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CRCR Unit 2 100% verified
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CRCR Unit 2 100% verified
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CRCR Unit 2Types of Unscheduled Patients - ANSUrgent (ED) patients, Walk-in OP, Observation patients,
and newborns.
Resource Coordination - ANSThe 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 - ANSPatient Identification, Requested Service, Scheduling
Instructions, Review and Validation, Patient Reminders and Arrival Instructions, Order
Requirements
270 Healthcare Eligibility Benefit Inquiry - ANSOutbound inquiry from the provider to the health
plan to confirm a patient's eligibility.
Tricare - ANSHealthcare program of the US Department if Defense Military Health System
Indian Health Service (IHS) - ANSAgency within the the DHHS which is responsible for
providing federal health plans to Native Americans.
Medicaid - ANSFederally-aided, state-operated program to provide health and long term care
coverage for low-income individuals or families
Medicare - ANSGovernment-sponsored program financed through taxes and general revenue
funds.
Managed Care Plans - ANSComprehensive healthcare plans that attempt to reduce costs
through contractual agreements with providers and through care management initiatives.
Commercial Indemnity Plans - ANSCover almost all services without authorization
requirements.
Blue Cross / Blue Shield - ANSNation's oldest and largest family of health benefits companies.
Self-insured plans - ANSSelf funded plan where the costs of medical care are borne by the
employer on a pay as you go basis.
Liability coverage - ANSAn 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 - ANSPart of Medicare that covers IP stays, SNF, and Home Health Care
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