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| 1. From it's inception the idea of managed care in the optical industry was : |
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A.
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met with suspicion, skepticism |
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B.
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mandatory |
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C.
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controlled by lens manufacturers |
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D.
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blamed for the creation of commercial chains |
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| 2. Vision plans were usually administered by |
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A.
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the government |
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B.
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insurance companies |
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C.
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wholesale laboratories |
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D.
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optometric associations |
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| 3. Which of the following was NOT seen by individual practices as an outcome of managed vision care plans |
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A.
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Free glasses for the patient |
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B.
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Loss of dollars to the practice |
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C.
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Increased administration |
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D.
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Increased profits |
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| 4. Capture Rate refers to the |
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A.
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speed of retinal photographs |
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B.
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percentage of patients examined that buy eyewear from that practice |
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C.
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money made off of frame sales |
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D.
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percentage of frames bought versus frames sold |
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| 5. What is the capture rate for a practice that makes $200,000 on frame sales and $400,000 on lens sales by writing 200 Rx scripts and filling 150 of them in their dispensary ? |
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A.
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10% |
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B.
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50% |
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C.
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75% |
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D.
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85% |
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| 6. Capture rate provides a valuable measure of the |
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A.
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quality of the practices ability to meet patient needs |
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B.
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staff salaries as opposed to cost of goods |
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C.
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insurance versus private pay |
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D.
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dollars versus units |
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| 7. Which practice has the highest capture rate ? |
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A.
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100 scripts written 50 filled |
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B.
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300 scripts written 100 filled |
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C.
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80 scripts written 60 filled |
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D.
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250 scripts written 125 filled |
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| 8. Chair cost refers to |
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A.
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equipment cost per years in business |
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B.
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doctor & staff salaries divided by the number of locations |
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C.
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number of vendors plus cost of goods |
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D.
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is an indicator of profitability |
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| 9. In a practice making $800,000 annually which of the following chair costs would be the most preferred to maximize profits ? |
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A.
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$400 |
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B.
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$350 |
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C.
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$200 |
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D.
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$150 |
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| 10. Which of the following best describes a positive approach to managed vision care? The patient's plan: |
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A.
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dictates what the patient can get |
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B.
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sets limits on the type of care available |
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C.
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is used to offset the cost of the very best appropriate care |
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D.
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is mostly paid by the employer |
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| 11. A good strategy for administering managed vision care plans would be to |
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A.
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accept all plans |
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B.
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not accept assignment directly from any plan |
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C.
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be selective and advocate the best |
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D.
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hire an outside consultant to handle the paperwork |
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| 12. The best answer to the question “ What does my plan cover? “, is |
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A.
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Your plan covers everything. Some items completely and others partially |
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B.
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Your plan covers the minimum |
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C.
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We don't know so we will have to figure it up at the end |
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D.
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You will pay us up front and then the insurance company will cover a part of it |
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| 13. Posting the plans you accept for assignment at the front desk |
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A.
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eliminates confusion at the end of the process |
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B.
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encourages patients to pay for services on their own |
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C.
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prevents people from walking out |
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D.
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eliminates the need to discuss lens prices |
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| 14. Over the phone and at the time of scheduling |
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A.
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Tell the patient that they will be required to pay for services up front |
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B.
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get the type of insurance, employer name, insured name and policy # |
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C.
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get a commitment from the patient for s sunwear purchase |
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D.
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run the patient's credit card for future charges |
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| 15. On the day of scheduling the appointment, for plans you accept, |
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A.
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mail out an invoice to the insurance company / this will speed reimbursement |
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B.
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run the patient's credit card for future charges |
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C.
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get authorization --- if there is a denial, call the patient immediately in order to allow them to cancel |
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D.
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have the patient make a deposit to insure that they will keep the appointment. |
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| 16. To assure the best result with the managed vision care process it is necessary to |
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A.
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send all claims to an outside consultant to process orders |
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B.
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only use laboratories with in house AR capability |
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C.
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educate the entire staff as to the particulars of each plan |
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D.
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only fill out patient forms without accepting direct assignment |
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| 17. A positive approach to using managed vision care would present insurance as: |
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A.
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means to get free glasses |
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B.
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an east way to get more out of your employer |
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C.
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a down payment towards the best products |
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D.
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a tax deductible expense |
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| 18. Maintaining a higher percentage of examined patients as customers for your dispensary is most closely related to: |
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A.
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Capitation |
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B.
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Co payments |
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C.
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Capture rate |
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D.
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Discounts |
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| 19. A great way to present the benefit of insurance would be first present |
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A.
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all of your high cost options |
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B.
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the least expensive eyewear you have |
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C.
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private pay costs |
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D.
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a liability waver |
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| 20. Which approach is most likely to build a profitable managed vision care practice |
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A.
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do not accept insurance |
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B.
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only fill out paperwork, but don't accept assignment |
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C.
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charge insurance patients extra administration fees |
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D.
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use insurance to set the table for additional more premium items |
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