Chapter 19: Understanding Practice Management

Question 1

Goal of Ophthalmology Practice

Answer 1

Provide quality eye care in an efficient, cost-effective way to meet or exceed expectations

Question 2

Office Manager

Answer 2

Direct all personnel and resources, facilitate communication between everyone (patients and personnel), manage finances, determine and enforce policy

Question 3

Scribing

Answer 3

The accurate recording of the doctor’s findings in legible handwriting

Question 4

Health Insurance Portability and Accountability Act (HIPPA)

Question 5

Occupational Safety and Health Administration (OSHA)

Question 6

Centers for Medicare and Medicaid Services (CMS)

Question 7

Coding

Answer 7

The application of selecting appropriate Current Procedural Terminology (CPT) codes for exams, testing services, and surgical procedures and linking them to associated International Classification of Diseases Clinical Modification (ICD-10-CM) diagnosis codes.

Question 8

Current Procedural Terminology (CPT)

Answer 8

Codes referring to current procedural terminology published by the American Medical Association, which assigns a number to each procedure or test. It is updates regularly (current is CPT-5)

2 Rules:
1) Although the index may be used to locate a code, you must read the description completely in the main body of the manual before selecting a code
2) Do not select the approximate service code, you must select either the completely accurate code or enlist an unlisted code for services where there is no specific CPT descriptor

Question 9

ICD-10-CM

Answer 9

Code of the International Classification of Diseases published by the American Medical Association, a system that assigns a number to each disease or diagnosis. It is updated regularly (current is ICD-10)