F
F
Capital expenditures normally result in an increase in interest expense and a decrease in depreciation. T or F
F
Comprehensive (general) ophthalmologists are usually paid more than subspecialists because they perform a wider variety of patient services. T or F
F
During a telephone interview, the practice should not discuss its plans for recruiting timelines or general compensation policies T or F
F
Existing patient demand is stimulated by external marketing efforts designed to "pull" or "push" patients into the practice. T or F
F
Extensive details regarding services should be included on the referral guide. T or F
F
Fixed expenses tend to rise or fall in direct proportion to revenues T or F
F
Having a new team member complete "on the job" training by shadowing the most successful employees in the practice is one of the most effective tools for training. T or F
F
ICD-10 is similar to ICD-9 in that it is comprised entirely of a numeric structure. T or F
F
If a chemical has multiple hazards, only the pictogram of the most damaging hazard will be displayed on the label. T or F
F
If conducted properly, a telephone interview should last for at least 60 min. T or F
F
In a verbal warning situation, a manager should keep the meeting informal and does not need to document the conversation. T or F
F
Internal marketing activity should be viewed as a separate component of the marketing plan and is usually not included in the marketing budget. T or F
F
It is helpful to benchmark results of the patients satisfaction survey against practices that are much different. T or F
F
It is never a good idea to discuss actual compensation and incentive achievement with staff members during their annual review. T or F
F
It is not necessary to train team members to communicate, since everyone understands and exhibits effective communication skills. T or F
F
It is permissible during a job interview to ask a female if she has a maiden name? T or F
F
Laptops initially are inexpensive to purchase. T or F
F
Marketing and advertising are synonymous terminology. T or F
F
Minor surgical procedures have a 90-day post-op period and are most commonly performed in ambulatory surgery centers T or F
F
Money is the most important factor that motivates staff. T or F
F
Net collections are calculated by subtracting overhead expenses from gross receipts. T or F
F
Patient names on a sign-in are considered an intentional breach of PHI. T or F
F
Patients don't really pay attention when staff members are critical of one another. T or F
F
Patients with dry eye syndrome must use a prescription to obtain lubrication ointment T or F
F
Phone calls and interviews with managers from other medical practices are not a valid method for researching compensation in your local market. T or F
F
Quick ratio is synonymous w/the current ratio T or F
F
Smaller ophthalmology practices typically cannot negotiate contracts with payers, so analyzing contracts is only an exercise for larger practices. T or F
F
Tax deductions reduce the before-tax costs for a firm T or F
F
The General Equivalency Mappings created by CMS can be used to code claims. T or F
F
The P's of marketing include placement of ads, public relations, print media, and public speaking. T or F
F
The best websites will use the latest in HTML, CSS, Java, Flash, etc. and focus on entertainment over information. T or F
F
The face that email is faster and easier than other communication options means we can put less thought into how we use it. T or F
F
The patient should only be provided a copy of their prescription if the doctor feels thee change in Rx is significant enough to warrant new glasses. T or F
F
The primary objective of a performance review is to provide a basis for changes in compensation T or F
F
The term "360-degree feedback" refers to an approach where the reviewer "circles" through the entirety of all possible positive and negative comments pertaining to the individual and his/her performance. T or F
F
The trainer should accept interruptions when training so the trainee can see how busy the practice really is T or F
F
Thirty-five percent of all employees indicate that they feel ignored and would like to have more feedback, training, and interaction with their supervisor. T or F
F
This course is only the beginning to creating a safe and secure work environment; the rest is up to management. T or F
F
To resolve a conflict, you first have to agree with the other person. T or F
F
Under FLSA - paid vac, sick leave, holiday pay T or F
F
Under FLSA, an employer must provide paid vacation, sick leave, and/or holiday pay to employees. T or F
F
Under the HITECH Act, the Breach Notification Act does NOT require notification to HHS of the intentional or unintentional disclosure of PHI to unapproved entities on an annual basis unless the breach has affected more than 500 individuals. T or F
F
When auditing medical records, Medicare auditors generally have no preference as to the method a physician uses for documenting a patient chart. T or F
F
When looking for a search engine optimization firm, choose a firm that uses "cloaking" or "doorway" pages for long-term results. T or F
F
Workers compensation policies provide supplemental compensation benefits to employees who are terminated due to layoffs? T or F
F
Covered entities under HIPAA include: a. Lawyers b. Health care providers c. Health care facilities d. Librarians e. a and b f. b and c
F B and C
The amount of collections allocated to physicians for purposes of bonus calculation would include total collections attributable to their services, minus: a. Refunds to patients or insurance companies b. The cost of injectable drugs such as Lucentis c. Excimer laser "click fees." d. Operating room costs paid to the hospital by a patient's insurance. e.All of the above f. Only a,b and c
F Only a, b and c
Which of the following questions will most new doctors have during the recruitment process? a. Who will be collecting the money for the services I render? b. How busy will I be? c. How much does the practice spend on utilities each month? d. What can I expect in regard to compensation growth? e. None of the above f. Only b and d above
F Only b and d above
The auditory learner prefers to learn with which of the following tools? a. Lectures and sounds b. Diagrams and displays c. "Hands-on" experiences d. Explanations and discussions e. None of the above f. a and b
F a and b
Which of the following are true when comparing employed physicians and independent contractors? a. Employed physicians are given benefits in addition to pay; independent contractors are not. b. Independent contractors are usually paid a little higher percentage of their revenues than employed physicians c. Both often are paid a salary plus bonus for collections over a threshold amount. d. Employed physicians sometimes are compensated under the "rental fee" method, whereas independent contractors are not. e. All of the above f. a and b
F a and b
Which of the following should be considered when calculating wages for non-shareholder physicians (either employed or independent contractors)? a. Adjustments to compensation as defined in the employment contract terms b. Collected fees of the physician which relate to incentive bonus calculations c. Income distribution to the owner physicians d. Operating expense of the practice e. All of the above f. A and B
F. A & B
Which of the following are elements of a practice strategy? a. Provide long-term direction for the practice b. Support the practice mission stmt c. Capitalize on practice stengths d. Link to practice goals e. a and d f. All of the above
F. All of the above
Which of the following are the primary objectives of a marketing plan? a. Organize and define practice development opportunities b. Identify the target market and benefit to be provided for that market c. Define product and service offerings d. Create a discipline for measurement and accountability e. a, b, and c f. All of the above
F. All of the above
Which of the following questions are among the 8 that should be asked when designing an incentive program? a. Have we created an environment that fosters our employees' internal motivation? b. Is there a reasonable opportunity for our employees to gain the offered reward? c. Will our employees be able to track ktheir progress toward the reward? d. Will we be able to cancel the incentive plan before paying out bonuses? e. All of the above f. Only a, b, and c
F. Only A, B and C
Which of the following should be included in an initial on-site visit to the practice? a. An interview with the practice administrator and a least one of the physicians b. A tour of the local area c. A visit to local historical sites d. A full day working in the practice e. None of the above f. Only a and b above
F. Only a and b above
Which of the following methods are frequently used to calculate bonus amts? a. A percentage of overall practice net income b. A pre-set dollar amt c. An amt pd by a nearby business d. A per-procedure amt e. All of the above f. Only a, b and d
F. Only a, b, and d
The expected impact of a well-planned and implemented comprehensive compensation package is: a. Satisfied staff members b. Low staff turnover c. A practice that meets it's goals d. None of the above e. a and c f. a, b, and c
F. a, b, and c
Min Wage, Max Hr, Child Labor, O/T
FLSA
Storyboarding
Facilitation tool useful for brainstorming sessions
Which of the following acts sets minimum wages, max. hr child labor standards, and overtime pay provisions for workers?
Fair Labor Standards Act (FLSA)
Net collections are calculated by subtracting overhead expenses from gross receipts. T or F
False
When a patient is experiencing problems with their new glasses , it is best to:
Find out quickly and address the problem immediately
A device specifically located on the network to limit access from the outside, is called a _________
Firewall
A software utility or hardware device that limits outside network access to a computer or local network by blocking or restricting ports is known as a
Firewall
When developing a new website, it is advisable to contract with a developer based on a/an ____ rate
Fixed
Small particles or debris suspended in the vitreous causing shadows and shapes
Floaters
An improvement tool used to visualize overall "flow" and help identify flaws, bottlenecks, and other less-obvious problems within a process is known as _______
Flowcharting
Allows for viewing the appearance of retinal blood vessels as dye injected into the patients arm flow through the blood vessels.
Fluorescein Angiogram
Which new hire form is required of all applicants to verify their U.S.citizenship, or it they are aliens, their eligibility for employment in accordance with the Immigration and Naturalization Act of 1986?
Form I-9
QHS
Four times daily
QHS
Four times daily and at bedtime
The best way to determine if a new product measures up to a manufacturer's claims is:
From patient feedback
When comparing base pay scales in your marketplace, which of the following is/are the most important to use: a. job title b. job risks c. job responsibilities d. job qualifications d. None of the above f. a and c g. c and d
G c and d
What does GEM stand for?
General Equivalence Mapping
GAAP
Generally Accepted Accounting Principles
Have a common purpose for teams is important because it:
Gives team members a clear understanding of why the team exists.
Devices prescribed to correct refractive errors are
Glasses and contact lens
Impaired drainage of the aqueous humor leads to a rise in intraocular pressure which can damage the retinal nerves. What is the condition called?
Glaucoma
Impaired drainage of the aqueous humor leads to a rise in intraocular pressure which can damage the retinal nerves. What is this condition called?
Glaucoma
Progressive vision loss due to the damage of the optic nerve, causing peripheral vision loss
Glaucoma
Progressive vision loss due to the damage of the optic nerve, causing peripheral vision loss.
Glaucoma
Evaluates the angle structures in the eye that allow for fluid transfer
Gonioscopy
When individuals band together to form high-performance teams, the results are:
Greater than if done by individuals
`Financial Benchmark
Gross Collection Ratio
Which of the following items would be considered a financial benchmark? a. Gross collection ration b. the number of patients seen each day c. patient exam times d. all of the above e. none of the above
Gross collection ration
Net collections...
Gross collections less refund
Which of the following is the definition of "net collections"
Gross collections less refunds
The kinesthetic leaner prefers to learn with which of the following tools? From prior flashcard
Hands-on experience
After the initial patient registration process is complete, the patient is asked to:
Have a seat in the patient in the patient reception area
All hazardous material should:
Have identifying labels
Which of the following questions is likely to violate anti-discrimination law?
Have you ever been fired?
Which question is least likely to violate anti-discrimination law?
Have your ever been fired?
What does HITECH stand for?
Health Information Technology for Economic and Clinical Health Act
What does HIPAA stand for?
Health Insurance Portability and Accountability Act
An auto refractor is used to:
Help determine the eyeglasses prescription
EPLI
Help practices against employment discrimination on lawsuits
Immunization is provided for employees with occupational exposure for what disease?
Hepatitis B
A patient will be asked for their chief complaint and symptoms of their current problem during which portion of the eye exam?
History
Days sales outstanding (DSO) is an indication of ______
How long it take, on average, to collect money owed to the practice
A notice of Privacy Practices (NPP) lets patients know:
How you will treat and protect their personal and medical information
Farsightedness
Hyperopia
In a Medicare audit, which of the following patient statements would deem an office visit routine and not billable to Medicare?
I am here for my annual eye exam and glasses check
A common side effect of prednisolone 1% ophthalmic suspension is an increased chance of infection. Other side effects for this topical ophthalmic medical include:
IOP that increases
A common side effect of prednisolone 1% ophthalmic suspension is an increased change of infection. Other side effects for this topical ophthalmic medication include:
IOP that increases
Requesting the patient complete a lifestyle questionnaire enables the optician to: Identify motivating factors that will enhance their product recommendations Avoid "small talk" Keep the patient busy so they will not mess up the organization of the frame boards while waiting for an available optician Take a quick and much needed break while the patient fills out the form
Identify motivation factors that will enhance their product recommendations
An employee arrives at an assigned practice location to work at the front desk. Two hrs into the shift, the employee is asked to a satellite location to cover the front desk for a colleague who is ill. The practice is required to pay the employee for travel time. T or F
T
An important rule of email-writing etiquette is to avoid long-winded messages that contain extraneous information and irrelevant facts. T or F
T
An optical finishing lab is a facility that is used to assemble patients glasses T or F
T
Co-management forms should be available in electronic format. T or F
T
Corresponding with residency or fellowship programs without a known, personal contact tens to produce minimal success in attracting the interest of young physicians. T or F
T
5,000-8,000 patient encounter per FTE MD per year
If a doctor sees 40 pts per day and works 4 days per wk in the office, one day in sx and works 46 weeks, he or she will have 7,360 pt encounters per yt (40 pts per day x 4 days per week x 46 weeks per yr = 7,360
Which of the following statements is true regarding Facebook?
