Module 1- Making Appointments Assessment

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| By Courtney Dickinson
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Courtney Dickinson
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1. With the ADDP 14 enhancements with our website, an ADSM or their provider's office will be able to go online and get an instant ACN as long as the member is eligible for RADDP.

Explanation

The given statement is true. With the ADDP 14 enhancements on the website, an ADSM or their provider's office will have the ability to access the website and obtain an instant ACN (Authorization Control Number) as long as the member meets the eligibility criteria for RADDP (Remote Active Duty Dental Program). This enhancement allows for a more streamlined and efficient process for obtaining ACNs, benefiting both the ADSM and their provider.

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Module 1- Making Appointments Assessment - Quiz

This will go over important things to remember when making an appointment for an ADSM

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2. When making an appointment with a non-participating provider what should you do on the appointment modification screen?

Explanation

On the appointment modification screen, when making an appointment with a non-participating provider, you should select "approved out of network yes" underneath the provider information from the drop-down box. Additionally, you should write in the notes section why you are approving a non-participating provider. Both options A and B should be selected to ensure that the non-participating provider is approved and the reason for the approval is documented.

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3. What is the appointment standard for DRC 3 members for routine appointments?

Explanation

The appointment standard for DRC 3 members for routine appointments is 5 calendar days. This means that the DRC 3 members should be appointed within 5 calendar days after the appointment request is made. This standard ensures a timely and efficient appointment process for DRC 3 members.

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4. How will you know if a provider that is listed on the appointment modification screen is a specialty provider?

Explanation

The correct answer is "The system will automatically check the specialist box next to the provider's name." This means that when a provider is listed on the appointment modification screen, the system will automatically indicate if they are a specialty provider by checking the specialist box next to their name. This feature allows users to easily identify specialty providers without any additional steps or information.

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5. If an appointment control number is requested through our website and the member is not listed as remote in DEERS, the requestor will still get an instant ACN.

Explanation

If an appointment control number is requested through the website and the member is not listed as remote in DEERS, the requestor will not get an instant ACN.

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6. On the new DART search, you will be able to search for appeals.

Explanation

The explanation for the given correct answer is that on the new DART search, users will have the ability to search for appeals. This suggests that the new DART search feature includes a functionality that allows users to specifically search for appeals. Therefore, the statement "On the new DART search, you will be able to search for appeals" is true.

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7. When an ACN is requested online, what information will the requestor have to fill out on the form?

Explanation

The requestor will have to fill out the name of the ADSM, social security number of the ADSM, and the date of birth on the form. The name of the doctor the ADSM is seeing is not mentioned as a required information on the form. Therefore, the correct answer is A, B and C only.

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8. On the enhanced DART search screen you can search for authorizations and referrals for a particular ADSM at the same time.

Explanation

The enhanced DART search screen allows users to search for both authorizations and referrals for a specific ADSM simultaneously. This means that users can easily access and retrieve information related to both authorizations and referrals without having to perform separate searches. This feature enhances the efficiency and convenience of the search process, making it easier for users to find the information they need.

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9. When working the DART report, what additional step will you have to do in order to make sure you receive credit for scheduling the appointment?

Explanation

The correct answer is that the representative will document the appointment using a "long john" in Spirit under 06 using the new 3555APTSCH queue. This means that in order to receive credit for scheduling the appointment, the representative needs to document it using a specific method in the Spirit system, under the appropriate category and queue. This step ensures that the appointment is properly recorded and tracked for credit purposes.

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10. When an ADSM calls in for a list of dentists what should we do?

Explanation

In order to assist the ADSM in finding a list of dentists, it is recommended to offer all of the above options. By offering to send them a list of dentists via email, they can have a written record of the information for future reference. Offering the website to the ADSM allows them to explore the available dentists on their own time. Additionally, providing the names of Star designated providers over the phone gives them immediate access to the information. By offering all of these options, the ADSM can choose the method that is most convenient for them.

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11. When a caller requests an Appointment Control Number, you should...

Explanation

When a caller requests an Appointment Control Number, it is necessary to both fill out the form for the caller and advise them that they can also request an ACN through our website and IVR. This ensures that the caller's request is properly processed and that they are aware of alternative methods to obtain an ACN.

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12. What is the appointment standard for EE/TAMP eligible members for routine appointments?

Explanation

The appointment standard for EE/TAMP eligible members for routine appointments is 7 calendar days. This means that these members should be able to schedule and receive routine appointments within a week of requesting them.

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  • May 13, 2014
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With the ADDP 14 enhancements with our website, an ADSM or their...
When making an appointment with a non-participating provider what...
What is the appointment standard for DRC 3 members for routine...
How will you know if a provider that is listed on the appointment...
If an appointment control number is requested through our website and...
On the new DART search, you will be able to search for appeals.
When an ACN is requested online, what information will the requestor...
On the enhanced DART search screen you can search for authorizations...
When working the DART report, what additional step will you have to do...
When an ADSM calls in for a list of dentists what should we do?
When a caller requests an Appointment Control Number, you should...
What is the appointment standard for EE/TAMP eligible members for...
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