Module 3 Assessment- Referrals

12 Questions | By Prsupport | Updated: Mar 21, 2022 | Attempts: 105

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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.
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.
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.
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.
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.
6.

What specialty code will an oral surgeon be listed as in TPROVI and ICS?
- A.
  
  032
- B.
  
  084
- C.
  
  025
- D.
  
  016
7.

What specialty code will an endodontist appear in ICS and TPROVI?
- A.
  
  033
- B.
  
  032
- C.
  
  084
- D.
  
  099
8.

Besides referrals, what other requests use the attachment manager?
- A.
  
  Appeals
- B.
  
  Authorizations
- C.
  
  Both A and B
- D.
  
  None of the above
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%
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
11.

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