Patient Access Er Registration

You are working in the ER, you are registering a patient at your desk, the back calls about an ambulance and OB calls with a labor check.What do you do?

Prior to banding a patient what two items must you always verify?

• Patients name and medical record number

• Account number and patients name

• Patients name and date of birth

• Medical record number and financial class

Our facility is required by the state to obtain and provide the following information for OSHPD reporting.

• Ethnicity

• Race

• Language

• Social Security Number

EMTALA (Emergency Medical Treatment and Active Labor Act) dictates:

• A.) A patient in the ER must be treated and stabilized regardless of their ability to pay.

• B.) A patient in active labor (anywhere in the hospital) must be treated and stabilized regardless of their ability to pay.

• C.) All ER and Labor patients must be treated quickly.

• D.) Both A and B

• E.) None of these

When a patients name turns yellow on the dashboard what task must you complete.

• Maintenance the account to reflect inpatient status

• Get paperwork signed by the patient

• Maintenance the time to the probable admit time on the dashboard

• Maintenance the time and date to match the probable admit order and dashboard

Select all options for what tasks must be completed when a patients name turns green on the dashboard.

• Update admit category, MSV, source code and attending physician

• Enter prior stays

• Update insurance plan codes

• Verify patients insurance eligibility

• Fax admit notification

• Call patients emergency contact

A patient gives you their insurance card, drivers licence and work ID. The names on the cards read as followsInsurance Card: John SmithDrivers License: John Allen Smith JrWork ID: Johnny SmithHow should you register the patient?

A patient may be eligible to receive Medicare benefits due to:

• A.) Age

• B.) Disability

• C.) Chronic Kidney/Renal condition that requires dialysis treatment

• D.) A and B only

• E.) A, B and C

A patient gives you multiple insurance cards, Blue cross, Medicare and Medi-Cal. The patient states he and his wife are both retired and all policies are active.In what order should the three payors be entered?

• Medicare, Medi-Cal, Blue Cross

• Blue Cross, Medicare, Medical

• Medicare, Blue Cross, Medi-Cal

• Medi-Cal, Medicare, Blue Cross

A patient presents to register and you notice that English is not their primary language, as the patient is having difficulty understanding and answering your questions.There is not an employee or family member immediately available to translate.What should you do?

• Call your supervisor

• Call the language line and ask for an interpreter in the patients primary language

• Tell the patient they need to come back with a translator

A patient presents to the ER and states their injury occured while they were at work. Who will be the guarantor for this account?

• The employer

• The patient

• The work comp carrier

• The patients father

An Oroville Hospital employee is seen in the ER for an injury they sustained while on the job. What information must be called to Employee Health? Select all that apply.

• Employees name

• Details of the injury

• Date you are calling

• Employees account or medical record number

A patient has Medicare coverage primary, what information must be verified with medifax? Select all that apply

• Part A eligibility

• Co-pay amount

• Part B eligibilty

• MSP and HMO

There must be a note stating insurance eligibility on every account.

• True

• False

All employees are required to help obtain signatures for all accounts on every shift.

• True

• False

A patient is admitted to the hospital through the ER, the patient is eligible for Medicare. What forms must be signed by the patient and scanned into Vista? Select all that apply

• COA

• Facesheet

• DPA Questionaire

• Medicare Rights

• Advanced Beneficiary Notice

When registering a Newborn account it is OK to mirror the race, ethnicity, and language information from the mothers account.

• True

• False

What is the proper process for updating a guarantor?

• Type the patients name on the guarantor line

• Pressing F7 on the guarantor page and searching for the person

• Entering a Y in the person data field and updating the information

A minor is brought into the ER for a cold and they are accompanied by their aunt. The aunt does not have written permission from the mother and there is nothing scanned in Vista stating the aunt has consent to bring in the child. The aunt states the mother is a work and asked her to bring the child in to be seen. Is it ok to register the patient without obtaining consent from the mother?

• Yes

• No

If a patient has been seen at the hospital within the last 6 months you do not need to verify the patients information.

• True

• False

A Medicare patient is admitted to the hospital, after verifying the insurance it is determined the patient has part B coverage only and Medi-Cal secondary. What financial class will the patient be?

• 5

• F

• G

• 6

It is ok to register an ER patient without entering the chief complaint on the patient states line during the initial registration.

• True

• False

When reviewing a Medicare Medifax you see the following responseOther Addl PayorHealth Bene Plan CvgHMOPlan CvgPlan #: H5435 024      COB: 01/01/2001MCO Bill Option Code - CPrimary PayerUNITEDHEALTHCARE INSURANCE COMPANY9900 Bren Road EastMN008-T615MinnetonkaMN55343Phone:877-842-3210URL:www.UHCMedicareSolutions.comHow should the patient be registered?

• Medicare primary

• Medicare HMO/PPO

• United Healthcare primary

A patient is brought in to the ER via ambulance and is unable to sign their paperwork. An attempt to obtain signatures was made once the green sheet was received, but the patient was away in x-ray. Additional attempts must be made to obtain signatures and a note must be entered for each attempt.

• True

• False

When you receive the following response from medifaxActv CvgHealth Bene Plan CvgMcaid--------------Eligibility/Benefit---------------          MC CoordMed CarepHP-ANTHEM BLUE CROSS PARTNERSHIP PLANPhone                                                    800-407-4627--------------Eligibility/Benefit---------------         Actv CvgHealth Bene Plan CvgOtherPlan Cvg                                                       CCSAuthorization/Certification                               YesCCS PRIOR AUTH REQUIRED FOR CCS SVCSHow should the patient be registered?

• Medi-cal

• Anthem Blue Cross PHP, CCS

• CCS

• CCS, Anthem Blue Cross PHP

When is it OK to not fax an admit notification to California Health and Wellness or Anthem Blue Cross pHP?

• When the Triage Nurse tells you that you don't have to

• When the patients emergency contact information is empty

• Never

• When the insurance hasn't been verified

It is OK to call in sick to work at the time your are supposed to show up for your shift?

• True

• False

Your neighbor had an ambulance called to their house yesterday and they were brought to the hospital. It is OK to look at their account the next time you work to see why they were brought in.

• True

• False

Downtime can be utilized by:(select all that apply)

• Stocking inventory

• Being on your cell phone

• Cleaning and sanitizing work area

• Reviewing all admits to ensure they are complete

When medifax is down during the night shift what should you do? (select all that apply)

• Run Medi-cal online utilizing the Medi-cal website

• Enter a note and don't worry about making attempts later

• Continue to make attempts after the time noted on the medifax for system to be up again

• Don't run medifax at all because you know it is down