CRCR - Certified Revenue Cycle Representative Program Patient Access and Registration Flashcards
6 cards from real CRCR practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CRCR - Certified Revenue Cycle Representative Program Patient Access and Registration flashcards as text
What is the purpose of collecting an Advance Beneficiary Notice from Medicare patients?
Answer: To notify the patient that Medicare may not cover a service and give them the option to decide whether to receive it and accept financial responsibility
The ABN informs patients of potential non-coverage by Medicare so they can make informed decisions about receiving the service.
During patient registration a staff member notices the patient's insurance information has changed from the previous visit. What is the most appropriate action?
Answer: Update the demographic and insurance records immediately and re-verify eligibility with the new payer
Insurance information should be updated in the system and re-verified at the time of registration to prevent billing delays and denials.
Which federal law requires hospitals to provide emergency medical screening and stabilization regardless of a patient's ability to pay?
Answer: EMTALA the Emergency Medical Treatment and Labor Act
EMTALA prohibits hospitals from refusing emergency care or transferring unstable patients based on their financial status.
What is a point-of-service collection at patient registration and why is it important?
Answer: Collecting copayments, deductibles, or deposits from the patient at the time of service
Collecting patient-owed amounts at the time of service significantly improves collection rates compared to post-service billing.
What information must be included in the HIPAA Notice of Privacy Practices?
Answer: How the covered entity uses and discloses PHI, patient rights regarding their health information, and how to file a complaint
The NPP informs patients of their rights under HIPAA and how their protected health information may be used.
What is the purpose of the Medicare Secondary Payer questionnaire in patient registration?
Answer: To identify whether Medicare should be primary or secondary payer based on the patient's other insurance coverage
The MSP questionnaire determines the correct payer order when Medicare patients have other insurance coverage.