Certified Revenue Cycle Representative (CRCR) Practice Exam

Which best describes the primary care physician's responsibilities in the gatekeeping model?

1. Only financial management of healthcare services

2. Comprehensive care and coordination of patient journey

3. Referral to specialists without oversight

4. Providing only preventative healthcare services

The correct answer is: Comprehensive care and coordination of patient journey

The primary care physician's responsibilities in the gatekeeping model revolve around comprehensive care and coordination of the patient journey. This model is designed to streamline patient care, where the primary care physician serves as the initial point of contact for patients. They assess the patient's health needs, provide preventive care, manage ongoing health conditions, and refer patients to specialists when necessary. In this context, the primary care physician plays a crucial role in ensuring that patients receive appropriate services without unnecessary delays or misuse of specialist resources. By coordinating care, they not only facilitate a smoother healthcare process but also help in managing costs and improving overall patient outcomes. This role encompasses a broad range of healthcare responsibilities, including patient education and follow-up care, thus reinforcing the concept of comprehensive care and coordination throughout the patient's healthcare journey. This is why the option that describes the primary care physician's role as overseeing the entire patient experience aligns correctly with the principles of the gatekeeping model. It emphasizes not just the financial aspect of healthcare, nor does it trivialize the role to merely referrals or prevention, but acknowledges the holistic and integrative nature of their responsibilities.