Registration Procedures Flashcards

Which type of admission requires a physician's order and is planned in advance?

Answer: Elective admission

An elective admission is scheduled in advance based on the patient's condition and does not require immediate intervention.

What does the abbreviation 'COB' stand for in the context of patient registration?

Answer: Coordination of Benefits

Coordination of Benefits (COB) determines the order in which multiple insurance plans pay when a patient has more than one payer.

A patient's insurance card lists a different employer group number than what is in the system. The PAR should:

Answer: Update the group number based on the current card after verifying with the payer if needed

The most current insurance card should be used as the primary source; updating the group number prevents claim denials.

An 'occurrence code' in facility billing is used to:

Answer: Report a specific event or condition that affects claims processing

Occurrence codes notify the payer of specific events (e.g., accident date, Medicare eligibility) that may affect claim adjudication.

When registering a patient under observation status, which statement is most accurate?

Answer: Observation patients are classified as outpatients and may have different cost-sharing responsibilities

Observation status is billed as an outpatient service, which can result in different cost-sharing than inpatient stays under Medicare and other payers.

Which federal law requires hospitals to inform patients of their rights, including the right to refuse treatment?

Answer: The Patient Self-Determination Act (PSDA)

The Patient Self-Determination Act requires healthcare facilities to inform patients of their rights to accept or refuse treatment and to create advance directives.

A patient states they are covered under their spouse's employer plan as a dependent. Which insurance should typically be billed first?

Answer: The spouse's employer group plan as primary

When a patient is a dependent on a spouse's employer group plan and has no own policy, the spouse's plan is billed as primary.