Eye Anatomy
Common Eye Conditions
Best Practices
INSURANCE
ANCILLARY TESTING
100

This colored part of the eye controls how much light enters.

What is the iris

100

Blurred distance vision due to a longer-than-normal eyeball is called this

What is myopia (nearsightedness)

100

This suggestion allows patients to be proactive and a way to get caught up if pt care falls behind

What is pre-shopping at Lens Crafters

100
We are out of network for CL fitting coverage under these two vision policies

What is VSP and Spectera?

100

This is a scan that not all insurances cover used to see the back of the eye and detect any ocular ailments or retinopathy.

What is OHS$39? (ocular health scan)

200

The clear dome at the front of the eye that helps focus light

What is the cornea?

200

This condition is commonly corrected with reading glasses in older adults typically starting at the age of 40.

What is presbyopia?

200

This position is responsible for assisting in any area needed throughout the shift; whether that be pretesting, contact lens, or at the front desk

What is HALLWAY

200

Patients with these two insurances, that give OHS pushback are allowed a one time courtesy waiver by a manager.

Medicaid and Eyemed

200

This is apart of a standard eye exam where it is assessed how well the 6 muscles around each eye are working together to move your eyes 

What is EOM testing

300

This part of the eye connects to the brain and carries visual information

What is the optic nerve?

300

Clouding of the eye’s lens that can lead to vision loss

What is cataracts?

300

This service allows patients to order contact lenses, either in the office or through the clinic’s online platform

What is Arrellio

300

These two insurances are always secondary to whatever insurances you have on file if any.

Medicaid and Tricare

300

This is a diagnostic procedure used to measure a person's peripheral vision (side vision) and central vision

Visual Field

400

These light-sensitive cells detect color in the retina.

What are cones?

400

Inflammation of the conjunctiva and could be extremely contagious is commonly known as this

What is conjunctivitis (pink eye)?

400

This is required to be performed on all diabetic patients as apart of their medical eye exam

What is a Retinal Evaluation (ERG)

400

Until this is met, medical insurances require patient to pay allowable charges. After this is met patient is able to pay a portion of the visit based off this percentage.

What is Deductible and Coinsurance

400

This test is a non-invasive imaging technique used to capture detailed cross-sectional images of the retina and other structures of the eye, like the optic nerve and the anterior chamber

What is an OCT(Ocular Coherence Tomography)

500

The small central pit in the retina responsible for sharp central vision

What is the fovea?

500

A group of diseases that damage the optic nerve, often linked to high eye pressure

What is glaucoma?

500

This is the revenue goal per each patient as a part of TEC standards 

What is $250

500
This insurance does not cover Fundus photography under a Cataract Diagnosis.

What is Medicare?

500

This device used to evaluate the health and function of the retina, particularly focusing on the retinal nerve fiber layer and its response to light stimulation

What is ERG