Optometry 1 Final Exam Questions And
Answers
routine eye examination - - -
correct answer ✅an eye exam is considered routine if it is
provided solely for any of the following diagnoses: ametropia,
anisometropia, myopia, "no pathology," presbyopia, or refractive
error
to properly code procedures you need to level your... - - -
correct answer ✅history, examination, medical decision making
3 types of history: coding- medical history - - -
correct answer ✅gives medical background for patient
must have for medical coding
3 types of history: patient and practice management- demographic
history - - -
correct answer ✅gives insight into patient restrictions
must have for collections
3 types of history: patient and practice management- patient wants
and needs history - - -
correct answer ✅gives insight into patient's lifestyle
patient tells you what they want
,Optometry 1 Final Exam Questions And
Answers
subcomponents of the medical history - - -
correct answer ✅reason for visit
determines medical reimbursement
history of present illness (HPI)
review of systems (ROS) past, family, and social history (PFSH)
1st gate for medical reinbursement - - -
correct answer ✅1st gate is medical reason for the visit
to pass the 1st gate, look for...medical signs, medical symptoms,
ongoing care for medical conditions
why is the patient here - - -
correct answer ✅acceptable reasons: loss of vision, eye pain,
flashes or floaters, red eye or lids, discharge from eye, headaches,
continuing care
unacceptable reasons: routine exam, general exam, refraction,
recalled, well care
,Optometry 1 Final Exam Questions And
Answers
second gate for medical reinbursment - - -
correct answer ✅to pass the 2nd gate, look for medical necessity
5 dimensions of medical necessity
1. the contractual scope of coverage: whether proposed treatment
is explicitly included or excluded in the health plan contract
2. whether the proposed treatment is consistent with professional
standards of practice
3. patient safety and setting of treatment
4. whether the treatment is medical in nature or for convenience of
the health professional or patient and family
5. treatment cost
new patient - - -
correct answer ✅a new patient is one who has not received any
professional services from the physician or another physician of the
same specialty who belongs to the same group practice, within the
past 3 years
comprehensive examination - - -
correct answer ✅consists of 8 or more elements, and includes a
fundus exam. pupils may be dilated unless contraindicated
, Optometry 1 Final Exam Questions And
Answers
intermediate exam - - -
correct answer ✅consists of 3-7 elements
1-2 elements - - -
correct answer ✅services that require minimal ophthalmologic
exam techniques are included in the evaluation and management
codes
physical exam elements of an ophthalmologic exam - - -
correct answer ✅1. basic visual fields
2. eyelids and adnexa
3. ocular mobility
4. pupil/iris
5. cornea
6. anterior chamber
7. lens
8. intraocular pressure
9. retina (vitreous, macula. periphery, and vessels)
10. optic disc
Answers
routine eye examination - - -
correct answer ✅an eye exam is considered routine if it is
provided solely for any of the following diagnoses: ametropia,
anisometropia, myopia, "no pathology," presbyopia, or refractive
error
to properly code procedures you need to level your... - - -
correct answer ✅history, examination, medical decision making
3 types of history: coding- medical history - - -
correct answer ✅gives medical background for patient
must have for medical coding
3 types of history: patient and practice management- demographic
history - - -
correct answer ✅gives insight into patient restrictions
must have for collections
3 types of history: patient and practice management- patient wants
and needs history - - -
correct answer ✅gives insight into patient's lifestyle
patient tells you what they want
,Optometry 1 Final Exam Questions And
Answers
subcomponents of the medical history - - -
correct answer ✅reason for visit
determines medical reimbursement
history of present illness (HPI)
review of systems (ROS) past, family, and social history (PFSH)
1st gate for medical reinbursement - - -
correct answer ✅1st gate is medical reason for the visit
to pass the 1st gate, look for...medical signs, medical symptoms,
ongoing care for medical conditions
why is the patient here - - -
correct answer ✅acceptable reasons: loss of vision, eye pain,
flashes or floaters, red eye or lids, discharge from eye, headaches,
continuing care
unacceptable reasons: routine exam, general exam, refraction,
recalled, well care
,Optometry 1 Final Exam Questions And
Answers
second gate for medical reinbursment - - -
correct answer ✅to pass the 2nd gate, look for medical necessity
5 dimensions of medical necessity
1. the contractual scope of coverage: whether proposed treatment
is explicitly included or excluded in the health plan contract
2. whether the proposed treatment is consistent with professional
standards of practice
3. patient safety and setting of treatment
4. whether the treatment is medical in nature or for convenience of
the health professional or patient and family
5. treatment cost
new patient - - -
correct answer ✅a new patient is one who has not received any
professional services from the physician or another physician of the
same specialty who belongs to the same group practice, within the
past 3 years
comprehensive examination - - -
correct answer ✅consists of 8 or more elements, and includes a
fundus exam. pupils may be dilated unless contraindicated
, Optometry 1 Final Exam Questions And
Answers
intermediate exam - - -
correct answer ✅consists of 3-7 elements
1-2 elements - - -
correct answer ✅services that require minimal ophthalmologic
exam techniques are included in the evaluation and management
codes
physical exam elements of an ophthalmologic exam - - -
correct answer ✅1. basic visual fields
2. eyelids and adnexa
3. ocular mobility
4. pupil/iris
5. cornea
6. anterior chamber
7. lens
8. intraocular pressure
9. retina (vitreous, macula. periphery, and vessels)
10. optic disc
