Module 3 Assessment- Referrals

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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