While the highest level of differentiation among patients is scheduled patient vs
unscheduled patient, a variety of patient types are routinely identified in both the acute
and non-acute setting. Which patient types are typically considered acute care patient
types? - answerObservation, newborn, Emergency (ED)
Accurate identification of the patient is the first step in the scheduling process.
Identifiers used in various combination to achieve accurate patient identification include:
- answerFull legal name, date of birth, sex and social security number.
Pre-registration is defined as: - answerthe collection of demographic information,
insurance date, financial information, providing reminder, prep information and
identifying the potential need for financial assistance for scheduled patients.
Medicare has unique features not found in other health plan programs. It is government
sponsored and financed through taxes and general revenue funds. Which of the
following statements accurately describe the various Medicare benefit programs: -
answerMedicare Part A provides benefits for inpatient hospital services, skilled nursing
care and home health care; Medicare Part B covers outpatient and professional
services; Medicare Part C of Medicare Advantage plans are managed care plans
combining Part A and Part B coverages; and Medicare Part D is the prescription drug
coverage benefit.
Which of the following statements about Medicaid eligibility is not true? -
answerMedicaid categories are restricted to children, pregnant women and elderly in
nursing homes.
Examples of managed care plans include: - answerHMO, PPO and EPO Plans
POS, Concierge plans, Medicare Advantage plans
Direct contracting for specific services from specific providers.
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