Coa Chapter 7 - Medical Ethics, Legal And Regulatory Issues

Front 1

Current procedural terminology (CPT) codes are used to?

Back 1

Communicate with insurance companies

Front 2

Current procedural terminology (CPT) has a direct impact on?

Back 2

Reimbursement

Front 3

A procedure might carry a different charge, depending on who performs it. This may mean that the procedure code needs an additional code called a(n)?

Back 3

Modifier

Front 4

The International Classification of Disease (ICD) codes of nuclear cataract 366.16 and astigmatism 367.21 are examples of?

Back 4

Diagnosis codes

Front 5

A reviewer is looking over an encounter form for a patient visit to your practice to make sure that diagnosis codes and procedure codes match up. Which of the following would be marked as unacceptable?

Back 5

CPT: Probe and irrigation ICD: cataract

Front 6

A patient who had a blepharoplasty is upset because now she has dry eyes. The court determined that the patient was not told about this risk prior to surgery. This is an example of?

Back 6

Failure to disclose

Front 7

A patient who is moving to another state has stopped by the office requesting his records. He would like you to hand over the chart so he can take it with him. Your response to this is to?

Back 7

Make copies for the patient and keep the original for the office

Front 8

Which of the following is a legal regulation?

Back 8

The patient who has a refractive eye exam must be provided with a copy of the glasses prescription

Front 9

An ophthalmic assistant who measures a patient's refractive error and then writes the patient a glasses prescription, where the physician does not see the patient or review the record is?

Back 9

Breaking the law

Front 10

The right of a patient to protection of his/her personal health information is a federal law known as?

Back 10

Health Insurance Portability and Accountability Act (HIPAA)

Front 11

OSHA has developed laws regarding?

Back 11

Eye protection in the workplace

Front 12

Which of the following is true?

Back 12

An eye care practitioner may refuse to release a patient's glasses prescription until the patient has paid for the eye exam, if it is customary to require payment at the time of service

Front 13

The Federal Trade Commission (FTC) has regulations affecting all of the following except?

Back 13

The "intraocular lens implant rule"

Front 14

OSHA regulations regarding medical practices require all of the following except?

Back 14

All contact lenses must be fit by a licensed eye care practitioner

Front 15

The "Red Flags Rule" was developed by the FTC (Federal Trade Commission) in order to prevent?

Back 15

Identity theft

Front 16

All the following are true regarding the Patient Protection and Affordable Care Act (PPACA) except?

Back 16

It enforces health care privacy laws

Front 17

Quality assurance (QA) depends upon?

Back 17

Being able to measure something

Front 18

Which of the following does not apply to QA (quality assurance)?

Back 18

One characteristic of QA (quality assurance) is to identify procedures that need to be changed.

Front 19

An example of data collected for QA (quality assurance) purposes regarding outcomes would be?

Back 19

Visual acuity after cataract surgery

Front 20

Which of the following is true?

Back 20

QA (quality assurance) helps hold health care workers accountable

Front 21

Your practice is developing a QA (quality assurance) program. One area to be addressed is strabismus surgery. Which of the following would not fit into the list of the logical assessments?

Back 21

Putting strategies into place that will prevent alterations to the process

Front 22

The standards that govern moral conduct, especially of a person/group with some type of power in issues regarding conduct, rights, and actions is?

Back 22

Ethics

Front 23

The basis for medical ethics is?

Back 23

The Hippocratic Oath

Front 24

You have just seated your patient and ask if she's having any problems with her eyes. She states that she would like to discuss that only with the physician. You explain your role in gathering information and assure her of confidentiality, but she insists that she will speak only to the doctor. You should?

Back 24

Affirm her right to speak only to the physician and acquiesce

Front 25

The physician is out of the office, and a patient comes by on his way to an optical shop. He has broken his glasses and asks you to "test me for glasses" and give him a new, updated prescription to take to the optician. For you, as an ophthalmic assistant, this is a questions of?

Back 25

Scope of practice

Front 26

Your new patient had cataract surgery at another practice in town 6 months ago and is unhappy with her vision. She states that she was nearsighted before, but now she cannot read anything up close without glasses. Your refractometric measurement of the eye is +3.75 sphere for distance, with a +2.25 add for near. Which of the following is a potentially libelous thing to say?

Back 26

"You're the second patient in a month from that practice who has this problem!"

Front 27

Which of the following does not carry with it the "duty to report"?

Back 27

Data collection

Front 28

Which of the following is true regarding certifications for eye care paraprofessionals?

Back 28

Certification acknowledges that a person has attained specific professional standards.

Front 29

Compliance with the American National Standards Institute (ANSI) standards is?

Back 29

Voluntary

Front 30

Which of the following is true regarding the American National Standards Institute (ANSI) standards concerning eyeglasses?

Back 30

The ANSI standards designate allowable variance between the power of the lenses ordered and the lenses dispensed

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Front 31

Which of the following is true regarding the American National Standards Institute (ANSI) standards concerning contact lenses?

Back 31

The ANSI standards dictate what information must appear on the contact lens label

Front 32

Regarding intraocular lens implants, which of the following is not covered by the American National Standards Institute (ANSI) Standards?

Back 32

Patient selection

Front 33

At its most basic, the duty of a scribe is?

Back 33

Personal assistant to the practitioner

Front 34

Which of the following is not function of scribing?

Back 34

Writing and signing a prescription for the patient's glaucoma drops

Front 35

You are scribing for the physician, and he tells the patient that while he expects her vision to improve, it will not be 20/20 after cataract surgery because of macular degeneration. Which of the following notations best illustrates the scribe's function as a witness in this case?

Back 35

That the physician told the patient that cataract surgery would improve vision

Front 36

You are functioning as a scribe in a practice that uses paper charts. At first, the doctor describes a cataract as 3+. You write this in the chart. Later, the physician changes that rating to 2+. Which of the following is the right way to make the correction?

Back 36

Drawing one line through the error and writing the correction above it

Front 37

You may discuss a patient's case with another technician if?

Back 37

It is pertinent to the patient's care

Front 38

It is permissible to ask a patient questions related to his or her health?

Back 38

In front of someone whom the patient has brought into the exam room.

Front 39

Which of the following is a breach of confidentiality?

Back 39

Leaning across the front desk and saying, "Here are your glaucoma drops, Mrs. Smith"

Front 40

Regarding minor surgery and informed consent?

Back 40

Informed consent is required prior to any surgical procedure

Front 41

Each of the following is a key element of informed consent except?

Back 41

It is necessary only if the patient is a minor

Front 42

Which of the following statements regarding informed consent is true?

Back 42

The physician may have a technician do the patient education.

Front 43

You have just finished counseling an alert 87-yr-old man who needs cataract surgery, and you ask him to sign the informed consent. "I understand what you've told me," he says "but I'm just not sure." His 62-yr-old daughter has accompanied him and says, "Oh, come on, Dad! Just sign it and let's go!" An appropriate response from you would be?

Back 43

"Why don't you discuss this at home and give me a call later?"

Front 44

Which of the following is appropriate wording on an informed consent regarding the description of the procedure?

Back 44

"The recommended procedure is removal of redundant skin from both upper lids."

Front 45

Which of the following is not appropriate when explaining the risks of cataract surgery?

Back 45

"The risk of developing glaucoma after surgery is so miniscule that you don't have to worry about it."

Front 46

Which of the following would not be allowed due to informed consent?

Back 46

An unplanned arcuate keratectomy during cataract surgery to reduce the patient's astigmatism.