Module 3 Assessment- Referrals

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| By Courtney Dickinson

Courtney Dickinson

Community Contributor

Quizzes Created: 5 | Total Attempts: 1,985

Questions: 12 | Attempts: 106 | Updated: Mar 5, 2024

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This quiz will go over how a DTF can submit a referral and the different fields and/or messages that might appear

Questions and Answers

1.

If a DTF enters a referral for an endodontic procedure code, example d3330, and they have already entered a general dentist as the treating dentist what message will appear?
- A.
  
  None
- B.
  
  You have entered an endodontic procedure. Please enter a provider that is an Endodontist if one is available.
Correct Answer
B. You have entered an endodontic procedure. Please enter a provider that is an Endodontist if one is available.

Explanation
The message will appear because the DTF has entered an endodontic procedure code but has not entered an endodontist as the treating dentist. The system is prompting the DTF to enter an endodontist as the provider for this specific procedure code.

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2.

When a referral is entered and both endodontic and oral surgery codes are on the same referral what message will appear?
- A.
  
  You have entered an endodontic and oral surgery procedure, which must be performed by different specialists. Please do not include endodontic and oral surgery procedures on the same referral.
- B.
  
  None
- C.
  
  This is not a valid referral please start over.
Correct Answer
A. You have entered an endodontic and oral surgery procedure, which must be performed by different specialists. Please do not include endodontic and oral surgery procedures on the same referral.

Explanation
The message that will appear when both endodontic and oral surgery codes are entered on the same referral is "You have entered an endodontic and oral surgery procedure, which must be performed by different specialists. Please do not include endodontic and oral surgery procedures on the same referral." This message indicates that the two procedures require different specialists and should not be included together on the referral.

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3.

If a non-participating provider is selected on a referral when a referral is being entered, what will happen?
- A.
  
  Nothing
- B.
  
  A message will appear near the provider number that states "You have entered a non-particpating provider. Please enter a particpating provider if one is available."
- C.
  
  The person entering the referral will not be able to submit the referral until a particpating provider is entered. No warning message will appear.
Correct Answer
B. A message will appear near the provider number that states "You have entered a non-particpating provider. Please enter a particpating provider if one is available."

Explanation
If a non-participating provider is selected on a referral when a referral is being entered, a message will appear near the provider number that states "You have entered a non-particpating provider. Please enter a participating provider if one is available." This message serves as a reminder or warning to the person entering the referral that they should choose a participating provider instead. It does not prevent them from submitting the referral, but it encourages them to select a participating provider if possible.

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4.

How can a DTF enter an attachment on a referral?
- A.
  
  Through the attachment manager within the referral.
- B.
  
  They are not able to add attachments.
- C.
  
  By putting in the notes section of the referral they are sending information to the dental office by email.
Correct Answer
A. Through the attachment manager within the referral.

Explanation
A DTF can enter an attachment on a referral by using the attachment manager within the referral. This feature allows them to upload and attach any necessary documents or files to the referral, ensuring that all relevant information is included and easily accessible for the recipient.

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5.

If a DTF enters a referral and chooses that the ADSM will be responsible for the appointment, what will happen with that ACN request?
- A.
  
  It will be printed like today onto a DART sheet for us to call the ADSM.
- B.
  
  It will no longer come to ADDP for a representative to call the ADSM.
- C.
  
  The ACN will come to ADDP for us to schedule the appointment for the ADSM.
Correct Answer
B. It will no longer come to ADDP for a representative to call the ADSM.

Explanation
If a DTF enters a referral and chooses that the ADSM will be responsible for the appointment, the ACN request will no longer come to ADDP for a representative to call the ADSM.

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6.

What specialty code will an oral surgeon be listed as in TPROVI and ICS?
- A.
  
  032
- B.
  
  084
- C.
  
  025
- D.
  
  016
Correct Answer
A. 032

Explanation
An oral surgeon will be listed as specialty code 032 in TPROVI and ICS.

