Patient Access Department - Registrar Competency Exam

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

• True

• False

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 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

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

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  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)

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

Per The Joint Commission standards, what is the minimum number of patient identifiers required to verify the identity of a patient? HINT: Patient Identifiers: Name, Social Security Number, Date of Birth, Medical Record Number, etc.  

• One

• Two

• Three

• Four

• None of these

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 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)

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

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

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

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

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