If it were a country, it would be the second most populous on earth
Discretionary discounts on eyeglass purchases should be provided only
If pre-approved by a designated supervisor or executive of the practice
Development of the internet has created many new opportunities for communicating with patients and prospective patients. T or F
T
Directory listings can be quite expensive and will not guarantee higher placement in search engine rankings T or F
T
Drugs such as corticosteroids can cause secondary glaucoma T or F
T
During a second visit to the practice, it is appropriate to invite the candidate's spouse or significant other. T or F
T
Electronic processing of claims greatly increases the speed of payment from third-party payers. T or F
T
Employees should be provided a copy of the job description pertaining to their position. T or F
T
Entities covered under HIPAA are required to develop a Notice of Privacy Practices (NPP) and must make this available to individuals accessing services through the entity. T or F
T
Glaucoma patients should take their eye drops at approximately the same time every day T or F
T
Goals and objectives for the marketing plan should include both short-term and long-term practice goals T or F
T
Goals and objectives for the marketing plan should include both short-term and long-term practice goals? T or F
T
Goals and objectives of the practice should align with the needs of both new and existing patients. T of F
T
If a patients is using more than one type of glaucoma drop medication, the patient should ideally allow 4-5 mins between instillation of each medication T or F
T
If a practice chooses to purchase hardware, the cost of a backup solution must be included in the budget. T or F
T
In order for an "on the job" training program to be successful, senior management and owner physicians must support the process. T or F
T
In practices with physical servers onsite, daily backup tapes are used to protect data in case of power failure or other damage to stored data T or F
T
Incentive compensation is usually pd as a percentage of the doctor's collections exceeding a defined threshold. T or F
T
Warranties and defective optical products should be returned for credit:
Immediately, to offset the charge for the replacement frames
It is important for practice physicians and leaders to be committed to the development of high-performance teams. T or F
T
LLC - protected from personal liability S Corp maintains many of the tax characteristics of a partnership T or F
T
Light enters the interior of the eye through the pupil T or F
T
Maximizing practice collections is the responsibility of the entire staff. T or F
T
What is retaliation?
In the employment context, retaliation occurs when an employer takes an adverse action against a covered individual because the employee engaged in a protected activity. Retaliation is strictly prohibited.
QAM
In the morning
To ensure appropriate coverage and dissemination of information through internal marketing programs, which of the following media should be used?
In-Office patient education brochures and videos
New patient exams are exempt from global fee periods and do not require a modifier to get paid the same day as a procedure T or F
T
Profit & Loss Statement also known as the
Income Statement
A company receives $400 in cash for services rendered in a prior period. Assuming the company used accrual basis of accounting, which of the following will be the effect of this transaction?
Increase cash $400, decrease A/R $400
If a practice's staff payroll ratio is higher than the healthy range, which of the would lower the staff payroll ratio?
Increase net collections
If a practice's staff payroll ratio is higher than the healthy range, which of the following would lower the staff payroll ratio?
Increasing net collections
Before billing a Medicare patient, the provider must have a Patient Authorization or Assignment of Benefits form signed by the patient to:
Inform Medicare that the physician has the right to bill for covered services
Which of the following disclosures require signed permission from the individual who PHI is being requested?
Information requested by an attorney without a subpoena
Dropless Cataract Sx
Injection of compound medication during sx, typically containing combo of the following: Triamicinolone (steroid), moxifloxacin(antibio), vancomycin(antiobio)
New staff members are typically nervous and afraid of making a mistake. T or F
T
Office surgical suites, outpatient surgery centers, and hospital-based outpatient surgery centers are all types of surgical suites and facilities T or F
T
One of the limiting factors of a direct mail campaign is the perception of "junk mail". T or F
T
Which of the following would be used to find information on the Internet?
Search engine
Clouding of membrane of the lens after cataract surgery
Secondary Membrane
S Corp maintains many of the tax characters of a partnership T or F
True
Instructions as to insertion, removal, and care of contact lenses are usually given by ___________ staff
Ancillary
When should a practice review its compensation system
Annually
Lensmeter (generic term)
An instrument used to measure glasses & rigid contact lens prescriptions; also called a lensometer
Tonometer
An instrument used to measure intraocular pressure (IOP)
Phoropter (refractor)
An instrument used to measure refractive errors
If an employed physician was to be pd a flat rate of 30% of net collections, his/her annual net collections were $500,000, and he/she took $120,000 in advances during the year, what would be the year-end bonus?
$30,000
The annual net collections per FTE (full-time equivalent) in the optical is __________
$200,000 - $250,000
In ICD-10 a _____ placeholder is used to allow for future expansion in codes that require seven digits.
"D"
Under the FMLA, employers are allow to deny reinstatement to:
"KEY EMPLOYEES" with written notification
Amblyopia
"Lazy Eye" often decreased vision w/out apparent anatomical abnormalties
Turn ratio
# of frames sold annual as compared to the # of frames inventoried
A practice collects $2,200,000 in net collections, and has 20 FTE staff members. What are the net collections per FTE support staff?
$110,000
If an employed physician was to be paid $120,000 plus 30% of net revenue over 2.5 times his/her base pay, and if his/her collections for the first year were $500,000, what would be the total compensation? (Not including the value of benefits.)
$180,000
A practice employs 4 techs who are all COA certified. While they perform the same job functions, some staff members have higher salaries based on seniority w/the company. Their wages are $18, $19, $19, $ $20 per hr. Which is the salary mode?
$19
A practice employs four technicians who are all COA certified. While they perform the same job functions, some staff members have higher salaries based on seniority with the company. Their wages are $18.00, $19.00, $19.00, and $20.00 per hr. Which is the salary mode?
$19
A physician completes a surgery and bills the insurance $5,000. Per their contractual agreement, the insurance company pays the physician $3,000 for the surgery. What is the dollar amount that will be written off as a result of the contractual adjustments?
$2,000
If a physician's average collections per patient encounter is $200 and the physician sees 10,000 patients per year, what would be the estimated gross collections for that physician?
$2,000,000
If a practice has decided to ABOVE-market rate for the position of certified ophthalmic assistant (COA), what is most likely the average market rate in the following example of this practice's pay range for a COA? Practice pay range for COA: between $17 per hour and $22 per hour:
$20
If a practice has decided to pay ABOVE market rate for the position of certified ophthalmic assistant (COA), what is most likely the average market rate in the following example of this practice's pay range for COA? Practice pay range for COA: Between $17 per hr & $22 per hours:
$20
A practice's Accounts Receivable (AR) total is currently $600,000. The practice has 50% of its outstanding AR in the 30-60 day aging bucket. If the practice is able to collect 100% of the 30-60 day aging bucket, how much revenue can the practice expect to receive?
$300,000
A practice gross charges are 8,000,000. The practice receives 5,000,000 in gross revenue, but has to return $100,000 due to refunds. What are the practices net collections?
$4,900,000
A practice's gross charges are $8,000,000. The practice receives $5,000,000 in gross revenue, but has to return $100,000 due to refunds. What are the practice's net collections?
$4,900,000
An employee makes $15.00 per hour and works 45 hours in one week. What will be the employee's gross wages for the week?
$712.50
A practice has implemented a bonus program which pays out it's bonus pool equally to all staff (prorated for part-timers) based on the practice meeting specific goals. The percentage of goals achieved is multiplied by the available bonus pool to determine the actual amt that will be disbursed. The available bonus pool for the yr is $10,000. The practice achieved 85% of its goals. What monetary total will be available to split among the staff? $1,500, $525, $10,000, $8,500, None of the above
$8,500
When referring to a theory of universal precautions for infection control:
All blood and other potentially infectious materials are handled as if they were known to be infectious
What is the advantage of using a network system in the office? Allows sharing of data Provides regular backups Costs are reduced All of the above
All of the above
Lenstar
An instrument using laser interferometry to measure ACD, AL, lens thickness & corneal curvature. Has formulae for toric IOL's & post-refractive SX
ICD-10 for Eyelids 1 2 3 4 5 6 9
1-OD Upper 2-OD Lower 3-OD Unspec 4-OS Upper 5-OS Lower 6-OS Unspec 9-Unspec
ICD-10 1 2 3 9
1-Right 2-Left 3-B 9-Unspecified
Ideally, the patient and applicable payer should be billed for services:
As soon as possible
The benchmark for internal remakes for an ophthalmic dispensary is: Less than 20 percent, 10 percent, or 2 percent
10 percent
Optical remakes "INTERNAL" should be less than _____
10%
Patient satisfaction surveys should contain no more than _______ questions.
10-15
Normal IOP
10-20 m
The normal range of intraocular pressures for patients without glaucoma could be said to be
10-20 mm Hg
Employers having no federal contracts are required to file an employment information report (EEO-1) if they employ _________ or more individuals.
100
The classification of current assets means that the asset will be consumed within the next ______ months
12
In order to be paid by Medicare, timely claims filing must occur within:
12 months
Civil Rights 1964 (ADA) How many employees?
15
Title VII of the Civil Rights Act of 1964 and the Americans with Disabilities Act (ADA) cover private employers that employ ____________ or more individuals.
15
What is the term for the amount the patient is responsible to pay after their insurance benefits have been processed?
Co-pay
According to national flow and efficiency benchmarks, a well-trained ophthalmic technician should be able to see patients in which time frame?
16.5
To determine applicable overtime, an employer must establish a workweek, which is a fixed and regularly recurring period of how many hours?
168 hrs
In general, what is the allowable continuation of coverage under COBRA?
18 months
In ICD-10. the Tabular List is a list of:
Codes in chronological order
What is the term for a website-like set of documents, organized within a company to share policies, procedures, news,, and other important corporate information?
An intranet
A professional who makes, fits, and adjusts, eyeglasses is called an:
An optician
The initial presentation of a optical shop must reflect
An organized, comfortable, and user-friendly appearance
A job description is useful in recruitment because it provides the candidate:
An outline of the position being hired by the practice
How many members of the leadership team should meet with an employee during counseling?
2
Excludes2
2 codes can be reported together
When an excludes?
2 notes appear - the 2 codes can be reported together
Preferred vendor - historical sales performance Frame re-orders S/B completed every ____________
2-3 days
A practice has 15 full-time and 10 part-time employees. Last year, the employees worked a total of 41,600 hrs in the clinic. How many full-time equivalent (FTE) employees does the practice have?
20
ADEA 1967 40 yrs & older employ? How many employees?
20
The Age Discrimination in Employment Act (ADEA) covers private employers that employ _____ or more individuals.
20
The Age Discrimination in Employment Act of 1967 (ADEA) protects individuals who are 40 years of age or older from employment discrimination based on age. How many employees does a practice have to employ for this law to apply?
20
When reviewing payer contract reimbursements, a practice should focus on the top _____ procedures performed by the practice.
20
Gross payroll expenses should be between -
20%-26% net collections
An email borders on being too long when it approaches this many words.
200
Annual net collections Per FTE in optical
200k-250k
When calculating full-time equivalents (FTEs), part-time employees' hours are calculated and then pro-rated to full-time status by using what as the denominator?
2080
Which of the following should be part of a market/competitive analysis?
Analysis of market demographics and local competitors
In-house optical % eyeglasses
60%
The benchmark for the % of patients that purchase their eyeglasses from the in-house optical dispensary is:
60%
When a condition or disease affects both eyes, it is considered to be bilateral. In ICD-10, what character is used to identity a bilateral service?
3
TID
3 times
Medicare Recovery Audit Contractors have the right to retrospectively audit medical records for how many years?
3 years
The industry benchmark for marketing expenses in a practice which does not include LASIK and cosmetic services as a large portions of revenue is _____ of practice revenue.
3-5%
How far in advance should a practice review a payer contract that is approaching its renewal date?
30-60 days
How far in advance should a practice review a payer contract that is approaching its review date?
30-60 days
Which of the following review systems should the trainer establish for the trainee at the conclusion of training?
30/60/90 day reviews with supervisor
"x" placeholder character
6th
In ICD-9, Diseases of the Eye and Adnexa are included with Diseases of the Nervous System. In ICD-10, the eye codes are located in Chapter _____ which includes only eye and adnexa codes
7
What is the maximum number of characters that an ICD-10 code can contain?
7
"Wow, I hear the frustration in your voice. What I did made you feel bad." This stmt is an example of what? An affirming stmt A settling stmt An emotional stmt A complimentary stmt
An affirming stmt
The importance of tracking telephone leads is that it allows the practice to ______ a. Build a database of potential new patients b. Determine the source of patient referrals c. Identify your cost per lead 4. All of the above 5. e, a, and b
4 All of the above
QHS
4 time and @ bedtime
QHS
4 times
Benchmark - Patient Encounters per FTE MD
4,000-7,000
A practice's balance sheets lists the current asses at $1,000,000. Their current liabilities are $225,000. What is the practice's quick asset ratio?
4.44
When working unscheduled an emergency patients into the schedule, these patients should wait in the reception area no longer than:
40 mins
Operating Expenses should be between -
48%-68% of net collections
At what time of year should the budge process be initiated?
4th Quarter
Patient satisfaction surveys should take no more than ____ mins to complete
5-10
An employer falls under FMLA requirements with ___ employees
50
Benchmark Range - Operating Expense Ratio
50-70%
Benchmark - 0-30 days AR Bucket
55%-75%
Assessment of staff levels per MD; IN conjunction with 1) the net collections per FTE staff member, 2) the payroll ratio
6-8
The recommended benchmark for the percentage of optical sales that include both a frame and lens purchase is ______
75%
The benchmark(s) pertaining to the percentage of orders that should include the purchase of a frame should be:
75% and 80%
A practice that has 3.5 FTE MDs saw 28,000 patients in one year. What is the average number of patients visits per FTE MD?
