CPAT Patient Registration & Admissions Flashcards
6 cards from real CPAT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CPAT Patient Registration & Admissions flashcards as text
What does 'coordination of benefits' (COB) mean in patient registration?
Answer: Determining the order in which multiple insurance plans pay on a claim
COB rules establish which payer is primary and which is secondary when a patient has more than one insurance plan.
Under the 'birthday rule,' how is primary insurance determined for a dependent child?
Answer: The parent whose birthday falls earlier in the calendar year carries the primary insurance
The birthday rule states that the parent whose birthday (month and day) falls first in the calendar year has the primary insurance for a dependent child.
What is the significance of obtaining a patient's signature on a Conditions of Admission (COA) form?
Answer: It grants the facility authorization to treat and bill the patient's insurance
The COA form typically includes assignment of benefits, consent to treat, and financial responsibility agreements needed for billing.
Which of the following best describes a 'guarantor' in patient registration?
Answer: The person financially responsible for the patient's account
The guarantor is the individual (often the patient or a parent/guardian) who is legally responsible for paying the account balance.
What is the purpose of the National Provider Identifier (NPI)?
Answer: To uniquely identify healthcare providers in HIPAA standard transactions
The NPI is a unique 10-digit identification number required for all HIPAA-covered healthcare providers for claims and transactions.
When verifying insurance, what does 'out-of-pocket maximum' mean?
Answer: The maximum amount the patient must pay in cost-sharing before the insurer covers 100%
The out-of-pocket maximum is the cap on the patient's annual cost-sharing expenses, after which the insurer covers all remaining costs.