Insurance
Scheduling
Scenarios
Acuity Logic
HIPAA
100

A patient's exam co pay can be found on this document.

On the benefit summary page.

100

This appointment type is the best option to place in the first appointment slot of the day.

Eyeglass Exam

100

What time slot duration is best suited for the following patient. John Doe, DOB: 02/27/1934, Eyeglass Exam New

30-minute exam slot
100

This field in the patient profile tab is important to have filled out so that patients can get promotional marketing and appointment reminders sent to them.

Email

100

HIPAA establishes what protection for individuals?

Privacy and security of medical information

200

TRUE or FALSE: A patient's contact lens fitting can sometimes be partially covered by insurance.

TRUE

200

These appointment types should avoid being booked before a doctor's lunch.

Contact lens new wearer

Elderly patients

Patients who need extra time

200
Recite the script! Patient calls in and asks to speak to a manager, you try to attend transfer the patient to the office, but the office does not answer.

“I apologize, the manager is assisting other patients (or unavailable) at the moment. I am happy to message them to give you a call back regarding your question.” 

200

This is the button you press when you are interested in seeing the legend that shows what color corresponds to each appointment type.

Show Colors

200

TRUE or FALSE: A healthcare worker accessing a famous person's medical record out of curiosity to see what type of prescription they have, is not a violation of HIPAA.

FALSE
300

What material coverage does Medicare offer?

Medicare does NOT have any coverage for materials, with the exception of one pair, post cataract.

300

Name 5 types of non-emergency medical appointments.

Itchy eyes, dry eyes, red eye that doesn't hurt, Glaucoma Checks, Dilation, Visual Field, Special Testing

300

Patient wants to schedule a contact lens fitting 4 months after their annual eye exam. What action do you take?

Refer to office team to see if an exception can be made.

300

Name four different possible order statuses for contact lens and eyeglass orders.

In process, received, notified, delivered.

300
HIPAA stands for what?

Health Insurance Portability and Accountability Act

400

This term refers to the maximum amount an insurance plan will pay for frames and lenses per year.

Allowance

400

A family of 4 wants to come in on the same day and is giving you a hard time about splitting them up. What action do you take?

Message the office to give them a call back to see if an exception can be made

400

Recite the script! Patient calls in with a medical emergency, but the office is closed.

"The office is currently closed/Unfortunately I can't get ahold of the office at the moment, at this point I would recommend visiting your nearest urgent care or hospital."

400

Where do you go to link together a family who is on the same insurance plan?

Profile tab > Other information > Responsible party and dependents

400

TRUE or FALSE: An ophthalmologist's office calling and asking you to read a patient's prescription to them over the phone is not a HIPAA violation.

FALSE

500

This term refers to managing benefits between vision insurance and other types of insurance plans to maximize coverage.

COB- Coordination of benefits

500

Patient wants to be seen today and the doctor is fully booked. What action do you take?

1. Check a local office for availability

2. Let patient know they are welcome to walk in but they may have to wait as we are fully booked.

500

Recite the script! Patient calls in and asks "What do you mean you are 'Total Vision' who is that?"

"Total Vision is a group of eyecare professionals brought together by a management company. We are still the same practice that you are used to, so don't worry!" (Proceed to ask what else you can do for the patient)

500

What information needs to be confirmed in AL for every patient before booking? Name 5.

Name/ DOB 

Profile tab information. (Address, Phone, Email)

Do you want to be seen by the same doctor

Will you be wearing CL's

Insurance

500

This 3 letter acronym refers to any information that can identify an individual and relates to their health condition or care.

PHI (Protected Health Information)