8,000
The 20 most frequently performed procedures typically represent what percentage of revenue generated in a practice?
80%
Pareto/Diagramming
80/20 Rule
Pareto diagramming helps analyze the cause and effect of changes that will improve processes by using which "rule"?
80/20 rule
Recommend # of vendors to utilize approx. 700 frames is:
9-11
The recommended number of vendors to utilize by an optical that inventories approximately 700 frames is:
9-11
The most cost effective marketing in an ophthalmology-owned optical is:
An employee referrral
When assessing the policies of your outside wholesale lab, it is important to ensure they provide:
A 60-90 day, no-charge remake policy
Major surgeries are most commonly performed in
A certified surgical facility
Which of the following topics should be included when a practice holds a kickoff meeting to present a formal practice incentive plan?
A clear description of who is eligible for the bonus
Fundus
A collective term that refers to the retina, optic nerve & macula
In ophthalmology practices, the largest source of new patients generally is:
A combination of patient and doctor referrals
Most side effects from glaucoma medications will abate within ___________
A few weeks
Ametropia
A general term meaning "possessing" a refractive error
Indirect Ophthalmoscope
A head-born instrument that provides a binocular; wide-range fundus view; requires a convex condensing lens
Buying replacement stock that has a higher wholesale cost than the sock sold results in:
A higher cost of goods percentage
Exceeding the recommended number of frames to be stocked results in:
A higher than necessary capital investment for inventory
Chief Complaint
A history taking component that describes the patients primary reason for seeking healthcare
Phakic
An eye w/an intact crystalline lens
An exo deviation of the eyes means which of the following? Presence of diplopia A latent or manifest outward turning of an eye One eye higher than the other Inward turning of the eyes
A latent or manifest outward turning of an eye
esotropia
A manifest eye muscle imbalance (strabismus) in which an eye deviates toward the nose (inwardly)
Which of the following most accurately describes the nature of insurance?
A means of mitigating potential risks when they occur
Applanation
A method for measuring IOP (performing using a goldsman applanation tonometer)
What is amortization?
A method of calculating depreciation
Under the ADA, an individual with a disability is a person who has the following:
A physical or mental impairment that substantially limits one of more major life activities
Which of the following is(are) required to support a charge for a diagnostic test?
A physician expresses the need to know the test results in order to best treat the patient.
Endophalmitis
A rare but serious inflammation or infection or the intraocular tissues; typically seen after intraocular surgery (ex. cataract sx)
What is a thin client?
A small-form factor appliance that takes the place of a traditional workstation
A "quick check" room refers to which room in the practice?
A smaller work-up room that uses portable equipment
What is a SWOT Analysis?
A study of a practice's strengths, weaknesses, opportunities, and threats
Anisocoria
A term applied when the pupils are "unequal' size
Prism
A triangle piece of glass or plastic w/flat, non-parallel sides, an apex & a base
Acute Angle Closure Glaucoma
A true ocular emergency characterized by pain, red-eye "steamy" cornea mid-dilated pupil & very high IOP treated w/laser iridotomy
An example of a contaminated sharp would be: IV Tubing, a syringe with a needle, broken glass, a used scalpel
A used scalpel
For some insurance products, discontinuation of the policy before it expires can result in:
An increase of premiums for the covered period prior to termination
Keratometer
An instrument used to measure corneal curvature; measurements used in conjuction w/a a-scan measurements to determine IOL power
ICD-10
A-Initial Encounter D-Subsequent S-Sequa encounter
Which of the following best describes Worker's Comp Insurance? a. Insurance coverage that is provided at no charge to employees for injury or illness sustained in the course of employment. b. Payment made to the employee by the employers for health insurance benefits. c. Employer insurance coverage to protect against the inability to pay employee wages. d. None of the above.
A. Insurance coverage that is provided at no chrg to employees
A basic referral guide includes which set of components? a. Intro, practice/physician backgrd, list of services, contact info, list of forms b. Intro, practice/physician backgrd, testimonials, contact info, list of forms c. Intro, physician license #, list of services, contact info, list of forms d. Intro, insurance info, list of services, contact info, list of forms
A. Intro, practice/physician background, list of services, contact info, list of forms
Degeneration of the macula resulting in loss of central and reading vision
Age-related macular degeneration (ARMD)
Net assets is defined as the following a. The residual amount left over when the liabilities are subtracted from assets b. The residual amount left over when assets are subtracted from liabilities c. The amount of profit left over after all contractual obligations d. None of the above
A. The residual amount left over when the liabilities are subtracted from assets
Medicare requires that patients be informed in advance when a provider believes that a normally covered service may not be covered under certain circumstances. The form which must be signed by the patient is called what?
ABN
To be considered a professional optician requires
ABO Certification and/or state licensing
20 Employees (Age Discrimination)
ADEA
Which of the following is the benchmark that gives an indication of how promptly money owed to the practice is being collected?
Accounts Receiving Aging Analysis
Hypopyon
Accumulation of pus in the anterior chamber
The US Department of Homeland Security developed an active shooter emergency action plan called:
Active Shooter: How to Respond
In an optical, limiting the number of vendors to purchase frame stock from means:
Added leverage when negotiating discount percentages and a higher accumulation of co-op incentives
An umbrella policy is often purchased because:
Additional coverage is desired beyond the limits of the general liability policy
"_"
Addtl digits are required to complete dx stmt
What is the dollar amount written off as a result of contractual modifications called?
Adjustments
quid pro quo harassment
Adverse Employment Action Action taken by a supervisor Abusing Power to get sex Threatens to w/hold job benefits or in exchange for job benefits Company is liable whether or not it was aware of the quid pro quo harrassment
YAG laser capsulotomy is done for this condition
After cataract
In ICD-10, the term "senile" cataract has been replaced with:
Age-related cataract
Marketing is defined as:
All communication and related efforts that promote a product, brand, or service available to your patients.
A mission stmt should help define the practice's action plan for which of the following areas? a. patient care b. employee care c. services provided d. practice financial health d. All of the above
All of the above
A team leader should have: a proven record of loyalty to the practice a belief in its core values and vision a commitment to learning the ability to communicate effectively All of the above
All of the above
An eligible employee under FMLA: Has been employed for at least 12 months by the employer. Worked at least 1,250 hrs during a 12-month period for the covered employer immediately before the leave period. Has been employed at a worksite where 50 or more employees are employed by the employer within 75 miles of that worksite. All of the above
All of the above
Business associates are: a. Attorneys and accountants b. Outside billing companies c. Transcription service providers d. All of the above
All of the above
Diabetes can affect the eye in which of the following ways? Strabismus, retinal changes, cataract formation, all of the above
All of the above
Diabetes can affect the eye in which of the following ways? a. Strabismus b. Retinal changes c. Cataract formation d. All of the above
All of the above
Federal laws to be considered when developing a personnel policy manual many include COBRA, FMLA, and which of the following? ADA FLSA ADEA All of the above
All of the above
If terminating a payer contract is the best alternative for a practice, which of the following should a practice consider? The notification of patients The notification of referring physicians Angry and confused patients All of the above None of the above
All of the above
If you are going to fall victim to the current epidemic of bad email writing, you run the risk of gaining a professional reputation as someone who is: a. poor communicator b. Incompetent c. Doesn't pay attention to detail d. All of the above
All of the above
In general, every professional business email should have: a greeting an intro a body a conclusion All of the above
All of the above
In spite of the topic, the overall tone of your email should always be: positive, respectful, friendly, approachable, all of the above
All of the above
It is best to make co-management forms available via. Fax, email, mail, all of the above
All of the above
Key compliance points may involve a. Computer equipment b. Privacy practice forms c. Staff training d. All of the above
All of the above
Practices may need to address efficiency issues if the following issues occur: Patients complain about being in the clinic too long Patients consistently come to the clinic late Patients have to walk a long way to testing All of the above None of the above
All of the above
Proofreading and editing your email before sending allows you to: a. edit awkward sentences b. Check your tone c. Add missing punctuation d. All of the above
All of the above
The following would be found in a strategic plan goals, objectives, timeline and all of the above
All of the above
To determine if a payer contract should be kept, the practice should consider which items? a. Fee structure compare with Medicare allowable b. Ability of staff to gain authorizations for covered procedures c. Ability of practice to be paid in a timely manner d. All of the above
All of the above
Under ADA, an individual with a disability is a person who: Has a physical or mental impairment that substantially limits one or more major life activities. Has a record of such impairment. Is regarded as having such an impairment All of the above
All of the above
Which of the following are examples of external marketing programs and advertising media? Newspaper, Television, Radio, Direct Mail, Direct Mail, Yellow Pages or All of the above
All of the above
Which of the following are terms normally associated with depreciation of fixed assets? Bonus depreciation IRS Code Section 179 Straight line depreciation Double declining balance All of the above
All of the above
Which of the following information is required for claims processing? CPT and ICD-9 codes Signatures as required by state law UPIN numbers All of the above
All of the above
Which of the following is true regarding the ratio of collections per FTE for practices using cash-basis accounting? a. Collections are generally found on the income statement. b. This ratio is especially helpful when measured over a period of months. c. This is a useful measure of practice efficiency d. All of the above
All of the above
Which of the following scenarios would make an employee eligible for FMLA? a. The birth and care of a newborn child b. Placement of a son or daughter for adoption c. Serious health condition d. Serious health condition of an immediate family member e. A, B, and C f. All of the above
All of the above
Why should team results be reported to the practice physicians? The physicians (especially owner-physicians) have the right to be kept abreast of the team's purpose, goals, and progress. Advising doctors of progress allows them to participate in encouraging team members. Relaying progress reports to the physicians usually results in greater physician support for team building. All of the above None of the above
All of the above
During the patients post-op period, which of the following types of eye drops may be prescribed? a. Antibiotic drops b. Anti-inflammatory, non-steroidal drops c. Steroid drops d. All the above e. A and B
All the above
In addition to the reimbursement rates for a contract, the practice should also consider which of the following items of contract performance? a. Burdensome paperwork or processing requirements b. Delayed or inaccurate payment c. Unjustified rejection or down coding of billings d. Limited referral options to other providers/facilities e. All the above
All the above
Management info systems include: All computer hardware All computer software All network connections All the above
All the above
Pataday & Zaditor
Allergy
Budget slack refers to:
Allowance for contingencies within a budget
Within the practice information system, patient stmts usually are divided by:
Alphabetical order of last names
How frequently should the optical capture rate be tracked? One month per year, periodically or twice per year, always
Always
What does ARRA stand for?
American Recovery and Reinvestment Act of 2009
Uses a patients description of gridlines on a chart to document distortions in near vision
Amsler grid
Anti-infectives 3 classifications
Antibiotics: Penicillin ocuflox Anti virals: Zovirax Anti fungals: Natacyn
In the CMS "grace Period" guidance, what is meant by "family" of codes?
Any 3-character category
Which of the following job requirements could be considered discriminatory?
Applicant must be young and energetic
Cash management is a term referring to:
Appropriate safekeeping of practice revenue
To maintain a current and fresh appearance, products and props in a display should be changed
Approx every 30-60 days
To maintain a current and fresh appearance, products and props in a display should be changed:
Approx every 30-60 days
If you are listed in the "cc" field, general you ___________
Are not expected to reply
When accounting for transactions, which of the following categories are used?
Asset accounts, liability accounts, and owners equity
The basic accounting equation is expressed as follows:
Assets equal liabilities plus owner's equity
AOL
Assets=Owners Equity + Liability
Irregular curvature of the cornea causing blurred vision
Astigmatism
How long does federal law under the EEOC require an employer to keep job applications/resumes that were submitted to a specific opening?
At least a yr
Before implementing an incentive program, it should be reviewed by the following professional to make sure it is in compliance with insurance, state, and federal regulations:
Attorney
Four elements of a good advertisement are:
Attract attention, stimulate interest, create a desire, and prompt an action
Wet ARMD, DME, and RVO
Avastin, Eylea, Lucentis, Kenalog, and Macugen
The best method for introducing a new, formal incentive program to the staff is: a. A general memo to the staff b. A kick-off meeting c. An email to the staff d. An announcement in the newspaper
B A kick-off meeting
Which of the following is true about a cost center? a. Costs are traced or assigned to a specific service performed by the practice b. Cost centers do not serve patients directly c. Examples of cost centers include physicians, optical shops, ASCs, refractive surgery, and sub-speciality lines of business. d. None of the above
B Cost Center do not serve patients directly
Focusing on the strengths of each team members unfair to those who have no strengths is the responsibility of the team leader Helps teams progress quickly None of the above B and C
B and C
The difference between a blanket fidelity bond and a schedule fidelity bond is: a. A schedule bond will usually provide a lesser level of coverage b. A blanket bond usually covers more employees c. A schedule bond is usually ties to a specific time frame for coverage. d. A blanket bond usually provides coverage for a wider array of fraudulent acts.
