CRCR Unit 2 Questions & Answers
1. Types of Unscheduled Patients
Answer Urgent (ED) patients, Walk-in OP, Observationpatients, and newborns.
2. Resource Coordination
Answer The process of reserving rooms and/or equipment, or-dering devices or
supplies, and ensuring that professional staff (physicians, nurses,and/or technicians)
are available for when a patient arrives.
3. Patient Scheduling Core Concepts
Answer Patient Identification, Requested Service,Scheduling Instructions, Review
and Validation, Patient Reminders and Arrival In-structions, Order Requirements
4. 270 Healthcare Eligibility Benefit Inquiry
Answer Outbound inquiry from the providerto the health plan to confirm a patient's
eligibility.
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5. Tricare
Answer Healthcare program of the US Department if Defense Military Health
System
6. Indian Health Service (IHS)
Answer Agency within the the DHHS which is responsiblefor providing federal
health plans to Native Americans.
7. Medicaid
Answer Federally-aided, state-operated program to provide health and longterm
care coverage for low-income individuals or families
8. Medicare
Answer Government-sponsored program financed through taxes and general
revenue funds.
9. Managed Care Plans
Answer Comprehensive healthcare plans that attempt to reduce costs through
contractual agreements with providers and through care managementinitiatives.
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