CRCR Unit 2 Latest 2025 Questions and Answers
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Terms in this set (81)
Time-of-Service collection steps 1. Begin interview with a simple greeting to the
(The Program) patient.
2. Provide your name and explain why you are
meeting at this time.
3. Treat the patient with respect and dignity trying
to develop a rapport.
4. Inquire if the timing of the visit represents an
acceptable time to talk about financial matters.
5. Assume the patient may not understand how
insurance works & how hospitals charge for
services. Be prepared to explain how you
determined what the patient owes & be prepared
to show the calculations.
6. Once the patient understand how you arrived at
the amount due, simply as for the payment in full.
7. When receive payment, process it according to
your hospital's receipting rules and provide a
detailed receipt to the patient.
Acute Healthcare Facility - what Scheduled, unscheduled, and non-acute types
types of patients are there?
,Non-Acute Patient Types Skilled nursing, hospice care,, home health
services, durable medical equipment (DME), and
clinic.
Identify the different patient types A. Scheduled - healthcare facility knows the patient
and when to use each patient type is coming ahead of time, any non emergent clinical
service. Can be registered ad inpatients
outpatients,, or reoccurring / series patient types.
B. Unscheduled - Many patients receive healthcare
services that are not scheduled ahead of time. The
types include:
1. Inpatients or urgent patients
2. Outpatients or walk-in patients
3. Emergency patients
4. Observation patients
5. Newborns
C. Non-Acute - services available to patients which
are not normally provided in an acute hospital
setting.
1. Skilled nursing
2. Hospice care
3. Home health services
4. Durable medical equipment (DME)
5. Clinic
,Scheduled patient types Patients are considered scheduled if the healthcare
facility knows that the patient is coming ahead of
time.
Normally schedule services that are high dollar
and require significant pre-processing to ensure
appropriate reimbursement and/or significant
resource coordination.
Any non-emergent clinical service is a candidate
for scheduled patients in order to reduce wait
times and maximize patient flow.
Can be registered as inpatients, outpatients, or
reoccurring / series patient types.
What is resource coordination Includes the following:
A. Reserving rooms and/or equipment
B. Ordering devices or supplies
C. Ensuring that professional staff (physicians,
nurses, and/or technicians) is available.
Scheduled - outpatients Patients that have services that do not involve an
overnight stay or, if they involve and overnight stay,
the patient does not meet inpatient acuity criteria.
, Examples of scheduled outpatient A. Routine diagnostic testing in radiology (nuclear
services. medicine, ultrasound, CT scan, PET scans, MRI's)
B. Pulmonary function testing
C. Interventional radiology
D. Cardiology testing (EKG's, EEG's,
catheterizations, and stress tests)
E. Neurology
F. Ambulatory surgery
G. Pain management
H. Laboratory testing (many providers schedule
some or all)
Scheduled - recurring/series patients Certain services where the treatment is ongoing
are registered as recurring or series patients (also
considered an outpatient service). One registration
is created and charges related to the ongoing
treatment are entered on one account for multiple
days of service.
These accounts typically can be registered on a
monthly basis if the treatment duration exceeds 30
days.
Examples of recurring / series A. Physical therapy
patient services B. Occupational therapy
C. Speech therapy
D. Cardiac rehabilitation services
E. Pulmonary rehab
F. Nutrition counseling
G. Behavioral health therapy sessions
H. Behavioral health day programs
I. Intravenous (IV) therapy
J. Chemotherapy
K. Radiation therapy
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Save
Terms in this set (81)
Time-of-Service collection steps 1. Begin interview with a simple greeting to the
(The Program) patient.
2. Provide your name and explain why you are
meeting at this time.
3. Treat the patient with respect and dignity trying
to develop a rapport.
4. Inquire if the timing of the visit represents an
acceptable time to talk about financial matters.
5. Assume the patient may not understand how
insurance works & how hospitals charge for
services. Be prepared to explain how you
determined what the patient owes & be prepared
to show the calculations.
6. Once the patient understand how you arrived at
the amount due, simply as for the payment in full.
7. When receive payment, process it according to
your hospital's receipting rules and provide a
detailed receipt to the patient.
Acute Healthcare Facility - what Scheduled, unscheduled, and non-acute types
types of patients are there?
,Non-Acute Patient Types Skilled nursing, hospice care,, home health
services, durable medical equipment (DME), and
clinic.
Identify the different patient types A. Scheduled - healthcare facility knows the patient
and when to use each patient type is coming ahead of time, any non emergent clinical
service. Can be registered ad inpatients
outpatients,, or reoccurring / series patient types.
B. Unscheduled - Many patients receive healthcare
services that are not scheduled ahead of time. The
types include:
1. Inpatients or urgent patients
2. Outpatients or walk-in patients
3. Emergency patients
4. Observation patients
5. Newborns
C. Non-Acute - services available to patients which
are not normally provided in an acute hospital
setting.
1. Skilled nursing
2. Hospice care
3. Home health services
4. Durable medical equipment (DME)
5. Clinic
,Scheduled patient types Patients are considered scheduled if the healthcare
facility knows that the patient is coming ahead of
time.
Normally schedule services that are high dollar
and require significant pre-processing to ensure
appropriate reimbursement and/or significant
resource coordination.
Any non-emergent clinical service is a candidate
for scheduled patients in order to reduce wait
times and maximize patient flow.
Can be registered as inpatients, outpatients, or
reoccurring / series patient types.
What is resource coordination Includes the following:
A. Reserving rooms and/or equipment
B. Ordering devices or supplies
C. Ensuring that professional staff (physicians,
nurses, and/or technicians) is available.
Scheduled - outpatients Patients that have services that do not involve an
overnight stay or, if they involve and overnight stay,
the patient does not meet inpatient acuity criteria.
, Examples of scheduled outpatient A. Routine diagnostic testing in radiology (nuclear
services. medicine, ultrasound, CT scan, PET scans, MRI's)
B. Pulmonary function testing
C. Interventional radiology
D. Cardiology testing (EKG's, EEG's,
catheterizations, and stress tests)
E. Neurology
F. Ambulatory surgery
G. Pain management
H. Laboratory testing (many providers schedule
some or all)
Scheduled - recurring/series patients Certain services where the treatment is ongoing
are registered as recurring or series patients (also
considered an outpatient service). One registration
is created and charges related to the ongoing
treatment are entered on one account for multiple
days of service.
These accounts typically can be registered on a
monthly basis if the treatment duration exceeds 30
days.
Examples of recurring / series A. Physical therapy
patient services B. Occupational therapy
C. Speech therapy
D. Cardiac rehabilitation services
E. Pulmonary rehab
F. Nutrition counseling
G. Behavioral health therapy sessions
H. Behavioral health day programs
I. Intravenous (IV) therapy
J. Chemotherapy
K. Radiation therapy