B. A blanket bond usually covers more employees
The initial presentation of an optical shop must reflect: a. A dispensary that has an abundant selection of frame options. b. An organized, comfortable, and user-friendly appearance c. An environment that offers trendy and fashionable designer eyewear d. An environment that offers reasonable pricing with cost-saving promotions
B. An organized, comfortable, and user-friendly appearance
Which of the following statements is true? a. All disability policy benefits are tax-free b. Benefits from a personal disability policy usually are tax free if premiums are paid from post-tax compensation c. Benefits from a personal disability policy usually are tax-free if premiums are paid by the practice as a deductive business expense. d. Disability policy benefits are always considered to be taxable income to the disabled individual.
B. Benefits from a personal disability policy usually are tax-free if premiums are paid from post-tax compensation
Which of the following is untrue regarding job description? a. descriptions for the foundation for employee priorities and efforts b. descriptions are an optional tool for practices having time to do them c. descriptions provide an objective means for measuring performance. d. All are true
B. Description are optional tool for practices having time to do them
The main advantage of an accelerated depreciation schedule for a new piece of equipment would be the following: a. Lowered equipment loan payments in the first few years b. Potentially greater deductions on the practice's tax filings for the first few years c. Quicker full ownership of the proposed equipment d. None of the above
B. Potentially greater deductions on the practices tax filings for the first few years
Discussion-based feedback is based on: a. Delivering performance reviews in a group meeting of all employees b. Use of constructive conversation and employee self-review c. Use of feedback through verbal discussion only, without use of forms or other paperwork d. None of the above
B. Use of constructive conversation and employee self-review
Use of a personality profile in job descriptions can be helpful in determining which of the following: a. The stability of the employee or job applicant b. Whether job preference will match job requirements c. Evaluation of employee competency d. None of the above
B. Whether job preference will match job requirements
The sums of all business transactions can be found in which of the following accounting statements
Balance Sheet
Chart auditing
Basic tool of quality control
Training on the revised Hazard Communication Standard must begin by and end by which of the following dates?
Beginning December 1, 2013 and ending June 1, 2016
Point of reference or standard by which something is measured
Benchmark
Which of the following is the most important reason for not putting too much emphasis on month to month fluctuations in benchmarks?
Benchmarks will vary from month to month so a longer period or a rolling average Is more accurate
The glaucoma medication that decreases production of aqueous humor is known as a
Beta Blocker
If the owner-physicians in a practice have a physician net income ratio of 40%, the incentive percentage offer to a new physician who just finished residency training and is on a partnership track would typically be:
Between 30% and 35%
Lenses with 2 different focal powers are called
Bifocal
Which of the following would CMS constitute as fraud?
Billing a more extensive service than actually performed
Spill kits contain all but one of the following: blanket, absorbent pads or material, cleaning agents, or biohazard bags
Blanket
Fidelility/Embezzlement
Blanket bond from theft
A common household product that can be used to kill bloodborne pathogens is _________
Bleach
A common household product that can be used to kill bloodborne pathogens is:
Bleach
Inflammation of the eyelid margins
Blepharitis
Hyphema
Blood in the anterior chamber
Blowout fracture
Blunt force trauma to the bones comprising the orbit
In the Alphabetic Index ____ are used to identify manifestation codes.
Brackets
A technique used to gather ideas around a specific topic or issue and generating as many ideas or solutions as possible is known as ______
Brainstorming
Participative involvement by team members includes which of the following
Brainstorming
Creating the impression that a practice has a set of products or services that are unique to that particular entity is called ___________________
Brand management
BAT
Brightness Acuity Tester An instrument used to assess glare disability
The term "B2B" refers to which of following
Business that sells products or provides services to other businesses
CPT
Current Procedure Terminology
What does the term CPT stand for in CPT code?
Current Procedure Terminology
Working capital is most simply defined as the following
Current assets-current liabilities
In the treatment of dry eye disease, cyclosporine ophthalmic emulsion 0.05% returns the ocular surface to a more normal state by: a. Reducing immune-based T-cell inflammation. b. Improving quality tear production. c. A and B
C A and B
The practice has sold an asset for more than its initial purchase cost. The excess over cost is known as a _____
Capital Gain
Providing feedback to encourage good behavior and stop unwanted behavior helps keep staff motivated. Which criterion below is NOT included in the suggested guidelines for giving feedback? the best feedback: a. Is very specific b. Describes the observed behavior c. Always included the words "good job" d. States the impact of the behavior e. Occurs as close to the behavior as possible
C. Always includes the words "good job"
Which of the following is NOT a feature of a patient portal? a. Medication refills b. Appt scheduling c. Contact lens examination d. Medical records review
C. Contact lens examination
Which of the following is NOT a step in developing a marketing plan? a. Defining goals and objectives for the practice b. Establishing measurement criteria and adjusting the plan as needed c. Creating printed materials to handout to patients d. Identifying strategies and tactics
C. Creating printed materials to handout to patients
Which of the following statements is true? a. The laws governing discrimination in hiring do not apply to physicians, because they are considered professional employees. b. A practice can ask personal questions of a physician candidate if they are offering a multi-year contract. c. In addition to complying with federal employment laws, practices are required to comply with their state employment laws. d. Questions regarding employment law can be answered by going to the website of the Federal Communications Commission.
C. In addition to complying with federal employment laws, practices are required to comply with their state employment laws.
What is the order this chapter outlines for the meetings from first counseling to termination? a. Written counseling, verbal follow-up, final written counseling, termination b. Final written counseling, verbal follow-up outlining a second change, written counseling, termination c. Verbal warning, written counseling, final written counseling, termination d. Verbal warning, performance review, final written counseling, termination
C. Verbal warning, written counseling, final written counseling, termination
What is the standard claim form used to submit provider services to Medicare Part B?
CMS-1500
Dilating Drops, Paralysis, Ocular Inflammation
Cycloplegics
Portability of group health insurance benefits means an employee may:
Carry over their eligibility for continued coverage
Current Assets would include which of the following Retain Earnings Medical Equipment Deposits Cash
Cash
Cost of Good expenses reported on financial stmt from invoices paid for the month would be considered?
Cash accounting Method
Clouding of the crystalline lens
Cataract
With age, the lens becomes thick, hard, and non-transparent, causing impaired sight.
Cataract
With age, the lens becomes thick, hard, and non-transparent, causing impaired sight. What is this condition called?
Cataract
The most commonly performed eye surgery is
Cataract Surgery
A phaco instrument is used in what type of surgical procedure:
Cataract Sx
Axial length of the eye is a measurement that is important before which commonly performed ophthalmic surgical procedure?
Cataract extraction with intraocular lens implantation
What entity is responsible for implementation of ICD-10 and maintaining the codes?
Centers for Medicare and Medicaid Services
The abbreviation CPU stands for what?
Central Processing Unit
Swelling in the eyelid caused by an inflammation of one of the oil producing glands
Chalazion
Swelling in the eyelid caused by an inflammation of one the oil producing glands
Chalazion
Which of the following is considered a basic tool of quality control? SWOT analysis Budgeting Pareto chart Chart auditing
Chart Auditing
The best way to avoid litigation over negligent hiring is to:
Check references
Age, Religion, Natl Origin or ethic-heritage,r ace, or color, sexual orientation and gender. What is this?
Civil Rights Act
An extended reporting endorsement is commonly applicable to claims-made professional liability policies because? a. Premiums can be paid monthly instead of quarterly b. Claims otherwise must be reported prior to the policy termination date. c. Addtl insures must be notified of any claims under such policies d. Claims under such policies requires additional time for processing.
Claims otherwise must be reported prior to the policy termination date
Questions, or exploring the situation, are techniques to help us in which "C" of conflict management? Communication, Cooperation, Clarify, Common Ground or Create
Clarify
A dedicated server is a computer not used as a __________
Client
When you feel a conflict situation starting to escalate, which "C" can help you refocus the conversation back to finding a resolution? Coerce, Common ground, Cure, or Calm
Common Ground
Which of the following is NOT one of the Five C's of conflict management" Commonality, Create, Cooperate, or Clarify
Commonality
What does the Office of Inspector General (OIG) release annually that identifies area of focus for review and investigation they believe are the most vulnerable for possible fraud/abuse?
Compliance Plan
Inflammation of the conjunctiva, often called "pink eye"
Conjuctivitis
Inflammation of the conjunctiva, often called "pink eye"
Conjunctivitis
Reflecting an image of the consummate professional requires
Consistent review of new products and the benefits that each offers
Reflecting an image of the consummate professional requires:
Consistent review of new products and the benefits that each offers
Several days after dispensing the glasses, it is recommended to:
Contact patients to see how they are doing.
When sharing with the trainee the importance of why the trainee is learning the skill, the trainer is demonstrating which of the following steps of the training process? Explain, observe, perform, repeat, or teach
Explain
The Centers for Medicare and Medicaid Services (CMS), in conjuction with the National Correct Coding Institute, developed the Correct Coding Initiative (CCI) bundling edits which are used by Medicare providers to:
Control improper coding of claims billed.
Where can most users find the amount of RAM on their Windows PC?
Control panel-> System
What is the transparent, curved tissue at the front of the eye?
Cornea
Maps the curvature of the cornea
Corneal Topography
Maps the curvature of the cornea
Corneal topography
Which of the following benefits are NOT typically provided to a new associate?
Corporate Voting Rights
What does CPC charge basis stand for?
Cost-per-click
Logos are a graphic representation often used to _________
Create immediate recognition
The first priority for a practice that wants to be active in online marketing should be:
Creating an effective website
The acronym "EOB" represents
Explanation of benefits
Bevacizumab(Avastin) is a drug that is used to treat:
Exudative Macular Degeneration
The Bloodborne Pathogens Standard requires a practice to have written guidelines for the employees' protection and reference. These guidelines are referred to as:
Exposure Control Plan (ECP)
Visual field tests are performed for which of the following diseases or complaints a. Open angle glaucoma, ptosis, and/or blepharoplasty b. Complaints of side vision loss c. Complaints of concentric visual field loss d. All of the above
D All of the above
Which of the following relates to budgeting for capital expenditures? a. Normally done for assets that have a useful life extending beyond one year b. The capital budget should identify the acquisition cost, time of purchase, source of financing, and depreciable life for each planned expenditure. c. Capital expenditures are usually for asset purchases which exceed a certain minimum dollar value, i.e.,$500. d. All of the above e. B and C
D All of the above
Which of the following pension plan are becoming rare in practices due to heavy financial burdens?
Defined benefit or defined contribution plans
To begin improving the practice environment through better conflict management, the most important action a leader can take is: Send staff to a seminar on conflict management Fire staff members who are regularly involved in conflict Hold more staff meetings Demonstrate proven conflict management techniques
Demonstrate proven conflict management techniques
Uses special magnification to see retinal detail and includes a color drawing of the detail and interpretation by the physician
Extended ophthalmoscopy
Which of the follow items should be utilized when forecasting expenses? a. The practice income statement b. Published data on industry standards related to expense items c. The practice general ledge d. All of the above e. A and C
D. .All of the above
A public relations campaign might include ___________ a. Press release b. Sponsored community service activities c. Letters to legislative leadership d. All of the above
D. All of the above
Enucleation is a procedure done for which of the following reasons a. End-stage glaucoma with sever pain b. Cosmesis c. Severely traumatic eye injuries d. All of the above
D. All of the above
Evaluation for glaucoma includes which of the following? a. Intraocular pressure b. Visual fields testing c. Optic nerve evaluation d. All of the above
D. All of the above
How does a group function differently from a team? a. Groups have no shared vision b. Groups have on shared accountability to each other c. Groups have no commitment to common goals d. All of the above e. None of the above
D. All of the above
The basic rules to identifying optical referral opportunities during a patient encounter are: a. Listen b. Observe c. Inspect d. All of the above
D. All of the above
Which of the following statements is true? a.Advertising an opening for a new physician in the local newspaper is the best way to attract a high number of candidates b. Including specific salary figures in a recruitment ad is against the law c. It is legal to specify whether you want a male or female physician for your position d. Online employment listings with specialty societies are becoming more popular with young doctors.
D. Online employment listings ........
Once all clinical activities are done, the patient completes the check-out process, which includes: a. Scheduling the next appt b. Pymt for the eye exam c. Meeting with the doctor d. a and b e. All of the above
D. a and b
When setting the appropriate time frame for a particular position, trainers should consider which one of the following? a. Discuss with senior mgmt. when the employee needs to be trained to be ready for work b. Training may have to be cut short if the position is really needed in the clinic c. Be realistic d. a and c e. All of the above f. None of the above
D. a and c
How long it takes on average to collect money owed to practice?...
DSO
DSO
Days Sales outstanding - 20- 40 days
Glare testing helps determine this prior to cataract surgery:
Decreased vision in brightly lit situations
What is a fixed dollar amount that a member pays out of pocket each year for covered prescription drugs and related supplies before pharmacy benefits are payable to the plan known as:
Deductible
Other Non-Current Assets includes which of the following? Deposits made on leases Equipment and furnishings Leasehold improvements Inventory
Deposits made on leases
Which of the following is true with respect to bank financing?
