Optometry Licensing and Standards Quiz

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Questions and Answers

Which of the following statements about Medicare's vision care coverage is correct?

Includes routine vision check-ups for all members.

Covers OCT and fundus photos.

Covers routine eye examinations.

Only covers the first pair of glasses after cataract surgery. (correct)

Which services are included under Medicaid coverage?

Preventive care for all chronic illnesses.

Routine vision exams.

Home health services. (correct)

Vision insurance for fundus photos.

What are the elements required for a comprehensive eye visit?

Only medical evaluation codes.

None; it's unregulated.

6 exam elements.

12 exam elements. (correct)

What is the purpose of coding requirements like CPT-4 and ICD-10?

CPT-4 defines procedures; ICD-10 defines diagnoses. Signup and view all the answers

Which of the following components is NOT part of Medical Decision-Making (MDM)?

Patient's previous medical history. Signup and view all the answers

Which code corresponds with glaucoma screening?

G0117 Signup and view all the answers

What standard must a provider of exceptional skill or knowledge uphold?

To act as would a reasonable and prudent provider with similar skills Signup and view all the answers

Which organization was established in 1934 to enhance the quality of optometric education?

Accreditation Council on Optometric Education Signup and view all the answers

Which of the following is NOT a responsibility of the Board of Examiners in Optometry?

To ensure financial success of optometrists Signup and view all the answers

What is the main difference between privileging and credentialing?

Privileging grants clinical privileges based on qualifications, while credentialing verifies those qualifications. Signup and view all the answers

What does reciprocity in licensing entail?

Equivalence between the practice standards of two states for licensing purposes Signup and view all the answers

Which of the following must be included on written prescriptions for medicinal drugs according to Florida Legible Prescription Law?

Legible handwriting and numbers noted in words and figures Signup and view all the answers

What must a practitioner report to renew their license?

Any relevant criminal records, including felonies or misdemeanors Signup and view all the answers

Which of the following actions could lead to disciplinary grounds in optometry?

Advertising in a misleading manner Signup and view all the answers

What is the primary distinction of board certification in optometry?

It is voluntary and not required for licensure. Signup and view all the answers

What is understood by the term 'legal blindness' in the U.S.?

Visual acuity of 20/200 or worse in the better eye Signup and view all the answers

What is the requirement for universal precautions concerning human blood and body fluids?

All human blood and certain body fluids must be treated as potentially infectious. Signup and view all the answers

What is an OSHA violation regarding food and drink in medical settings?

Having food and drink in exam rooms or around patients. Signup and view all the answers

What is the timeframe for employees to receive the Hepatitis B vaccination according to OSHA regulations?

Within 10 days of hire. Signup and view all the answers

How long must medical and health-related records be maintained after employment ends?

30 years. Signup and view all the answers

Which of the following statements about Medicare is accurate?

Medicare serves retirees over 65, along with those with disabilities and end-stage renal disease. Signup and view all the answers

What is a key distinction between HMOs and PPOs?

Patients in HMOs must obtain authorization to see specialists. Signup and view all the answers

What does MAC stand for in the context of Medicare?

Medicare Administrative Contractor. Signup and view all the answers

What is the Fairness to Contact Lens Consumer Act (FCLCA) regarding contact lens prescriptions?

A seller cannot alter a contact lens prescription without patient consent. Signup and view all the answers

