Patient Access Department - Registrar Competency Exam

An 8 year old patient is registering for a Radiology appointment. His mother and father each have separate insurance coverage through their employers. The child is covered by both policies. Mother: BCBS - Mother's DOB 04/10/1970. Employed by Pepsico, which has over 100 employees. Father : Oxford-. Father's DOB 01/17/1969. Works at local pharmacy, Alvin's Drugs, and has 9 employees. Which policy is primary?

A  patient arrives for an outpatient appointment. As you verify eligibility, you notice that the patient has Medicare part A only. His Medicare part B is inactive. How should this patient be registered?

• Using Medicare Part B (015 and 017)

• Using Medicare Part A (089 and 017)

• Self-pay (031)

True or FalseA nursing home patient is sent for inpatient admission at HNH. The patient has Medicare part B only. How should this patient be registered?

• Self-Pay

• Medicare Part A (089/017)

• Medicare Part B (015/017)

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

• Their age

• A disability

• A chronic Kidney/Renal condition that requires dialysis treatment

• Both A and B

• A, B and C

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

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

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

• All Emergency Department and Labor patients must be treated quickly.

• Both A and B

• None of these

A 45 year old patient presents his Medicare card and his wife's Cigna policy. The patient states that he is currently disabled and receiving Social Security benefits as a result of a back injury. His wife works in a law firm that employs 21 people. Which insurance is primary for this patient?

• Cigna

• Medicare

• Not enough information provided to answer question

A Medicare patient is being registered at the MS center. He presents a Medicare card as well as an Aetna commercial policy, which he states is provided through his wife's job at Walmart. The patient states he is retired. Which insurance is primary?

• Medicare

• Aetna

• Not enough information provided

Mr. Yoo Ki Myung is here to be registered for the Clinic. You notice that English is not his primary language, as he is having some difficulty reading and understanding consent forms. What should you do?

• Have an Environmental Services employee translate.

• Call the Language Line and ask for an interpreter in the patient's language.

• Register the patient and speak slowly so that he may understand you.

• Ask the patient to bring in a family member that may translate for his next visit.

After the interpreter is contacted, Mr. Myung hands you his Korean passport as his ID. The passport reads as follows: Last Name: MyungFirst Name: Yoo KiHow should this patient's name be registered?

• First: Yoo Middle: K Last: Myung

• First: Yoo Middle: NONE Last: Myung

• First: YooKi Middle: NONE Last: Myung

A patient is seen in the ED and states their elbow injury is a result of a motor vehicle accident. The patient was the driver. The patient has Allstate car insurance and a BCBS policy through his work. How should this patient be registered?

• BCBS Policy ONLY

• Allstate policy ONLY.

• BCBS policy as Primary; Allstate policy secondary

• Allstate policy as Primary; BCBS policy secondary

Rachel Weinburgh is being registered for Lab work. Her demographics are as follows: Rachel WeinburghDOB: 11/13/1967SSN: 111-22-3333Address: 123 Up Way Balloonville, PA 14579Phone: 201-833-3000 What is the proper way to begin your search for Rachel in the database?

• Search by her Last Name and her DOB first

• Search by her Social Security number first

• Search by her Phone Number first

• None of the above

When searching for Rachel Weinburgh, you enter her Social Security number and find no match in the database. You decide to continue with a name and date of birth search (as you should).Per Patient Access rules, how should a patient name search be performed for Rachel Weinburgh? Rachel WeinburghDOB: 11/13/1967

• Last: Weinb First: Rach DOB: 11/13/1967

• Last: Weinburgh First: Rachel DOB: 11/13/1967

• Last: Weinburgh First: R DOB: 11/13/1967

• Last: Wei First: Rac DOB: 11/13/1967

Mr. Bradley Pitt, an 87 year old retiree,  is to here to be registered for Physical Therapy. He hands you a Medicare, a BCBS Medigap card and a NJ Medicaid card - all policies are active. In what order should the three payors be listed?

• Medicare, Medicaid, BCBS

• BCBS, Medicare, Medicaid

• Medicaid, Medicare, BCBS

• Medicare, BCBS, Medicaid

A patient gives you their insurance card, a NJ Driver’s license, and a work ID. The names on the cards read:  Insurance Card: John Smith III NJ Driver's License: John Anthony Smith III Work ID: Johnny Smith How should the patient be registered?

True or False: A Triage Tag number is the most important patient identifier during a disaster situation.

• True

• False

You are registering Leia Skywalker and come across a possible duplicate screen. The screen displays: Current Patient: Skywalker, Leia    DOB: 08/01/1990    MRN: 890777Possible Duplicate Patient: PrincessSkywalker, Leia    DOB: 08/01/1990  MRN: 555522Skywalker, Leia  DOB: 08/01/1990  MRN: 123456After interviewing the patient, you confirm all three are the same person. Which medical record number do you continue with?

• 890777

• 555522

• 123456