Depreciation and interest are the deductions normally associated with equipment purchased with bank financing
Search Engine optimization (SEO) refers to:
Designing the practice website so that it ranks high on the organic search results of major search engines
The key responsibility of the optical staff is:
Determine and satisfy the patient's eyewear needs
The Fair Labor Standards Act does NOT do which of the following?
Determine the best candidate for the job
The most fundamental action of marketing is defined by?
Determine who the practice will serve and in what ways
A privacy officer should:
Develop privacy policies and procedures
Which of the following is NOT an administrative safeguard requirement?
Developing a cost analysis of HIPAA requirements
Blood glucose is a measurement that patients with the medical condition are careful to monitor:
Diabetes
Blood glucose is a measurement that patients with this medical condition are careful to monitor?
Diabetes
Abnormal growth of retinal blood vesseels due to diabetes
Diabetic Retinopathy
Abnormal growth of retinal blood vessels due to diabetes
Diabetic Retinopathy
The ancillary testing room is used for
Diagnostic testing (A-Scan, B-Scan, and corneal topography
Under Medical Medicare's global surgical fee concept, most services performed following surgery are included in the global fee payment and not billable separately. A physician may, however, bill Medicare separately for:
Diagnostic tests required to treat the patient
The visual learner prefers to learn with which of the following tools?
Diagrams and displays
What is the most effective way to track media response?
Different phone numbers in each advertisement
In order for the physician to see clearly the details of the back of the eye(retina), patients are given drops that make the pupil larger. This process is called:
Dilation
Glasses and contact lenses are typically measured in these units
Diopters
The most important role of the backup is ___________
Disaster Recovery
What is NOT considered a use of descriptions?
Discipline
Which of the following items should be gathered and reviewed as part of a historical evaluation of practice performance? a. Financial stmts b. Provider productivity reports c. Marketing plan and expenditures d. Employee payroll records e. All of the above f. A, B, and D
E. All of the above
Using a buying group to purchase inventory is most financially beneficial to:
Dispensaries that have not reached the level of purchasing volume to negotiate the maximum discount as a stand-alone account
How is an FTE calculated for a practice which operates under an 8-hr workday?
Divide the total number of hrs worked in a year by 2080
Blepharoplasty as a surgical procedure may be covered by insurance when
Documented visual fields show loss of superior visual field in usual eyelid position compared to when the eyelid is taped up
What is the term used to describe the process by which the basic accounting equation always remains in balance?
Double-entry bookkeeping
GTTS
Drop(s)
GTTS
Drops
Insufficient Tear Production
Dry Eye Syndrome
Insufficient tear production
Dry Eye Syndrome
Measures the quantity of tear secretion using a special paper strip
Dry Eye Test (Schirmers)
When conducting a telephone interview with a potential physician recruit, the practice should: a. Plan about one hr for the phone call b. Initially spend time reviewing the candidate's background and CV c. ASk the same questions of each candidate after reviewing his or her background d. Ask mostly "open-ended" questions rather than questions that can be answered with "yes" or "no" e. All of the above
E All of the above
Lean and six sigma are managerial concepts that target what kind of waste? a. Defects b. Inventory c. Motion d. Waiting e. All of the above f. None of the above
E. All of the above
The benefits of a referral guide include which of the following? a. Helps market the practice b. Sets a professional tone c. Generates new patients d. Expresses to colleagues that the practice cares about them e. All of the above
E. All of the above
When tracking the cost per lead, which of the following info must be available? a. The referral source for ea lead b. Monthly marketing expenses by marketing activity c. The number of leads received per month d. b and c e. All of the above
E. All of the above
Which of heh of the following should be discussed with an employee at the time of separation? a. Final paycheck b. Retin of practice property c. Payout of vacation time, sick leave, or paid time off d. Health insurance info. e. All of the above
E. All of the above
Which of the following are characteristics of effective teams? a. Have a common purpose b. Exhibit clear, open communication skills c. Show commitment to learning d. Have effective, participatory leadership e. All of the above f. None of the above
E. All of the above
Which of the following are true regarding restrictive covenants? a. Non-compete clauses may not be enforceable in all states. b. Non-solicitation clauses are very common. c. Non-compete clauses usually have a geographic and time limitation. d. Employment contracts may provide for the restrictive covenants to be waived in some circumstances. e. All of the above
E. All of the above
Which of the following methods are commonly used when distributing the bonus amt among employees? a. Bonuses distributed in equal amts, with adjustments for part-time or new employees b. Bonuses allocated by tenure in the practice c. Bonuses allocated by relative compensations levels d. Bonuses allocated by individual evaluations e. All of the above
E. All of the above
Which of the following questions are appropriate to ask a reference supplied by a candidate? a. In what capacity have you worked with the candidate b. How would you judge the candidate's surgical skills? C. What have you observed in regard to the candidate's relationships with colleagues? d.What do you see as the candidate's strengths? e. All of the above f. All by c above
E. All of the above
Which of the following questions would be appropriate to ask a physician candidate? a. What do you see as the major challenge facing physician practices in the future? b. What are the primary factors you are seeking in a new location? c. Why did you choose this specialty? d. What is your assessment of your training so far? e. All of the above
E. All of the above
To ensure successful implementing of a compensation program, a manager should: a. Send one email about the program and refer everyone to the email when any questions are asked. b. Tell a new employee about the program before they start the job and verify that the employee understands during the first week on the job. c. Put the program in writing and make it available to all staff. d. All of the above e. b and c f. a and b
E. b and c
Federal Agency - Several State - Prohibits discrimination
EEOC
Which federal agency is responsible for administration of several statutes that prohibit discrimination?
EEOC
An employee claim for wrongful discharge would most commonly be covered by which of the following policies?
EPLI
Employee Wrongful Discharge
EPLI
____________is a federal tax statute that sets minimum standards for retirement and health benefit plans in private industry.
ERISA
Reordering only the exact frame sold will
Effectively stabilize goods costs
Where observed collection processes vary from practice policy...
Either the policy or process must be changed or retaining must occur to comply with practice policy
The method of using an electronic means to transmit claims from a practice management systems is known as
Electronic submission
Which of the following characteristics should be exhibited by each team member?
Exhibits the ability to listen, analyze, and summarize verbal information
Which of the following is NOT true? a. In an incentive plan, the reward offered must be commensurate with the effort required to earn the reward. b. The strongest incentives are those that have a clear cause and effect. c. Employees will continue to work hard on achieving an incentive bonus, even if it becomes an entitlement. d. The success of any incentive plan is dependent upon employee perceptions.
Employee will continue to work hard on achieving an incentive bonus, even if it becomes an entitlement
The omission of this easy step in setting up a compensation program can prove costly to a practice by resulting in fines or lawsuits. What step is it?
Ensure compliance
Which government agency enforces Title VII of the Civil Rights Act of 1964?
Equal Employment Opportunity Commission
This port resembles a telephone jack and is used for wired network access.
Ethernet port
The Dept of Homeland Security recommends three actions in the event of an active shooter. They are:
Evacuate, Hide Out, or Take action
Which is not considered a form of social media? YouTube, Twitter, Facebook, and Event invite
Event Invite
Frame reorders should be completed
Every 2-3 days
QOD
Every other
QOD
Every other day
A practice compensation package should be reviewed:
Every yr or every 2 yrs, depending on market conditions
Glaucoma Drops
Examples - Cospot, Xalatan, Travaltan, Lumigan, Alphagan
Which of the following lasers is used to perform refractive surgery:
Excimer laser
When assisting a patient, it is necessary to:
Exhibit your knowledge and expertise pertaining to the products recommended
When assisting a patient, it is necessary to:
Exhibit your knowledge and expertise pertaining to the products recommended.
A team's goals should be SMART, which stands for Specific, ___________ Achievable, Relevant, and Trackable
Measurable
SMART goals should be set when establishing incentive programs. Specific, attainable, relevant and time-bound - what does the M stand for in SMART?
Measurable
An A-Scan is a piece of ultrasound equipment used to:
Measure the length of the eye to assist in calculating the power of an intraocular lens for cataract surgery
A lensometer is used to:
Measure the patients current spectacle prescription
The Snellen acuity chart is used to:
Measure visual acuity using various sizes of letters visible to the normal eye.
Financial assessment of accounts receivable performance should be:
Measured monthly within the practice
Snellen Acuity Test
Measuring visual acuity using standardized characters @ standardized distances (typically 20 ft. or 6 meters)
When establishing your lens retail fees, one suggested reference to utilize is ________
Medicare
Reimbursement for physician services provided under Medicare Part B is paid for by the federal government through contracts with different insurance companies. What are those contracted entitites called?
Medicare Administrative Contractors
What does MMSEA stand for?
Medicare Medicard, SCHIP Extension Act of 2007 extended thru 08 & 09
The set of values and principles that will guide a practice is known as a ___________
Mission statement
Three keys to online reputation management are:
Monitoring what is said, responding when appropriate, and building a good reputation by encouraging patients to post positive comments.
How often should bank statements be reconciled?
Monthly
Physical inventories in an optical should be completed
Monthly or quarterly
Within the past several years, billing processes have become:
More reliant on automated processes
As of January 2014, approximately how many individuals worldwide were on Facebook?
More than 2 billion
The act of intentionally or accidentally failing to comply with a doctor's expressed or implied directions in regards to taking prescribed medications is called?
Noncompliance
Adduction
Movement of the eye inward toward the nose
Abduction
Movement of the eye outward the temple
Anti-reflective coatings are:
Multi-layered coatings that reduces glare
Credit balances on accounts in which the patient cannot be located:
Must be forwarded to the State, subject to disposition as unclaimed property
Dilating Drops
Mydriatics - Phenylephrine(2.5%) & Tropicamide(1%)
Minus numbers in front of a contact lens denote that the lens is designed to correct which of the following conditions?
Myopia
Minus numbers in front of the contact lens denote that the lens is designed to correct which of the following conditions
Myopia
Nearsightedness
Myopia
What is the abbreviation for the 11-digit code that identifies prescription rugs by labeler, specific product, and package size?
NDC
Acular
NSAID
YAG Laser Iridotomy is a procedure done most often for patients with this diagnosis
Narrow Angle Glaucoma
The 10-digit number assigned to providers to be used for identification purposes when submitting services to Medicare for payment: is called what?
National Provider Identifier
Captures the appearance of the fibers of the optic nerce
Nerve fiber analyzer
Which of the following formulas would you use to calculate the revenue rate per patient encounter?
Net collections divided by the number of patient encounters.
User data would best be stored on a ________
Network drive
A _______ allows a computer to connect to a local area network (LAN).
Network interface card (NIC)
NCI
Network interface card - connect to a local area network - (LAN)
A router is a device that forwards "packets" between _____
Networks
Patients with amblyopia who have dense cataracts can be returned to this level of vision following surgery:
No more than the level they had prior to the development of the cataract
Patients with amblyopia who have dense cataracts can be returned to this level of vision following sx:
No more than the level they had prior to the development of the cataract
In a written counseling, how much time should a manager given an employee to improve performance?
No specific time (should be based on the employee and performance issue)
Under HIPAA regulations, medical records must be retained by your practice for a minimum of __________ after a patient's death. a. 6 months b. 1 year c. 2 years d. None of the above
None of the above
Which of the following is true with respect to an independent contractor? a. Employment taxes are remitted by the employer. b. Employee benefits are normally only provided if the contractor works more than 30 hrs per wk c. The contractor normally works a reg number of hrs ea wk d. The employer provides all the tools of the trade necessary for the contractor to perform his or her work. e. None of the above
None of the above
If there is uncertainty about how to handle a blood spill, the most important action is to:
Notify your manager
Senile cataract
Now referred to as age-related cataract
The Bloodborne Pathogens Standard is one of several standards established by the federal government. The enforcement agency for compliance with the Bloodborne Pathogens Standard is:
OSHA
The first step to developing a high performance team in a practice is to: Identify members of the team Choose a leader for the team Obtain support from practice physicians None of the above
Obtain support from practice physician
OSHA stands for:
Occupational Safety and Health Administration
What does OSHA stand for?
Occupational Safety and Health Administration
When praising someone who demonstrates the types of behaviors you'd like to see repeated, it is best to: Offer praise in public Pull the person aside and give the praise secretly Hold that person up as an example for others to follow Put a note in the person's personnel file
Offer praise in public
What does OIG stand for?
Office of Inspector General
UNG
Ointment
presbyopia
Old sight a near refractive error caused by accommodative loss; associated w/aging; if uncorrected=reading difficulty
QD
Once daily
How often does Medicare require patients to sign a Patient Authorization form?
Once per lifetime
The dispensing tables where the patient is seated should contain:
Only items relevant to that particular sale
A property policy that covers all perils unless specifically names as exclusions is known as a
Open-peril policy
A property policy that covers all perils unless specifically names as exclusions is known as a:
Open-peril policy
Which of the following terms is not associated with the balance sheet? Assets Operating expenses Owner's equity Long term liabilities
Operating Expenses
An eye care provider licensed to diagnose and treat disease of the eye and to perform eye surgery is an
Ophthalmologist
An eye care professional licensed to fabricate and dispense eye glasses is an
Optician
Internal optical remakes are the result of changes or errors that were caused by:
Opticians, technicians, and doctor Rx changes
An eye care provider licensed to diagnose and treat disease of the eye, but unable to perform invasive eye surgery is an:
Optometrist
In order to treat patients effectively, a physician may have allied staff perform certain diagnostic tests. Before the test can be performed by the technician, what must be documented in the patient chart?
