CPAT Patient Registration & Admissions Flashcards

What is 'insurance eligibility verification' and when should it be performed?

Answer: Confirming coverage before or at the time of service

Eligibility verification confirms active insurance coverage and benefits, and should ideally occur before the date of service.

What information is typically captured in the master patient index (MPI)?

Answer: Unique patient identifiers and demographic data

The MPI is a database that uniquely identifies each patient using demographic and identifying information to prevent duplicate records.

A patient presents to the emergency department and is unable to provide personal information. What registration process is used?

Answer: Use a temporary or 'John/Jane Doe' registration protocol

Temporary or alias registration allows care to proceed while complying with EMTALA requirements when patient information is unavailable.

What is the purpose of obtaining an Advance Beneficiary Notice (ABN)?

Answer: To notify Medicare patients that a service may not be covered so they can choose to proceed and accept financial responsibility

An ABN informs Medicare patients in advance if a service may be denied as not medically necessary, giving them the option to accept liability.

Which of the following is an example of a duplicate medical record?

Answer: The same patient registered twice under different names or ID numbers

Duplicate records occur when the same patient is entered into the system more than once, leading to fragmented care records and billing errors.

What is 'pre-registration' in the revenue cycle?

Answer: Collecting patient information and verifying insurance before the scheduled date of service

Pre-registration streamlines the check-in process by gathering demographic and insurance information prior to the visit, reducing day-of delays.