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7.

What specialty code will an endodontist appear in ICS and TPROVI?
- A.
  
  033
- B.
  
  032
- C.
  
  084
- D.
  
  099
Correct Answer
A. 033

Explanation
An endodontist is a dental specialist who focuses on the diagnosis and treatment of dental pulp and root canal-related issues. In the ICS and TPROVI coding systems, the specialty code "033" is likely assigned to endodontists. This code helps to categorize and identify the specific specialty area of the healthcare provider for administrative and billing purposes.

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8.

Besides referrals, what other requests use the attachment manager?
- A.
  
  Appeals
- B.
  
  Authorizations
- C.
  
  Both A and B
- D.
  
  None of the above
Correct Answer
C. Both A and B

Explanation
Both appeals and authorizations use the attachment manager. This means that besides referrals, these two types of requests also require the attachment manager to include any necessary supporting documents or additional information.

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9.

What percentage of endodontic referrals are contractually required to be made with a licensed Endodontist?
- A.
  
  90%
- B.
  
  50%
- C.
  
  There is no requirement
- D.
  
  75%
Correct Answer
A. 90%

Explanation
The correct answer is 90%. This means that 90% of endodontic referrals are contractually required to be made with a licensed Endodontist. This suggests that there is a specific agreement or contract in place that mandates the use of a licensed Endodontist for the majority of referrals in this context.

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10.

Ninety percent of oral surgery referrals must be scheduled with a licensed Oral Surgeon in order for us to meet our contractual standards.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
The explanation for the given correct answer is that in order to meet their contractual standards, ninety percent of oral surgery referrals need to be scheduled with a licensed Oral Surgeon. This suggests that there is a contractual requirement for a majority of referrals to be handled by a qualified professional, indicating that the statement is true.

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11.

If d7210 is listed on a referral, we should schedule the ADSM with an Oral Surgeon.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
If d7210 is listed on a referral, it indicates that a patient requires a complicated extraction of a tooth or multiple teeth. In such cases, it is recommended to schedule the appointment with an Oral Surgeon. Therefore, the statement "If d7210 is listed on a referral, we should schedule the ADSM with an Oral Surgeon" is true.

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12.

A DTF can enter "D2" in the procedure code field and click on a magnifying glass next to the procedure code box to see a list of all procedure codes and descriptions that start with D2.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
The given statement is true. A DTF (presumably referring to a user or system) can indeed enter "D2" in the procedure code field and click on a magnifying glass next to the procedure code box to see a list of all procedure codes and descriptions that start with D2. This functionality allows for easier navigation and searching through procedure codes by providing a filtered list based on the entered code.

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Current Version
Mar 05, 2024

Quiz Edited by
ProProfs Editorial Team
May 19, 2014

Quiz Created by
Courtney Dickinson

Module 3 Assessment- Referrals

If a DTF enters a referral for an endodontic procedure code, example d3330, and they have already entered a general dentist as the treating dentist what message will appear?

When a referral is entered and both endodontic and oral surgery codes are on the same referral what message will appear?

If a non-participating provider is selected on a referral when a referral is being entered, what will happen?

How can a DTF enter an attachment on a referral?

If a DTF enters a referral and chooses that the ADSM will be responsible for the appointment, what will happen with that ACN request?

What specialty code will an oral surgeon be listed as in TPROVI and ICS?

What specialty code will an endodontist appear in ICS and TPROVI?

Besides referrals, what other requests use the attachment manager?

What percentage of endodontic referrals are contractually required to be made with a licensed Endodontist?

Ninety percent of oral surgery referrals must be scheduled with a licensed Oral Surgeon in order for us to meet our contractual standards.

If d7210 is listed on a referral, we should schedule the ADSM with an Oral Surgeon.

A DTF can enter "D2" in the procedure code field and click on a magnifying glass next to the procedure code box to see a list of all procedure codes and descriptions that start with D2.