Order for the test
"You never do anything to help other people. You always just keep your head down and do the min. requirements." These stmts are examples of what common mistake during a conflict situation?
Overgeneralizing
CMS
Oversees the MCR program
intravitreal implants for DME
Ozurdex - Iluvien
Measures the thickness of the cornea
Pachymetry
___________ refers to the measurement of the thickness of the cornea, and normal central corneal thickness is 545 micrometers
Pachymetry; 545
What is the smallest amount of data moved on a computer network?
Packet
Owners Equity includes 2 basic categories. These include: Paid in capital and current assets Paid in capital and retained earnings Current liabilities and long-term debt Current assets and tangible assets
Paid in capital and retained earnings
Refunds due to Medicare/Medicaid should be:
Paid within 60 days of overpayment
A procedure often used to treat Proliferative Diabetic Retinopathy is:
Pan-Retinal Photocoagulation(PRP)
Which element is typically NOT included on a sample referral guide? Practice/Physician background Patient testimonials List of referral forms Contact information Intro/welcome
Patient testimonials
ICD-9 and CPT codes must correspond, because:
Payers will deny pymts if dx and procedure codes do not match
The essential principal of job descriptions and performance reviews is:
Performance follows accountability
What is PPE?
Personal Protective Equipment
Advertising is a type of communication aimed at _________
Persuading potential patient to engage in your services
Intraocular lens calculations are done before which ophthalmic surgical procedure?
Phacoemulsification of the crystalline lens with insertion of an intraocular lens
New Glaucoma Drops in Trial Stages pending FDA App
Phopressa (Aarie) Vesneo (B&L) Trabodenoson(Inotok)
What does PQRI stand for?
Physician Quality Reporting Initiative
What does PQRS stand for?
Physician Quality Reporting System CMS in 2007
Employment agreements are often utililized for ____ in a practice
Physicians
The most common cause of conflict in the medical practice is:
Poor communication
PACU is an abbreviation for
Post anesthesia care unit
EOB's are used by:
Posting/Billing staff
Which of the following compensation issues should a manager consider when completing a performance review for an employee who is currently in performance counseling?
Postponing an salary increase until performance has improved
Tests a patients potential for improvement in visual acuity with cataract surgery.
Potential acuity measure (PAM)
Under FLSA laws, which of the following would be considered an exempt employee?
Practice manager
Who typically determines a practice compensation philosophy?
Practice owners and leaders
The primary purpose of a bank reconciliation is to assure that
Practice receipts reconcile to bank deposits
When measuring capture rate, the total number of prescriptions written should NOT include:
Pre-op patients
Which of the following considerations commonly influences decisions whether to insure for a particular risk?
Premium cost compared to the cost and probability of a claim
Which of the following considerations influences decisions whether to insure for a particular risk?
Premium cost compared to the cost and probability of a claim
The marketing "demand push" by Centers of Influence is directed by __________
Primary care physician referrals
Which of the following are likely to serve as the best references for a candidate?
Prior supervisors
If an individual or staff member has a complaint regarding the use of PHI, the individual must speak with the facility's:
Privacy officer
Labels - must now include
Product identifier
Labels must now include information including:
Product identifier
6 P's of Marketing
Product, Price, Place, People, Process, and Promotion
When implementing an inventory replenishment strategy, the most critical guideline is:
Re-order only the exact frames sold
When offering criticism or corrective feedback, which of the following statements does NOT represent good advice? Provide it as close to the situation as possible Provide the feedback in public As the person, "How do you think that went?" Tell them what they did right; tell them what to do next.
Provide the feedback In public
In order for a new physician to see Medicare patients, the physician must first enroll in the Medicare program as a participating or nonparticipating provider. Medicare has an electronic enrollment system to assist providers in completing the enrollment forms more efficiently called the:
Provider Enrollment, Chain, and Ownership System
EEOC
Provides II categories of discrimination - age, disability, equal pay, compensation, genetic info, national origin, pregnant, race, color, religion, retaliation, sex and sexual harrassment
Under ADA guidelines, reasonable accommodation by an employer for an employee or applicant with a disability would not include: Job restructuring Modifying work schedules Providing items such glasses or hearing aids Modifying equipment or devices
Providing items such as glasses or hearing aids
Diagnosis resulting from removal of cataract with implantation of intraocular lens
Pseudophakia
Which of the following is a key distinction between advertising and public relations?
Public relations does not involve media buy
Which of the following procedures is a common treatment for dry eyes?
Punctual Occlusion
Optical Benchmark %
Purchase of frame orders 75%-80%
A key-man life policy would typically be used by the practice for:
Purchasing the ownership interest of a deceased owner
If a staff member is consistently tardy due to oversleeping, the manager should:
Put the employee on a performance improvement plan (verbal warning) with a clear definition of the policy regarding tardiness and a timeline to correct the behavior.
Integrated circuits that allow stored data to be accessed in any order are called what?
Random access memory (RAM)
Calculating Interest
Rate X Time X Principal (RTP)
All long and short term goals adopted by a practice should be
Realistic and achievable
Encouragement of team members often involves:
Recognition
When offering recommendations, always: Avoid quoting the price until the patient has agreed to purchase the item Ask the patient, "Do you want..." Recommend only those items that will truly benefit the patient. Promote only those items that provide a significant margin of profit
Recommend only those items that will truly benefit the patient
Superbills or encounter forms are most commonly used to:
Record diagnosis and procedural codes
Accrual - basis Accounting
Records revenue when you charge for your services and records expenses when you receive an invoice
What does RAC stand for?
Recovery Audit Contractors
What color is used to identify biohazardous material?
Red
The portion of the examination that determines the best lens correction for the patient, and may result in a prescription for glasses is called:
Refraction
Once the sale is completed and the frame and lenses have been selected, it is recommended to:
Reinforce the patient's decisions regarding the products selected.
The Medicare Physician Fee Schedule Database (MPFSD) includes fee calculations based on work expense, practice expense, and malpractice expense which are used in determining payments to physicians. Those figures are referred to as what?
Relative Value Units (RVU)
What is not an example of a variable cost? a. Rent b. Postage c. Medical Supplies d. Office Supplies
Rent
Stabilizing your optical inventory investment requires:
Replenishing the stock sold with product of equal cost
Exophoria/Exotropia
Same principles as for eso deviations above, except eye turns outward
RbRVS
Resource-based Relative Value divide 3 components (RVUs) physician work practice expense malpractice insurance
The single most important role of a data backup system is its ability to _____ data in the case of a catastrophic failure of hardware or software
Restore
Which tissue is located at the back of the eye and converts light to electric impulses, which are carried to the brain?
Retina
Which tissue is located at the back of the eye and converts light to the electric impulses, which are carried to the brain?
Retina
$800,000 to $1,200,000 per year for general ophthalmologists
Retina subspecialists typically are much higher, while peds ophtho will often be towards the low end of this range.
Separation of the retina from the back of the eye
Retinal Detachment
Separation of the retina from the back of the eye
Retinal detachment
Fundus examination is used to evaluate
Retinal diseases or pathology
The acronym ROE stands for what social media term?
Return on engagement
Which of the following is NOT a characteristic of an effective leader? Belief in core values and mission of the practice Strong communication skills Rigid adherence to rules and process Commitment to learning
Rigid adherence to rules and process
Patient demographics info can best be obtained by:
Running a query from the practice management software program
The two new changes in HCS are
SDS and label elements
All staff members are required to know where which of the following are kept?
SDS information
Which of the following is not currently a treat for dry eye disease a. Use of over-the-counter artificial tears b. Use of punctual plugs c. SLT d. Prescription for cyclosporine ophthalmic emulsion 0.05%
SLT
Argon Laser use is common in ophthalmology. Which of the following is TRUE?
Safety measure are important for operators and others present in the room during procedures.
The most common method of compensation a newly employed physician is known as:
Salary plus incentive bonus
Which of the following resources can help a practice decide on a reasonable base pay offer?
Salary surveys for ophthalmologists conducted by medical associations
What is one of the better ways to search for a website developer or search engine optimization firm?
Search engine
Peer-to-peer networks are adequate if ________ is not an issue
Security
When the clinic's schedule is running at capacity and a wheelchair patient arrives 40 minutes late, which of the following is the best recommendation?
See the patient since they have difficulty getting to the office and work together as a team to figure out the best way to courteously fit the patient into the schedule
The term used in ICD-10 to represent a consequence of a previous disease or injury is:
Sequelae
The standard model for networking environments with more than 10 users is called ________-based networks
Server
Specialized computers that manage network resources and allow computers access to the network are called ________
Servers
SLA
Service - level Agreement
Pictograms used on labels must be:
Set in the shape of a square with a red outline, black symbol, and white background
Extraocular Muscles
The 6 muscles in each eye that attach to the eyeball (globe) & control eye movements superior rectus, lateral rectus, superior oblique, inferior rectus, and inferior oblique
If you believe that a covered entity violated your health information privacy rights, you may file a complaint with:
The Office of Civil Rights
Samples of the emergency action plans can be found on the internet. Which organization has an EAP in PDF format that can be filled out online and saved on a computer?
The US Dept of Homeland Security (Ready.gov)
It is said that 90 percent of all successful sales are a result of:
The overall presentation and the buyer's perceived trust in the advice provided
Aphakia
The absence of a crystalline lens
Emmetropia
The absence of a refractive error
Aphakia is the term used to describe
The absence of any lens in the eye
Typically, wholesale labs determine the discount provided to your optical based upon a. The length of time the optical has utilized their services b. The type of product the optical commonly orders c. The accumulated volume of business from each optical
The accumulated volume of business from each optical
The contractual allowance stated by an insurance company is known as the following:
The amount of payment agreed to by the provider and the third-party payer
Insurance agents and brokers are most commonly compensated by insurance companies based directly on
The amount of premium charged to the client
When billing Medicare, what is the definition of "deductible?"
The amount the patient is financially responsible for before Medicare provides payment.
Primary responsibility for effective policy implementation rests on:
The billing supervisor
For on-site practice visits with candidates:
The candidates should have the opportunity to interact with practice representative informally at a dinner and/or lunch meeting
When measuring the performance of an optical dispensary, the number of eye glass prescriptions that are filled in the practice's dispensary, divided by the number of eyeglass prescriptions that were written is known as _____________
The capture rate
Fovea
The center of the macula; necessary for detail vision
Accomodation
The change in crystalline lens curvature tat helps to focus near objects
What does an Excludes1 note mean in ICD-10?
The code excluded should never be used
Which of the following factors is NOT among those usually present in a practice that has a need to recruit a physician?
The demand for the practice's services is shrinking
When measuring visual acuity, your patient reads the 20/100 line on the Snellen chart. In this example the bottom number (100) represents:
The distance at which the letters could be seen by a person with normal visual acuity
Based on an optical inventory plan protocol, when replenishing sold stock, the staff should order:
The exact same frame sold.
The marginal tax rate for a corporation is
The firms tax rate for an additional income it generates
The criteria to be selected as a "preferred vendor" is based on:
The historical sales performance of the product by the dispensary
Which of the following does NOT contribute to the costs of insurance premiums?
The insured's ability to pay premiums
Accounts receivable turnover divided by Days in A/R represents which of the following?
The number of days on average it takes to collect the balances
As it relates to frame inventory, the term "turn ratio" means:
The number of frames sold annually as compared to the number of frames inventoried.
The capture rate that an optical achieves is based on:
The number of patients who purchase eyeglasses as compared to the number of prescriptions written by the physician(s) in the practice
The number of frames that an optical should inventory is relative to:
The number of prescriptions that are written by the practice annually
Acquiring the income statistics for the geographic areas in which the optical draws patients is important because:
The optical staff can provide an appropriate price mix of products that will correspond with the patient population
If a practice wants to improve the rate of patients scheduling a consultation after they have inquired about surgery (inquiry to consultation conversion rate), it is best to develop an incentive that targets:
The phone receptionist
Net collections per FTE MD is a measure that reveals:
The production, measure in collections, of a FTE MD in the practice
Net collections per FTE MD is a measure that reveals:
The production, measured in collections, of a FTE MD in the practice.
Retained earning are defined as:
The profits earned by the organization over its lifetime that have not been distributed to its owners in the form of dividends
Developing an optical frame budget quantifies:
The projected number of frame units and total cost for the inventory
In most practices the coding of office visits is done by:
The provider and/or scribe
If you observe that a disproportionate number of frames are provided by one rep, the following problem could be occurring.
The rep is using intimidation tactics with the staff
How is a glaucoma stage reported in ICD-10?
The stage is now included in the description of the code
Lumigan, Xalatan, Cosopt, Combigan, Alphagan, Azopt
Treats Glaucoma
Esophoria
The tendency of an eye to turn inward; only present if fusion is suspended as in covering one eye
Adnexa
The tissues & structures surrounding the eye(orbit, extraocular muscles, eyelids, lacrimal apparatus)
Strict compliance with the reorder protocol will ensure:
The total cost of the inventory remains constant
When an Excludes2 note appears in ICD-10, it means?
