Meaningful Use and MedFlow
Miscellany
Billing and Coding
Glass Checks aka how much did you learn
Portal and such
100
alcohol history, smoking history and occupation
What are the 3 elements of the Social history -that are needed to satisfy this requirement and must be completed on every visit as it is needed for billing in case the doctor wants to use an E&M instead of an eye code.
100
check the in room supplies
What should I do when I am closing down the rooms at the end of the day? Make sure that there is enough Fluress and dilating drops for the next day, the tissues have been replenished and the room is clean and orderly
100
25
What is the modifier needed to append to a visit code when a procedure is done on the same day?
100
Geneva lens clock
What is used to measure the base curve which is the front surface of a spectacle lens and is used by placing the feet of the clock perpendicular to the lens surface along the horizontal meridian?
100
5%
What is the threshold needed to achieve meaningful use of the portal and represents the number of unique patients seen in the reporting period per physician who send a message to their physician through the portal?
200
diabetic retinopathy status
What is the letter template that should be used for patients with diabetic retinopathy in order to get Meaningful use credit?
200
putting a tech light on and closing the door
What is the appropriate way to save a room? If the light is on, the door is open and no patient to be seen, the light will be turned off for use by the next tech
200
51
What is the modifier needed to be added to all procedures after the first procedure to indicate to the insurance company that multiple procedures were done on the same day?
200
KATHY!!!!!
What is the last thing (not the first thing) you should do when you know a patient has prism in their glasses?
200
medication refills
What is one of the most useful ways for patients to use the portal? and a suggestion that all techs and doctors should make to patients who are on chronic medications
300
dry eye, diabetic retinopathy and macular degeneration
What are the diagnoses that have barely acceptable EDU in MedFlow and must be selected for 10% of patients seen in the reporting period?
300
singleton
What is a single punctual plug that is left after Dr Luminais has lost its mate?
300
E1, E2, E3, E4
What are the modifiers for the lids to be used for anything related to the lacrimal system? eg plugs, P&I. The eye modifiers, RT and LT, are used for all other procedures like epilations, excisions
300
when there is measurable vertical prism in each lens that is the same amount and in the same direction (ie. 2BD OD and 2 BD OS)
What is no net vertical prism?
300
our website
What is the easiest way for the patients to access the patient portal?
400
F8
What is a summary screen on MedFlow that shows all procedures generated by the system and the screen that the tech must review in order to update the Ocular Procedures area of the PMH...and sometimes not just the last procedure but the last few procedures
400
BUN and creatinine
What are the blood tests that you need to order when the patient is scheduling a MRI and they are over 60, have diabetes or HTN? Remember to provide the patient with a signed order for the MRI and a signed order for the blood work
400
250.00, 250.01, 250.51 and 250.50
What are the primary diagnoses on a patient who has diabetes with or without complications? ie. the diabetes code needs to be listed first before the retinopathy codes.
400
dot up where the patient looks through their lenses and measure the prescription at this point
What is the correct way to measure the amount of prism in a patient's glasses?
400
the tech order screen
Where can I find the portal messages in MedFlow?
500
review of systems
What is the part of the chart that needs to be "non-negative" to get credit to support the E&M codes? Remember level 3 needs at least 4 non-negatives and level 4 needs 10+
500
an activity of daily living that is affected by the patient's blurry vision
What is necessary to be documented on the chart of every patient who is having cataract surgery or a YAG capsulotomy (preferably in the chief complaint section of the chart)/
500
99204 instead of 92004
What is the best code to maximize reimbursement on a new patient who has complex medical management- like scheduling a surgery or procedure, starting a treatment regimen or ordering an outside lab
500
the 5 things that I should check when a patient comes in for a glass check
What are prescription, Base curve, PD, Design of progressive , Pantoscopc tilt/wrap
500
LLCEA
What is the best place in the world to work?
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