CRCR Unit 2- Questions & Answers- Latest Updated

Types of Unscheduled Patients - Answer-Urgent (ED) patients, Walk-in OP, Observation patients, and newborns. Resource Coordination - Answer-The process of reserving rooms and/or equipment, ordering devices or supplies, and ensuring that professional staff (physicians, nurses, and/or technicians) are available for when a patient arrives. Patient Scheduling Core Concepts - Answer-Patient Identification, Requested Service, Scheduling Instructions, Review and Validation, Patient Reminders and Arrival Instructions, Order Requirements 270 Healthcare Eligibility Benefit Inquiry - Answer-Outbound inquiry from the provider to the health plan to confirm a patient's eligibility. Tricare - Answer-Healthcare program of the US Department if Defense Military Health System Indian Health Service (IHS) - Answer-Agency within the the DHHS which is responsible for providing federal health plans to Native Americans. Medicaid - Answer-Federally-aided, state-operated program to provide health and long term care coverage for low-income individuals or families Medicare - Answer-Government-sponsored program financed through taxes and general revenue funds. Managed Care Plans - Answer-Comprehensive healthcare plans that attempt to reduce costs through contractual agreements with providers and through care management initiatives. Commercial Indemnity Plans - Answer-Cover almost all services without authorization requirements.