The two codes can be reported together
Prism diopter
The unit typically used to express prism power
Projecting the number of frame units to be supplied by each representative is based on:
The utilization history of the lines the representative sells
The sclera is also referred as to as which of the following?
The white of the eye
The sclera is also referred to as which of the following?
The white of the eye
Even though managers do not want other employees to think negatively about the managements team, who should managers avoid sharing with staff after a termination?
The" real story" (i.e., details of why the employee was terminated.
After implementation of the plan is complete and upon completion of a physical inventory, if the total cost of the inventory is higher than the budget, this may be due to:
Theft
Physicial Inventory, cost of inventory higher than budget due to _____________
Theft
Vigamox, TobraDex, Azasite
Treats infection
Cyclosporine ophthalmic emulsion 0.05% is a medication that does the following
Treats the underlying pathology of dry eye syndrome
If use of the pinhole improves a patient's below-normal uncorrected visual acuity to 20/20, or even 20/30 chances are the patient has a refractive error? T or F
True
TID
Three times daily
Which of the following are important in reporting practice information?
Timeliness and accuracy of the information
ICD-10 "D" Placeholder
To allow future expansion
In Alpha Index [ Brackets ]
To identify manifest codes
One of the main reasons a practice should create a referral guide is: To increase reimbursement rates To eliminate self-referrals To make the referral process convenient and simple To eliminate unnecessary costs Both c and d
To make the referral process convenient and simple
A team's goals should be SMART, which stands for Specific, Measurable, Achievable, Relevant, and ____
Trackable
Common causes of cataracts are:
Trauma, congenital conditions, aging and metabolic disorders
When accounting for transactions, an increase in an asset account must result in either an increase in a liability account, a decrease in another asset account, or an increase in owner's equity. T or F
True
The following is NOT included in a SWOT analysis: Truths Strengths Opportunities Weaknesses Threats
Truths
When there is a conflict between two employees, they should:
Try to result the issue in private while maintaining mutual respect
BOD
Twice
BID
Twice daily
The Occupational Safety & Health Administration (OSHA) is part of the ______________
US Dept of Labor
The Occupational Safety and Health Administration (OSHA) is part of the:
US Dept of Labor
The most common connection port on computers in use today is a ______
USB Port
Measures the length of the eye to assist in calculating the power of an intraocular lens to be used in cataract surgery
Ultrasonaography (biometry)
A network firewall protects a computer network from ______ access
Unauthorized
In an ophthalmic practice, the term A/R represents which of the following items? Number of services provided Amt of co-pays collected Amt of contractual adjustments Uncollected billings
Uncollected billings
All MCR providers are issued a "NPI"
Unique 10-digit identifier (Natl Provider Identifier)
Which of the following is NOT a component of a complete compensation program? Incentive pay, vacation time, health insurance, or use of a computer
Use of a computer
Which of the following should be disposed of in a red biohazardous bag? Used gauze with a drop of blood following infusion Used gauze with a visible drop of dried tears Used gauze saturated with blood Used gauze worn postop under eye shield
Used gauze saturated with blood
What does VBP stand for?
Value-based purchasing system
Initially, what type of evaluation should a manager have with an employee to discuss performance issues and develop an action plan to improve performance?
Verbal warning
The job offer should be made:
Verbally and in writing
If a patient has written a check that is suspected to have insufficient funds (bad check), staff could be permitted to delay in deposited the check in which of the following instances:
Waiting to deposit a check is never acceptable. Internal control policies should indicate that all pymts be deposited on the same day or within one day of receipt of funds.
What is the single most important method to prevent the spread of infection?
Washing your hands
When interviewing a patient, one vital question to always ask is: FOR GLASSES
What do you like or dislike about your current eyeglasses?
When of the following examples are NOT an appropriate, professional email salutation or greeting?
What's happening
The Employee Retirement Income Security Act (ERISA) specifies which of the following? A spouse is not entitled to share in the employees pension How much the employer must contribute When an employee must be allowed to participate What type of retirement plan must be offered
When an employee must be allowed to participate
At the start of training, daily training time should be limited to how many hours?
Whenever the trainer feels the trainee has learned as much as possible
When performing a reference check for a potential new employee, the person performing the call should refrain from asking about which of the following?
Whether or not the candidate is married
Which of the following statements is true regarding whistleblowers?
Whistleblowers are protected from employer retaliation
What does WAN stand for?
Wide Area Network - Generally consists of 2 or more LANs
Working Capital
Working Capital = Current Assets - Current Liabilities
Which program covers any injury or illness sustained in the course of employment that requires medical, surgical, or hospital treatment?
Workman's Compensation Insurance
ICD-Int'l Stastical Classification of Diseases published by "who"
World Health Organization
What organization is responsible for creating and publishing the ICD-10 codes?
World Health Organization
Which of the following questions is the best option when calling a former employer for a reference check?
Would you rehire this employee?
What should a manager do if an employee refuses to sign documentation of the counseling?
Write "refused to sign" on the signature line.
All of the following are ways to reduce the chances of conflict except:
Write better patient education materials
Altafluor Benox - Fluorescein Sodium and Benoxinate(.25%)
Yellow (stains tissue)
Cost if goods expenses reported on the financial statements from invoices paid for the month would be considered : a. A cash accounting method b. An accrual accounting method c. Nether of the above
a. A cash accounting method
When interviewing a candidate for a clinical position, the following topic is acceptable a. Ask leading questions about work experience and relevant skills b. ask about the religious holidays he/she will observe c. Inquire as to the marital and child status d. Tell the candidate how old you are and ask for his/her age
a. Ask leading questions about work experience and relevant skills
Use of ______ makes it easier for recipients to skim content than having to read lengthy blocks of text. a. Bullets or numbered lists. b. Separate emails c. Diagrams d. Photos e. Attachments
a. Bullets or numbered lists
Which three items should be included in monthly ranking reports? a. Engines, overviews, recommendations b. Engines, directory listings, site reviews c. Site reviews, patient comments, rankings d. Site reviews, engines, directory listings
a. Engines, overviews, recommendations
Which of these stmts is true related to a payers fee schedule? a.Fee schedules are typically determined by geographical marker, providing fees either above or below the Medicare allowable. b.A contract is worthless unless it provides a fee schedule the same or higher than the Medicare allowable. c.Fee schedules are too difficult to negotiate so practices are better off providing only self-pay services. d. None of the above e. All of the above
a. Fee schedules are typically determined by geographical marker, providing fees either above or below the Medical allowable
Ideally, an employee whose performance needs improvement will leave the review meeting: a. Feeling inspired to improve and having a clear idea of how to do so. b. Fearful of his/her job security and dedicated to improve. c. Confident that positive aspects of performance will outweigh negatives. d. None of the above
a. Feeling inspired to improve and having a clear idea of how to do so.
Which of the following is not a responsibility of a project manager? a. Install and configure servers b. Oversee the entire EHR project c. Adhere to the EHR timeline d. Schedule and chair implementation meetings
a. Install and configure servers
When calculating the remake occurrence rate as compared to the benchmark, what type of remake(s) should be included? a. Internal remakes only b. External remakes only c. All remakes
a. Internal remakes only
Physical safeguards do NOT include which of the following? a. Posting PHI on a white board in the facility b. Storage of PHI in a secure place c. Shredding of PHI d. Use of surge-protectors
a. Posting PHI on a white board in the facility
Positive and negative feedback provided during the review process: a. Should be balanced in rough proportion to the employee's overall performance. b. Should be focused more on negative aspects to ensure improvement c. Should be non-specific to avoid discouraging the employee d. None of the above
a. Should be balanced in rough proportion to the employees overall performance
Creating an effective referral guide should begin with a review of: a. The current referral process b. The practice's vision c. The practice's mission stmt d. A written draft of a recent SWOT analysis
a. The current referral process
In determining a job title, which approach is best? a. The title should be as clear and succinct as possible b. The title should be expansive to enhance staff feelings of pride c. The title should be vague and general to allow flexibility d. None of the above
a. The title should be as clear and succinct as possible
Which of the following is not a consideration when choosing a vendor? a. Vendor location b. Integration with practice management system c. Response time to support calls d. Imaging interface
a. Vendor location
In an eye with normal function of the iris sphincter muscle, failure of the pupil to construct in response to direct light stimulation represents:
an APD
Which of the following is the most important reason for not putting too much emphasis on month to month fluctuations in benchmarks? a. It's too much work to calculate benchmarks every month b. Benchmarks will normally vary from month to month so a longer period or a rolling average is more accurate. c. Every practice has a bad month once in a while d. None of the above
b. Benchmarks will normally vary from month to month so a longer period or a rolling average is more accurate
Which of the following is not a potential barrier to EHR implementation? a. Lack of support from staff and physician b. Better coding c. Lack of staff computer skills d. Concerns about accuracy of data input
b. Better coding
Which of the following is NOT a valid goal in an EHR implementation? a. Improved access to medical records. b. Chart abstraction c. Providing better, more efficient patient care d. Improved physician recruitment
b. Chart abstraction
Which of the following reports will help a practice determine the viability of specific marketing activities? a. Physician productivity reports b. Conversion of leads to procedures report c. Marketing expense report compared to marketing budget d. None of the above
b. Conversion of leads to procedures report
Which of the following is not a phase in an EHR implementation? a. Planning phase b. Decision-making phase c. Action phase d. Go-live phase
b. Decision-making phase
Which of the following is NOT a necessity for setting the stage for a good training environment? a. Identifying the resources the practice provides for training b. Hosting a welcome breakfast the first day of training c. Identifying the learning objectives for each training session d. Understanding the time frame available for training e. Eliminating interruptions during early training.
b. Hosting a welcome breakfast the first day of training
Questions asked of candidates during a telephone interview: a. Are unrestricted by law since no face-to face meeting takes place. b. Must be limited to those related to bona fide occupational qualifications of each candidate. d. None of the above
b. Must be limited to those related to bona fide occupational qualifications (BFOQs)
Which of the following is true about the cash method of accounting? a. Expenses are recorded when incurred b. Revenue is recognized when cash is received c. Revenue is recognized when charges are generated d. Expenses are recognized on a daily bases
b. Revenue is recognized when cash is received
When assessing the payroll ratio as compared to the benchmark, which of the following should be included in the total payroll expense? a. Salaries only b. Salaries, payroll taxes, health, WC, 401k/pension, bonus/commission c. Salaries and payroll taxes only
b. Salaries, payroll taxes, health, WC, 401k/pension, bonus/commission
Which of the following are important in reporting practice information? a. Be sure to use high quality paper b. Timeliness and accuracy of the information c. Comparison of your practice information to other types of businesses. d. None of the above
b. Timeliness and accuracy of the information
Which of the following examples would NOT be considered a weakness in a SWOT analysis? a. Aging of key providers b. Outstanding location of the practice c. Aging appearance of the main location d. Ineffective practice management system
b/ Outstanding location of the practice
Written proposals from a website developer should include all of the following EXCEPT: a. The number and types of Web pages b. Origin of the graphics to be used on the site c. Design schematic including colors, content, icons, etc. d. Warranty period.
c. Design schematic including colors, content, icons, etc.
Which of the following is included in a successful program to develop patient advocates? a. Identifying the patients who refer others to your practice and thanking them for their loyalty and confidence. b. Providing a quality, practice-related gift for multiple referrals c. Having the doctor place a phone call to the patient thanking them for the referral d. None of the above e. All of the above
c. Having the doctor place a phone call to the patient
Which statement below is NOT correct as it relates to the Equal Pay Act of 1963 (EPA)? a. Protects both men and women from sex discrimination b. Was passed in 1963 as an amendment to the Fair Labor Standards Act c. More seniority or more experience between the two employees is not considered a legitimate basis for wage disparity
c. More seniority or more experience between the two employees is not considered a legitimate basis for wage disparity
A practice wants to reduce its A/R and sets a goal regarding decreasing the A/R. To reduce the change that undesirable collection tactics will be used it also might consider having a goal tied to the following: a. Staff Turnover b. Number of complete exams c. Patient satisfaction d. Overhead ratio
c. Patient Satisfaction
Notice of Privacy Practices (NPP) must be updated in 2013 to include which of the following? a. Names of the owners of the covered entity b. Names of companies that have access to PHI c. Patients right to restrict disclosures PHI to a health plan when the patient pays out of pocket and in full for the health care item or service d. Profitability of the covered entity
c. Patients right to restrict disclosures of PHI to a health plan when the patient pays out of pocket and in full for the health care item or service
Systems and process must be in place to do all of the following EXCEPT: a. Review patient suggestions. b. Priorities areas of improvement c. Send thank you notes to participants. d. Implement suggestions.
c. Send thank you notes to participants.
