CRCR Patient Access and Registration 4

Question 1

A patient presents with an insurance card from a plan that is not contracted with the hospital. The registrar's first step should be to:

Accepted Answer

Inform the patient of the out-of-network status and discuss self-pay or financial assistance options

Answer

Transparency at registration ensures the patient understands their financial responsibility; financial assistance or payment options should be presented before care is provided.

Question 2

The 'two-patient identifier' protocol used during registration requires staff to verify which combination?

Accepted Answer

Patient name and at least one additional unique identifier such as date of birth or medical record number

Answer

The Joint Commission requires at least two patient-specific identifiers (commonly name plus DOB or MRN) to prevent patient identification errors and ensure safe care.

Question 3

When a minor presents for treatment without a parent or guardian, registration staff should:

Accepted Answer

Treat the minor for emergency care and attempt to contact the guardian; for non-emergencies, follow state law on consent

Answer

Emergency care for minors can proceed without parental consent; non-emergency treatment requires verification of consent authority under applicable state law.

Question 4

Which Medicare coverage part specifically covers inpatient hospital stays, skilled nursing facilities, and hospice care?

Accepted Answer

Medicare Part A

Answer

Medicare Part A covers inpatient hospital care, skilled nursing facility stays, hospice, and some home health services after meeting deductible requirements.

Question 5

A registrar discovers mid-registration that the patient had a prior visit under a different medical record number. The BEST action is to:

Accepted Answer

Flag the duplicate for a medical record merge according to facility policy

Answer

Duplicate medical records pose patient safety risks; facilities have defined processes for overlapping and merging records that must be followed by HIM or registration leadership.

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR Patient Access and Registration 4