Table Rock Regional Roundup Self-assessment Questions

Enter the best choice for each of the questions presented below. After the self-assessment questions are completed, you will have an opportunity to view a document with the correct answers identified.

Questions for presentation entitled: Preventing Posterior Segment Complications During Cataract Surgery - Ahmed A. Sallam, MD, PhD (30 minutes)

Question Title

* 1. You are just about to finish removing the last nuclear quadrant when you noted the presence of a tear in the capsulorrrhexis (anterior capsule tear). What is the most important strategy you can employ to decrease the risk of this anterior capsular tear extending into the posterior capsular?

Continue as usual as the anterior capsule tear will not extend

Continue as usual but maintain the anterior chamber depth especially as instruments are withdrawn

Stop and make a cut in the anterior capsule opposite to the tear

Stop and make a cut in anterior capsule opposite to the tear, extend the corneal wound and extract the remaining nucleus manually

Question Title

* 2. After removing the last nuclear quadrant, you noted the presence of a posterior capsular tear as well as vitreous in the anterior chamber. You removed the prolapsed vitreous with the vitreous cutter. How would you manage the soft lens matter (cortex) still present under the anterior capsule?

Remove them using co-axial irrigation aspiration

Remove them using bimanual irrigation aspiration

Remove them using the vitreous cutter

No need to remove these lens matter as they will self absorb

Questions for presentations entitled: What Percentage of My Revenue is Protected? And Avoid Triggering Your Own Audit – Sue Vicchrilli, COT, OCS (2 hours including Q&A)

Question Title

* 3. Which of the following statements is true regarding changing my taxonomy number?

All patients, regardless of their insurance, will be considered new patients.

My exams, tests, and surgical volume will be compared to physicians in my specialty rather than all of ophthalmology.

When the same patient sees two ophthalmologists on the same day with the same diagnosis, both physicians will be paid.

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* 4. To avoid the MIPS penalty in 2019, I must do which of the following in 2017?

Purchase an electronic health record.

Report at least one surgery via claims.

Report at least one quality measure, or one improvement activity via claims, EHR or manual data entry into a qualified registry.

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* 5. Which of the following scenarios qualify for CPT code 66982 Complex cataract surgery?

I suture the IOL.

I have a complication during surgery.

I use Trypan Blue to improve visualization.

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* 6. Comprehensive Eye visit codes require which of the following?

Dilation

Performance of all 12 elements

A review of systems, past, family and social history

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* 7. Which of the following statements is false regarding billing for retina OCT?

It is appropriate to unbundle a retina OCT with fundus photography when there are separate diagnosis codes.

There are payer frequency audits depending on the condition treated.

If only one eye is tested, you should never append either modifier -52 Reduced services, or modifiers -RT or -LT.

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* 8. The time frame in between intravitreal injections in the same eye is which of the following?

28 days

30 days

There is no time period designated for off-label Avastin.

Questions for the presentation entitled: A Storm is Brewing: Protection from Medical Liability Hazards -- Ann Warn, MD (1 hour)

Question Title

* 9. Your patient has hired an attorney, who now wants to speak to you. You are:

Required to discuss your care with the attorney.

Protected from involvement in a lawsuit if you agree to the discussion.

Free to decline until you receive a subpoena for a deposition.

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* 10. You run into another ophthalmologist at a meeting. She wants your input on whether to prescribe immunosuppressive therapy for a patient whose uveitis is not responding to treatment. To minimize involvement in a possible lawsuit, you should:

Provide general information such as “I just read an article that reviewed several treatment options and can send it to you.”

Tell her you don’t have any success stories to share about patients with this condition.

Insist that she start the patient on methotrexate.

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* 11. A patient is unhappy with the premium IOL you implanted. In his letter, he demands that you refund what he paid for the IOL upgrade. By deciding to grant the request, you have:

Admitted that your care was substandard.

Ensured that the patient will not sue you.

Chosen one of many acceptable ways to address patient dissatisfaction.

Question Title

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