CPAT CPAT Patient Registration & Admissions 2

Question 1

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

Accepted Answer

Confirming coverage before or at the time of service

Answer

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

Question 2

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

Accepted Answer

Unique patient identifiers and demographic data

Answer

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

Question 3

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

Accepted Answer

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

Answer

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

Question 4

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

Accepted Answer

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

Answer

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

Question 5

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

Accepted Answer

The same patient registered twice under different names or ID numbers

Answer

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

CPAT - Certified Patient Account Technician Practice Test