CRCR Patient Access and Registration 2

Question 1

A patient arrives for a scheduled outpatient procedure and cannot produce their insurance card. What is the BEST first action for the registrar?

Accepted Answer

Call the insurer directly to verify eligibility using the patient's member ID from the system

Answer

Registrars should use available member IDs or real-time eligibility tools to verify coverage when a physical card is unavailable, avoiding unnecessary service disruption.

Question 2

Which document notifies Medicare beneficiaries that a service may not be covered and requires their financial responsibility acknowledgment?

Accepted Answer

Advance Beneficiary Notice of Noncoverage (ABN)

Answer

The ABN must be issued before providing a potentially non-covered service so the Medicare patient can make an informed decision and accepts financial liability.

Question 3

When a patient has both a primary and secondary insurance, the registration team's coordination of benefits (COB) process should do which of the following?

Accepted Answer

Identify the correct payer order and document it in the account

Answer

Proper COB documentation ensures claims are filed to payers in the correct order, maximizing reimbursement and avoiding denials.

Question 4

A new patient presents to the ED with no ID and is unconscious. Under HIPAA, the hospital may:

Accepted Answer

Treat the patient and document as much identifying information as possible from available sources

Answer

HIPAA permits disclosure and treatment when necessary for emergency care; registration staff should document all available identifiers and create a temporary record.

Question 5

Which federal law requires hospitals to provide a medical screening exam and stabilizing treatment regardless of the patient's ability to pay?

Accepted Answer

EMTALA

Answer

The Emergency Medical Treatment and Labor Act (EMTALA) prohibits patient dumping and requires emergency screening and stabilization for anyone presenting to a participating hospital ED.

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR Patient Access and Registration 2