Study Notes

Potential TQS

Standard of Care: Provider with exceptional skills must act as a reasonable, prudent provider with similar expertise under comparable circumstances.
Accreditation Council on Optometric Education (ACOE): Established in 1934 to oversee optometric education standards.
Licensure Requirements: Graduation with an OD degree from an accredited institution in the USA or Canada is typically necessary for most states.
National Board of Examiners in Optometry (NBEO): Non-profit organization aimed at safeguarding public welfare by evaluating optometrists' competence.
Board Certification: A voluntary process for optometrists; not mandatory for licensing.
Association of Regulatory Boards of Optometry (ARBO): Represents state, provincial, and territorial optometry boards in North America.
Privileging vs. Credentialing: Privileging involves granting clinical authority in healthcare settings while credentialing verifies qualifications and legitimacy of licensed professionals.
Protecting Public Safety: Optometry boards are tasked with public safety rather than solely protecting optometrists.
Reciprocity: Licensure agreements between states recognizing equivalent licensure standards.
Endorsement: State board's authority to evaluate applicant credentials against state licensure standards.
Doctor of Optometry (OD): Correct title formatting must exclude "Dr." before the name.
License Renewal: Non-automatic; timely renewal is essential to avoid stiff penalties.
Renewal Reporting: Criminal records, felonies, or malpractice cases must be disclosed during renewal.
Continuing Education: Ongoing competency courses are required for license renewal.
Address Changes: Licensees must inform the board of any address changes.
Grounds for Discipline: Misrepresentation can lead to disciplinary action; violations categorized into administrative and patient care levels depending on public safety risk.
Advertising Violations: False or misleading advertising can lead to disciplinary measures.
Florida Prescription Law: Handwritten prescriptions must be legibly written with both numbers and words.
Prescription Restrictions: In Florida, optometrists cannot prescribe certain medications like oral steroids or surgeries but can prescribe glaucoma treatments.

Vision Care Coverage

Medicare Limitations: Routine vision care is not covered, except for the first pair of glasses post-cataract surgery.
Vision Insurance Coverage: Includes OCT and fundus photography; glaucoma screening coded as G0117.
Medicaid Services: Encompasses various healthcare services, including inpatient and outpatient care.
Billing Process: Involves documentation, code selection, claim submission, and payment management.
Eye Visit Codes: Specific coding required for vision (92xxx) and medical evaluations (99xxx).
Diagnostic Requirements: Necessary to interpret findings and document clear visuals and numerical data from tests.
Eye Exam Elements: Comprehensive visits include 12 elements, while intermediate visits include 6.
Coding Parameters: CPT-4 defines procedures, while ICD-10 identifies diagnoses.
Medical Decision-Making Components: Includes problem complexity, data complexity, and treatment risk evaluation.

Bloodborne Disease Control

Universal Precautions: Treat all human blood and specific fluids as potentially infectious.

OSHA Violations

Food & Drink Policy: Prohibits food and drink in exam rooms.
Hepatitis B Vaccination Protocol: Required for new employees within 10 days of hire.
Sharps Disposal Regulations: Containers must be closed when full and not shaken.
Hand Washing Practices: Proper technique required when removing gloves to maintain hygiene.

Medical Health Records

Record Keeping Duration: Medical records must be maintained for employment duration plus 30 years.
Spectacle Prescription Policy: Patients should receive a copy post-exam completion.
Contact Lens Release Policy: Prescriptions must be released after fitting, requiring patient acknowledgment.
Fairness to Contact Lens Consumer Act (FCLCA): Protects against altering contact lens prescriptions; written authorization is needed for external releases in Florida.

Medicare & Medicaid

Medicare Coverage: Available for individuals over 65 or with disabilities; not income-dependent.
Medicaid Coverage: Assists impoverished individuals regardless of age.
MACRA (2015): Focuses on healthcare improvement through quality measures and value-based payments.
Healthcare Plans Comparison: Differences between PPO (patient choice of specialists) and HMO (primary care provider-guided access).
Insurance Terms: Co-payment is a fixed fee; co-insurance is a variable percentage; premiums are monthly fees; deductibles are pre-insurance expenses.
Billing Practices: Services billed to insurance companies rather than directly to Medicare.

MAC & LCD

Medicare Administrative Contractor (MAC): Manages claims and billing processes.
Local Coverage Determination (LCD): Specifies allowable fees and accepted billing practices.

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Description

Test your knowledge on the standards of care and requirements for optometry licensing. This quiz covers key aspects such as the role of the Accreditation Council on Optometric Education and the educational prerequisites for obtaining an OD degree. Perfect for aspiring optometrists and those interested in the field.