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15
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What type of training does Line Of Duty apply to?
Active Duty Training, Inactive Duty Training, Drill Weekend, Any other training while on 30 days or less orders
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15
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Which two tools do we use to check on someone's authorization?
Salesforce First, CareRadius Second
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trap
No points!
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star
Double points!
Okay!
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gift
Win 20 points!
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lifesaver
Give 15 points!
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15
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How long is an EOC timeframe for anyone Other than an ADSM?
365 days
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15
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What is Continuity of Care?
allowing the patient to have an ongoing relationship with their provider despite changes
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15
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Scenerio: An ADFM does not get a referral, do they have to pay for that appointment out of pocket?
Point Of Service
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15
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Who handles LOD and some Tricare Prime Remote claims or auths?
DHA-GL (Defense Health Agency - Great Lakes)
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15
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What two factors contribute to how long a referral lasts?
EOC Timeframe and Visit count
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15
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Which Article in Knowledge base goes over LOD Claim inquiries?
1236
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15
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Scenario: An ADSM does not get a referral, do they have to pay for that appointment out of pocket?
Yes
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seesaw
Swap points!
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fairy
Take points!
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25
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fairy
Take points!
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thief
Give points!
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15
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How long is an EOC timeframe for am ADSM?
6 months
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thief
Give points!
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25
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fairy
Take points!
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rocket
Go to first place!
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banana
Go to last place!
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15
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How do TRICARE referrals and authorizations work with OHI?
Must follow the rules of the OHI first then filter down to TRICARE
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15
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Which Article in the Knowledge Base goes over helping providers with an auth/referral in Availity?
1327
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15
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Does an ADSM require an Authorization for Urgent care?
yes. They have the Nurse Advice line or the emergency room if it is 'urgent', otherwise they must wait for auth.
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