2024 CRCR Modules 2.1-2.9 Questions and Answers ( Included ) 100% Correct
- Comprehensive Pre-registration Data Collection
Answer:
- Complete patient demo- graphics
- Complete guarantor information
- Emergency contact
- Complete insurance information
- Complete insured information
- Data Collection
Answer:
-To see if patient is already in the system with an NPI number -Do not generate a duplicate medical record for the patient
- What are the Consequences of Improper Data Collection?
Answer:
-Wrong medical history -Billing information is not correct -Medical services entered into incorrect medical record
- What is Data Collection for New Patients?
Answer:
-A new medical record will be generated -Patients full legal name, DOB, sex, SSN, race and ethnicity
- What is Pre-Registration?
Answer:
-Completed for all scheduled patients prior to their arrival for service -Patients demographic and insurance information and financial information -Reminds patients of their appointment date and time -Reminds them to bring insurance cards, co-payments, financial assistance info -Gives prep instructions and arrival instructions
- Validation of Data
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Answer: -Historical information should always be validated in pre-reg istration in case of changes
- Medicare Secondary Payer Screening
Answer:
-An important component of the pre-registration process for Medicare patients -Working age: is designed to determine if the patient or patients spouse is employed
-Disabilities: Determining patients age does not apply to patients 65 or older
-End Stage Renal Disease
-Accident Liability: Ask if the current services is related to an accident
- Incomplete Pre-registration
Answer:
- Return mail
- Insurance denials
- Invalid subscriber info
- Ineligible on date of service
- Authorization requirements
- Out of network status
- Medical necessity failures
- Coverage limitations
- Unnecessary insurance coverage
- The Cost of a Denied Claim
Answer: -If claim is not submitted correctly, reimbursement is always affected
- Insurance Verification
Answer:
-Conducted after registration process -Ensures accuracy of insurance information
- Steps to Insurance Verification
Answer:
- Confirming the patients eligibility of benefits under plan
- Identifying and documenting
- Sequencing plans
- Recording patient out of pocket liabilities
- Document patients max out of pocket liability
- Identify pre-authorization or pre-certification requirements
- Refer patient for financial assistance
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