Which of the following info is used in compiling the Daily Balance Sheet? Lockbox receipts Mail receipts Charge tickets All of the above
d. All of the above
Which of the following factors affect base salary offers? a. The geographic location of the practice. The needs of the practice c. The knowledge of the practice's management and ownership regarding physician compensation d. All of the above e. None of the above
d. All of the above
Which of the following elements is typically NOT found in a job description? a. Education and experience required b. Essential skills and abilities c. Responsibilities assigned to the position d. All above are typically found
d. All above are typically found
A classified ad should include which of the following elements? a. The job title b. Description of the primary duties and responsibilities c. Required qualifications and experience d. All of the above
d. All of the above
An employees personnel file should include which of the following? a. Employee's original application b. A job description c. Verification of the employee's degree, certification, or licensure d. All of the above
d. All of the above
At a minimum, a job description should include which of the following? a. Primary duties and responsibilities b. Qualification requirements c. Working conditions d. All of the above
d. All of the above
Counseling should include which of the following important documentation features? a. An action plan for performance improvement b. A timeline for the employee to improve c. A place for the employee to make comments d. All of the above
d. All of the above
Email marketing requires a. A database of willing email recipients b. Notice to patients that you will send them information vis email. c. Content that is interesting and presented in an attractive template. d. All of the above
d. All of the above
Evaluation for glaucoma includes which of the following? a. Intraocular pressure b. Visual fields testing c. Optic nerve evaluation d. All of the above
d. All of the above
External market research includes which of the following activities? a. Assessment of consumer demographics b. Assessment of opportunities for practice relocation or expansion c. Growth trends in the practice market d. All of the above e. a and c
d. All of the above
Networking printers a. Allows the printers to be accessed remotely for problem shooting and repair b. Provides users the option to print a document to many different locations c. Can require more user training d. All of the above
d. All of the above
Reviewing a practice's current situation regarding staff compensation will help to understand: a. If an incentive program matches the practice's compensation philosophy b. If adjustments need to be made in how the practice currently motivates staff. c. If the practice is financially able to fund an incentive plan. d. All of the above
d. All of the above
The personal interview should be used to accomplish which of the following? a. Create a favorable first impression for the prospective employee in the office b. Gain better insights into the character and personality of the individual c. Obtain additional information about the candidate d. All of the above
d. All of the above
Typical training techniques contain which of the following? a. Visual aids and handouts containing training material b. Qualified trainers who can explain both skills and the use of office equipment c. Allow trainees to try out new skill sets after specified training d. All of the above e. a and c
d. All of the above
When establishing an appropriate filing system, a practice should consider the following: a. Keep all contracts in the same location. b. Organize contracts by the date they become due. c. Organize contracts in alphabetical order. d. All of the above
d. All of the above
When forecasting physician revenue, which of the following should be considered? a. Historical patient revenue and encounter information b. Physician work schedules, including clinic time worked, surgery days, vacation, and other time out of the office. c. The number of patients seen per clinic session d. All of the above. e. b and c
d. All of the above
Which departments should be included in the work-flow analysis? a. Medical records b. Clinical c. Billing d. All of the above
d. All of the above
Which of the following are benefits of effective teams? a. Impeccable customer service b. Unified approach to patient care c. Increased commitment and morale of staff d. All of the above
d. All of the above
Which of the following may be able to help increase a practice's online presence: a. Reputation management experts b. Search engine optimization (SEO) experts c. The practice webmaster d. All of the above
d. All of the above
Which of the following statements is true? a. Used properly, comparative benchmarks can help practices improve. b. Accounts receivable benchmarks can give an indication of collection success c. Overhead ration is another name for operating expense ratio d. All of the above
d. All of the above
Where are online advertisements purchased? a. On search engine results pages b. On social media pages c. On other practices' websites d. Only a and b above
d. Only a and b above
Which of the follow aspects is important in determining the viability of a performance review effort? a. The degree of control the employee has over the area of responsibility b. The degree to which performance within the area of responsibility can be measured c. The extent to which the review focuses on negative feedback to ensure improvement d. a and b e. None of the above
d. a and b
A classified ad should include following elements? a. The job title b. Essential tasks required c. Qualifications and experience required d. a, b, and c e. a and b
d. a, b, and c
An active shooter emergency action plan should include a detailed diagram of the overall office space including: a. office doors b. rooms c. windows and exits d. all of the above
d. all of the above
Which of the following are examples of topics better suited for a telephone call or a personal face-to face conversation (as opposed to an email)? a. sensitive information b. complicated projects c. controversial info d. length, multi-topic discussions d. all of the above
d. all of the above
When creating an office emergency action plan, the plan coordinator needs to reach out to local law enforcement agencies to: a. get assistance in development of the EAP b. offer them free professional services c. inform them of the office layout and possible safe rooms in case of emergency d. both a and c
d. both a and c
The personal interview should be used to accomplish which of the following: a. Obtain additional info about the candidate other than that gained through the telephone interview b. Create a favorable first c. Gain better insights into the character and personality of the individual d. a and c e. All of the above
e All of the above
A practice should also consider which of the following when evaluating the performance of a contract? a. ASC revenue b. Vision plans c. Accuracy of payments d. The personal relationship with the insurance company's representative e. a,b, and c f. All the above g. None of the above
e.
A review of historical data when completing the budget is important for which of the following reasons? a. Provides a baseline upon which the forecast can be developed. b. Identifies trends in practice activity c. Gives the practice a max budget amt for the forecast yr d.All of the above e. A and B
e. A and B
Which is true in regard to a contractual adjustment? a. It is an adjustment to revenue which typically results from contracts with HMO, PPO's, Medicare, and Medicaid programs. b. It is the difference between a gross charge and the expected reimbursement from a third-party payer. c. It is an adjustment to revenue based on the geographic location of the practice. d. All of the above. e. A and B
e. A and B
A "bad" email can feature which of the following elements? a Grammar errors b. Spelling mistakes c. Incorrect names d. Improper greeting e. All of the above
e. All of the above
A will-developed strategic plan should contain which of the following questions? a. What do I (we) want the practice to be like in a few years? b. What types of products or services do we want to emphasize? c. What things need to be done now, i.e. skills acquisition, facility management, or staff development in order to be successful in the coming years? d. a and b e. all of the above
e. All of the above
Basic email success elements include: a. Sticking to one topic per email. b. Avoiding extravagantly formatted text. c. Being direct. d. Keeping your word count down e. All of the above
e. All of the above
Technical safeguards include which of the following? a. Encryption of data b. Computer system log-ins and passwords c. Anti-virus software and firewalls d. Information technology (IT) certification review e. All of the above
e. All of the above
To successfully move from strategic planning to implementation, a practice must have which of the following? a. Physician leadership and a strong commitment to the plan b. Buy-in from management and staff c, Clearly defined goals and objectives d. Realistic timelines for implementing tasks e. All of the above
e. All of the above
When determining an appropriate marketing budget, which of the following factors should be used? a. Practice operating expense ratio b. Marketing expenses for the prior year c. Industry benchmarks for marketing expense ratios d. b and c e. All of the above
e. All of the above
When employees voluntarily leave a practice, management should be sure which of the following documents are in the employee files? a. Letter of resignation b. Voluntary termination form c. Exit interview questionnaire d. Exit interview checklist e. All of the above
e. All of the above
When meeting with an employee to deliver a verbal warning, the manager should use which of the following techniques? a. State off positive b. Give the employee a change to explain c. Listen d. Develop an action plan e. All of the above
e. All of the above
Which of the are qualities of a successful trainer? a. The ability to present info. in clear, concise terms b. The ability to present info in a chrono sequence c. The ability to present info for adult learners in a variety of styles d. The ability to monitor comprehension and recognize success e. All of the above f. None of the above
e. All of the above
Which of the following could affect the practice's net collections per FTE staff member? a. An increase in the surgical volume of the practice b. A change in the effectiveness of the billing staff c. A change in the number of staff members employed in the practice. d. B and c only e. All of the above
e. All of the above
Which of the following is an important factor to address when having initial discussions with a website developer? a. Goal date of completion b. Objectives for the website c. Anticipated maintenance for the website d. Search engine optimization e. All of the above
e. All of the above
Which of the following statements is/are true? a. The team leader is the single most important resource of a high-performance team. b. Team members must understand the team's purpose to be able to remain focused on the team's goals c. Assignments to individual team members should not be beyond their abilities d. Team members may need to be trained in communications skills. e. All of the above f. None of the above
e. All of the above
Which of the following is most true regarding the "health ranges" presented in this course: a. Practices that fall outside the healthy range on any benchmark should make immediate changes b. Practices that fall outside the healthy range are in financial danger c. The healthy ranges apply to all sub-specialties within ophthalmology. d. Practices that are within the healthy range on a benchmark are doing extremely well. e. None of the above.
e. None of the above
Which of the following is most true regarding the "healthy ranges" presented in this chapter: a. practices that fall outside the healthy range on any benchmark should make immediate changes. b. practices that fall outside the healthy range are in financial danger c. the healthy range apply to all sub-specialties within ophthalmology. d. practices that are within the healthy range on a benchmark are doing extremely well. e. None of the above
e. None of the above
A good subject line ____________ a. delivers the most important info, without the recipient having to open the email. b. makes the recipient laugh c. reminds the recipient about your request/question proposal every time every time they glance at their inbox d. grabs the attention and summarizes the email. e. a, c, and d
e. a, c, and d
Which of the following could affect the practice's net collections per FTE staff member a. an increase in the surgical volume of the practice. b. a change in the effectiveness of the billing staff. c. a change in the number of staff members employed in the practice. d. b and c only. e. all of the above
e. all of the above
What is a graphic representation that uses fishbone to state a problem in the form of a question? a. Ishikawa diagram b. Cause and effect diagram c. Pareto diagram d. Root diagram e. a and b f. None of the above
e. and b
Patient satisfaction surveys target which of the following? a. Practice logo, website, and branding b. Telephone protocols and wait time c. Patient diagnosis and disease progression d. Providers, customer service, and overall experience e. b and d f. All of the above
e. b and d
If Dr. Jones complains that his patients are never ready on time, the practice administrator should consider which of the following? a. Explain to Dr. Jones that you have done everything you know with the techs and demand that he talks to them. b. Front load the schedule so that shorter patient exams start at the beginning of the schedule, allowing patients to be ready upon arrival. c. Provide additional training for the techs to help them work up patients within national flow and efficiency benchmarks. d. Threaten to terminate any technicians who cannot have a patients ready for the physician when he or she arrives. e. a and d f. b and c
f b and c
Which of the following is true with respect to an employee physician? a. Wages are subject to withholding b. Benefits are not typically provided to physician employees c. The employee receives a gross check and in turn must pay his or her taxes through estimated payments d. The employee would receive a W-2 at year end e. A, c, and d f. A and d g. None of the above
f. A and d
Practice differentiation can be a function of which of the following? a. Customer Service b. Technology and services c. Number of office locations d. Community perception e. a, b, and c f. All of the above
f. All of the above
Protected Health Information (PHI) includes: a. Demo info on individuals b. Insurance eligibility and coverage info. c. Billing records. claims data, referral authorizations d. Medical records, diagnosis, genetic info, and testing e. c and d f. All of the above
f. All of the above
Which of the following are key component parts of the budgeting process? a. A review of historical financial info. b. An assessment of future trends c. Comparison of budgeting results with actual performance e. None of the above f. All of the above g. A, b, and c
f. All of the above
The term "online marketing" refers to: a. Practice websites b. Purchasing advertisements on websites or search engines c. Using social networking to spread the practices messages d. Buying radio ads e. All of the above f. a, b, c.
f. a, b, c,
The best way(s) to obtain the fee schedule for the 20 most frequently performed procedures in a practice is to _________ a. Call the payer and demand a full fee schedule b. Gather data from recent EOBs c. Request a copy of the contract d. Request the payer provide a list of the fees e. a and c f. b and d
f. b and d
The responsibility of chart preparation falls to which of the following role(s) in the office? a. Full-time front office staff members b. Technicians, at the end of the clinic day c. Optical staff, when they are not busy d. Whoever is available, the work has to get done e. all of the above f. a and b g. None of the above
f.. a and b
When technicians consistently start seeing patients late, the practice may want to consider which of the following? a. Changing the scheduled arrival time of the technicians b. Moving the patients back to help techs arrive on time c. Creating a meeting each morning to gather the team to start on time d. Beginning and ending times for lunch e. All of the above f. a, b, and c g. a, c and d
g. a, c, and d
QAM
in the am
(:)
tabular when modifier incomplete (bold face letters)
What does the terms MIS mean?
management information systems
In peer-to-peer network, ea computer can act as both a client and a __________
server
Net collections divided by FTE's should be between $110,000 and $160,000;
some practice subspecialties may be considerably higher(i.e., retina and refractive surgery practices)
If you believe entity violated your health info. privacy rights, you may file a complaint with?
the Office of Civil Rights
Evisceration
the removal of the eyes contents, leaving the scleral shell and extraocular muscles intact. the procedure is usually performed to reduce pain or improve cosmesis in a blind eye.
Zovirax
treats /Chalazion
Year end reports show total annual collections for 4 FTE general opthalmologists at $2,500,000. Collections for the 3 FTE physicians total $2,100,000. The amount collected by the 4th physician indicates that he is:
under producing
What is VOIP
voice over internet protocol
What is VOIP?
voice over internet protocol
Glaucoma decreases aqueous humor
w/Beta Blocker
