patientservices:optometry

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patientservices:optometry [2025/06/10 12:58] – [NDMA BCBS Medicaid Expansion – Optometry Form Process] christopher.helmoskipatientservices:optometry [2025/09/29 09:56] (current) – [When scheduling a patient in Optometry] christopher.helmoski
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 ^ Provider             ^ Schedule                       ^ Ages  ^ ^ Provider             ^ Schedule                       ^ Ages  ^
-| Dr. Priya Janjrukia  | Monday - Thursday 8 AM - 5 PM  | 6+    |+| Dr. Priya Janjrukia  | Monday - Thursday 9 AM - 5 PM  | 6+    |
  
 **Appointment types:** **Appointment types:**
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 | Est Pat Comp (Established Patient Comprehensive Exam) | 60 minutes | The annual check up appointment for patients that are already established with our Optometry team. All of Dr. Hall's patients, even if they have never met with Dr. J, will need to start with this appointment type. | | Est Pat Comp (Established Patient Comprehensive Exam) | 60 minutes | The annual check up appointment for patients that are already established with our Optometry team. All of Dr. Hall's patients, even if they have never met with Dr. J, will need to start with this appointment type. |
 | Follow Up | 30 minutes | Scheduled after a comp exam or at the request of the care team to follow up on a specific issue/question from a previous visit. | | Follow Up | 30 minutes | Scheduled after a comp exam or at the request of the care team to follow up on a specific issue/question from a previous visit. |
-| Limited | 30 minutes | Limited exam for a specific issue. Mostly used for emergency walk-ins/call-ins that have been triaged by the care team. |+| Limited | 30 minutes | Limited exam for a specific issue. Used for emergency walk-ins/call-ins that have been triaged by the optometrist or charge nurse. |
  
 ===== NDMA BCBS Medicaid Expansion – Optometry Form Process ===== ===== NDMA BCBS Medicaid Expansion – Optometry Form Process =====
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     * Signing the form     * Signing the form
     * Adding their insurance ID     * Adding their insurance ID
-  * Once signed, **deliver the form to the Optometry technician or provider**. +  * Once signed, **have the patient hold onto the form where they will then hand it off to the optometrist**. 
-  * After the visit: +
-    * Ensure the form includes: +
-      * **Patient Name** +
-      * **Patient Signature & Date** +
-      * **Provider Signature & Date**+
     * Explain to the patient:       * Explain to the patient:  
-      //“Your Optometry visit is a non-covered service per your insurance. This form acknowledges that you are responsible for any costs associated with today’s visit.”//+      //“Your Optometry visit is a non-covered service per your insurance, unless deemed medically necessary by your insurance. This form provides proof that you acknowledge your financial responsiblity for any costs associated with today’s visit.”//
     * Optionally, provide access to a **laminated Optometry Fee Schedule** for reference.     * Optionally, provide access to a **laminated Optometry Fee Schedule** for reference.
-    * **Scan the completed form** to either: +    * Weekly or intermittently, check the status of the folder they are placed in by the provider and bring them up to the Revenue Cycle Coordinator's office, or down to the mail room and put into the Billing cubby. 
-      * The designated billing email, or +   
-      * [Insert responsible person’s name/email]+
  
 **Provider/Tech Responsibilities:** **Provider/Tech Responsibilities:**
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 ===== When scheduling a patient in Optometry ===== ===== When scheduling a patient in Optometry =====
  
-We should be asking 3 specific questions+The first question to ask once a patient has stated that they want an optometrist appointment: \\ <code> "Are you having any issues with your eyes/vision, or is this a standard exam?" </code>
  
-  - What are you wanting to be seen for at this visit? +*If a standard exam, ask when their last eye exam was* 
-    - This should be noted in the appointment notes, even if it is something as simple as "Eye exam for glasses" +- If under a year, inform the patient that their insurance (if they have any) may not cover the visit and they should contact their insurance provider to ensure that it will be. 
-    - This is largely already happening every time we are scheduling a patient, so keep it up! + 
-  - Have you had any recent changes in your vision? +Make sure to note their reason in the appointment notes. Especially if this is for a diabetic eye exam. 
-    - pay attention to trigger phrases or anything that may sound of concern.+ 
 +**Check for trigger phrases or anything that may sound of concern**
     - Feel free to ask follow up questions if you suspect there could be an issue not covered by a trigger phrase below.     - Feel free to ask follow up questions if you suspect there could be an issue not covered by a trigger phrase below.
-    - If the patient mentions any trigger phrases, do not ask question 3. Instead move to the next step in this emergency process as documented under "Trigger Phrases" +    - If the patient mentions any trigger phrases, move to the next step in this emergency process as documented under "Trigger Phrases" 
-  - When was your last eye exam? + 
-    - If under a year, inform the patient that their insurance (if they have any) may not cover the visit and they should contact their insurance provider to ensure that it will be.+
  
 ===== Trigger Phrases ===== ===== Trigger Phrases =====
  
-If question 3 gets you any of the following phrases, we need to follow up and gather more information to get to a provider.+If you get any of the following phrases, we need to follow up and gather more information to get to a provider.
  
   - "Flashes of light"   - "Flashes of light"
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 Gather the following information if you hear any trigger phrases. Gather the following information if you hear any trigger phrases.
    
-  - When did this happen?+  - How long has this been happening?
   - Does it cause pain?   - Does it cause pain?
   - Is this affecting your vision?   - Is this affecting your vision?
   - What is a good phone number to call back in case we get disconnected?   - What is a good phone number to call back in case we get disconnected?
  
-===== What to do next ===== +==== What to do next ====
- +
-If a patient mentions a trigger phrase, and you have collected the additional information, please get ahold of the Optometrist to get guidance on what next steps need to be taken. In the event that the Optometrist is not in office that day, these questions should be routed to the charge nurse.+
  
-They will need the information you have gathered and will either speak to the patient themselves to complete additional triaging or will offer you specific information to relay to the patient.+If a patient mentions a trigger phrase:
  
   - Get in touch with a provider, either the optometrist, or charge nurse if there is no doctor in that day.   - Get in touch with a provider, either the optometrist, or charge nurse if there is no doctor in that day.
  • patientservices/optometry.1749578292.txt.gz
  • Last modified: 2025/06/10 12:58
  • by christopher.helmoski