CRCR Patient Access and Registration 3

Question 1

During pre-registration, a financial counselor determines a patient's estimated out-of-pocket cost is $1,200. The BEST practice is to:

Accepted Answer

Collect the full estimated amount before the procedure or set up a payment plan

Answer

Point-of-service collections improve cash flow and reduce bad debt; offering payment plans increases the likelihood of collecting patient-responsible balances.

Question 2

Which government program covers low-income individuals and families, requiring specific eligibility verification during registration?

Accepted Answer

Medicaid

Answer

Medicaid is a joint federal-state program for low-income populations; eligibility must be verified at each encounter because coverage can change monthly.

Question 3

A patient is being admitted as an inpatient but the physician's order specifies observation status. The registrar should:

Accepted Answer

Register the patient under the status documented in the physician's order and notify the utilization review team

Answer

The registrar must use the physician-documented status and alert utilization review, who can collaborate with the physician on appropriate status determination.

Question 4

The primary purpose of collecting a patient's Social Security Number (SSN) during registration is to:

Accepted Answer

Assist with identity verification and collections if necessary

Answer

SSN collection helps confirm patient identity and supports the collections process; however, it is optional, and patients may decline to provide it.

Question 5

Which type of prior authorization scenario would MOST likely result in a denial if not obtained before the service?

Accepted Answer

Elective MRI ordered by an in-network specialist

Answer

Elective non-emergency procedures such as MRIs commonly require prior authorization from the payer; failure to obtain it before service often results in claim denial.

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR Patient Access and Registration 3