CRCR Unit 2

CRCR UNIT 2 2024 QUESTIONS WITH 100% VERIFIED ANSWERS Types of Unscheduled Patients - correct answer Urgent (ED) patients, Walk-in OP, Observation patients, and newborns. Resource Coordination - correct 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 - correct answer Patient Identification, Requested Service, Scheduling Instructions, Review and Validation, Patient Reminders and Arrival Instructions, Order Requirements 270 Healthcare Eligibility Benefit Inquiry - correct answer Outbound inquiry from the provider to the health plan to confirm a patient's eligibility. Tricare - correct answer Healthcare program of the US Department if Defense Military Health System Indian Health Service (IHS) - correct answer Agency within the the DHHS which is responsible for providing federal health plans to Native Americans. Medicaid - correct answer Federally-aided, state-operated program to provide health and long term care coverage for low-income individuals or families Medicare - correct answer Government-sponsored program financed through taxes and general revenue funds. Managed Care Plans - correct answer Comprehensive healthcare plans that attempt to reduce costs through contractual agreements with providers and through care management initiatives. Commercial Indemnity Plans - correct answer Cover almost all services without authorization requirements. Blue Cross / Blue Shield - correct answer Nation's oldest and largest family of health benefits companies. Self-insured plans - correct answer Self funded plan where the costs of medical care are borne by the employer on a pay as you go basis. Liability coverage - correct answer An auto, home, or business insurance plan may include a medical clause that covers individual healthcare services associated with an accident or injury. Medicare Part A - correct answer Part of Medicare that covers IP stays, SNF, and Home Health Care Medicare Part B - correct answer Available to cover OP and professional service coverage, but the beneficiary must pay an additional monthly premium for coverage. Coinsurance amounts under part B change as OPPS is updated.