CRCR CRCR - Certified Revenue Cycle Representative Program Patient Access and Registration 5

Question 1

What is the primary goal of pre-registration in the revenue cycle?

Accepted Answer

To gather and verify patient demographic and insurance information before the date of service

Answer

Pre-registration allows staff to collect and verify key information in advance, reducing day-of delays, errors, and insurance denials.

Question 2

A patient's secondary insurance plan is Medicaid. In what order should claims generally be submitted?

Accepted Answer

Primary insurance first, then Medicaid as secondary

Answer

Medicaid is always the payer of last resort; the primary insurance must be billed first, and Medicaid covers only eligible remaining balances.

Question 3

Which of the following is NOT typically collected during the patient registration process?

Accepted Answer

Patient's clinical diagnosis from previous encounters

Answer

Clinical diagnoses are determined by clinicians and documented in the medical record, not collected by registration staff during the administrative intake process.

Question 4

A guarantor on a patient account is best described as:

Accepted Answer

The individual financially responsible for the account

Answer

The guarantor is the person legally responsible for paying the patient's account, which may be the patient themselves or a parent/guardian.

Question 5

What action should a patient access representative take when they identify a duplicate medical record number for the same patient?

Accepted Answer

Notify the HIM (Health Information Management) department to perform a record merge or overlay review

Answer

Duplicate medical record numbers must be reported to HIM for proper resolution to protect patient safety and data integrity.

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR CRCR - Certified Revenue Cycle Representative Program Patient Access and Registration 5