Module 1- Making Appointments Assessment

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| By Courtney Dickinson

Courtney Dickinson

Community Contributor

Quizzes Created: 5 | Total Attempts: 1,986

Questions: 12 | Attempts: 123 | Updated: Apr 25, 2024

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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

Questions and Answers

1.

What is the appointment standard for DRC 3 members for routine appointments?
- A.
  
  9 calendar days
- B.
  
  5 calendar days
- C.
  
  7 calendar days
- D.
  
  21 calendar days
Correct Answer
B. 5 calendar days

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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2.

What is the appointment standard for EE/TAMP eligible members for routine appointments?
- A.
  
  7 calendar days
- B.
  
  5 calendar days
- C.
  
  21 calendar days
- D.
  
  9 calendar days
Correct Answer
A. 7 calendar days

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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3.

When making an appointment with a non-participating provider what should you do on the appointment modification screen?
- A.
  
  Select approved out of network yes underneath the provider information from the drop down box
- B.
  
  Write in notes section why you are approving a non-participating provider
- C.
  
  Both A and B
- D.
  
  None of the above
Correct Answer
C. Both A and B

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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4.

When an ADSM calls in for a list of dentists what should we do?
- A.
  
  Offer to send them a list of dentists via email
- B.
  
  Offer the website to the ADSM
- C.
  
  Give the name of Star designated providers that are in their area over the phone
- D.
  
  All of the above should be offered
Correct Answer
D. All of the above should be offered

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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5.

When a caller requests an Appointment Control Number, you should...
- A.
  
  Fill out the form for the caller
- B.
  
  Advise the caller they can request an ACN also through our website and IVR
- C.
  
  Both A and B
Correct Answer
C. Both A and B

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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6.

How will you know if a provider that is listed on the appointment modification screen is a specialty provider?
- A.
  
  The system will automatically check the specialist box next to the provider's name
- B.
  
  The system will put a message below the provider's name stating the provider is a specialist
- C.
  
  You will not be able to tell on the appointment modification screen
Correct Answer
A. The system will automatically check the specialist box next to the provider's name

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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7.

When an ACN is requested online, what information will the requestor have to fill out on the form?
- A.
  
  Name of ADSM
- B.
  
  Social Security Number of ADSM
- C.
  
  Date of birth
- D.
  
  Name of doctor ADSM is seeing
- E.
  
  All of the above
- F.
  
  A, B and C only
Correct Answer
F. A, B and C only

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.

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.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

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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9.

On the new DART search, you will be able to search for appeals.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

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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10.

On the enhanced DART search screen you can search for authorizations and referrals for a particular ADSM at the same time.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

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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11.

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?
- A.
  
  Nothing it will be tracked like today using an inquiry number.
- B.
  
  The representative will document the appointment using a "long john" in Spirit under 06 using the new 3555APTSCH queue
- C.
  
  Email your supervisor at the end of the week the number of ACNs on the Dart report you worked that week
Correct Answer
B. The representative will document the appointment using a "long john" in Spirit under 06 using the new 3555APTSCH queue

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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12.

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.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

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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Current Version
Apr 25, 2024

Quiz Edited by
ProProfs Editorial Team
May 13, 2014

Quiz Created by
Courtney Dickinson

Module 1- Making Appointments Assessment

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

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

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

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

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

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

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

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.

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

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

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?

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.