Patient Access Er Registration
(145).webp "Patient Access Er Registration - Quiz")
Questions and Answers
- 1.
A patient comes to the window with a complaint about the wait time and there is no Triage nurse available.What do you do?
- 2.
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?
- 3.
Prior to banding a patient what two items must you always verify?
- A.
Patients name and medical record number
- B.
Account number and patients name
- C.
Patients name and date of birth
- D.
Medical record number and financial class
Correct Answer
C. Patients name and date of birthExplanation
Before banding a patient, it is important to verify the patient's name and date of birth. This is crucial to ensure that the correct patient is being identified and treated. Verifying the patient's name helps to prevent any confusion or mix-ups with patients who may have similar names. Verifying the date of birth further confirms the patient's identity and helps to avoid any potential errors in treatment or medication administration. By double-checking these two key pieces of information, healthcare providers can ensure the safety and accuracy of patient care.Rate this question:
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- 4.
Our facility is required by the state to obtain and provide the following information for OSHPD reporting.
- A.
Ethnicity
- B.
Race
- C.
Language
- D.
Social Security Number
Correct Answer(s)
A. Ethnicity
B. Race
C. Language
D. Social Security NumberExplanation
The facility is required to obtain and provide information on ethnicity, race, language, and social security number for OSHPD reporting. This suggests that the state has regulations in place that require healthcare facilities to collect and report this data. It is important for the facility to comply with these requirements in order to ensure accurate reporting and to meet the state's guidelines and standards for healthcare data collection.Rate this question:
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- 5.
EMTALA (Emergency Medical Treatment and Active Labor Act) dictates:
- A.
A.) A patient in the ER must be treated and stabilized regardless of their ability to pay.
- B.
B.) A patient in active labor (anywhere in the hospital) must be treated and stabilized regardless of their ability to pay.
- C.
C.) All ER and Labor patients must be treated quickly.
- D.
D.) Both A and B
- E.
E.) None of these
Correct Answer
D. D.) Both A and BExplanation
EMTALA, also known as the Emergency Medical Treatment and Active Labor Act, requires that both patients in the emergency room and patients in active labor must be treated and stabilized regardless of their ability to pay. This means that healthcare providers cannot deny medical treatment to these individuals based on their financial situation. The act ensures that individuals receive necessary medical care in emergency situations and during labor, regardless of their ability to pay for it. Therefore, the correct answer is D) Both A and B.Rate this question:
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- 6.
When a patients name turns yellow on the dashboard what task must you complete.
- A.
Maintenance the account to reflect inpatient status
- B.
Get paperwork signed by the patient
- C.
Maintenance the time to the probable admit time on the dashboard
- D.
Maintenance the time and date to match the probable admit order and dashboard
Correct Answer
D. Maintenance the time and date to match the probable admit order and dashboardExplanation
When a patient's name turns yellow on the dashboard, it indicates that the patient's probable admit order and the dashboard's time and date are not in sync. To resolve this, the task that must be completed is to maintain the time and date to match the probable admit order and the dashboard. This ensures that the information is accurate and up to date, facilitating smooth admission processes and patient care coordination.Rate this question:
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- 7.
Select all options for what tasks must be completed when a patients name turns green on the dashboard.
- A.
Update admit category, MSV, source code and attending physician
- B.
Enter prior stays
- C.
Update insurance plan codes
- D.
Verify patients insurance eligibility
- E.
Fax admit notification
- F.
Call patients emergency contact
Correct Answer(s)
A. Update admit category, MSV, source code and attending pHysician
B. Enter prior stays
C. Update insurance plan codes
D. Verify patients insurance eligibility
E. Fax admit notificationExplanation
When a patient's name turns green on the dashboard, several tasks must be completed. These tasks include updating the admit category, MSV (Medical Severity Value), source code, and attending physician. Additionally, prior stays need to be entered, insurance plan codes should be updated, and the patient's insurance eligibility must be verified. Lastly, an admit notification should be faxed, but there is no requirement to call the patient's emergency contact.Rate this question:
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- 8.
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?
Correct Answer(s)
John Allen Smith Jr, Drivers LicenseExplanation
The patient should be registered as John Allen Smith Jr based on the information provided. The drivers license is the most reliable form of identification and it matches the name "John Allen Smith Jr" on the card. The insurance card and work ID have slightly different variations of the name, but the drivers license should be considered the most accurate and official form of identification.Rate this question:
- 9.
A patient may be eligible to receive Medicare benefits due to:
- A.
A.) Age
- B.
B.) Disability
- C.
C.) Chronic Kidney/Renal condition that requires dialysis treatment
- D.
D.) A and B only
- E.
E.) A, B and C
Correct Answer
E. E.) A, B and CExplanation
A patient may be eligible to receive Medicare benefits due to their age, disability, or a chronic kidney/renal condition that requires dialysis treatment. Medicare is a government program that provides health insurance for individuals who meet certain criteria, including being 65 years or older, having a disability, or having end-stage renal disease. Therefore, options A, B, and C are all valid reasons for a patient to be eligible for Medicare benefits.Rate this question:
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- 10.
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?
- A.
Medicare, Medi-Cal, Blue Cross
- B.
Blue Cross, Medicare, Medical
- C.
Medicare, Blue Cross, Medi-Cal
- D.
Medi-Cal, Medicare, Blue Cross
Correct Answer
C. Medicare, Blue Cross, Medi-CalExplanation
Medi-cal is always a payor of last resort.Rate this question:
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- 11.
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?
- A.
Call your supervisor
- B.
Call the language line and ask for an interpreter in the patients primary language
- C.
Tell the patient they need to come back with a translator
Correct Answer
B. Call the language line and ask for an interpreter in the patients primary languageExplanation
In this scenario, the best course of action is to call the language line and ask for an interpreter in the patient's primary language. This will ensure effective communication between the healthcare provider and the patient, allowing for accurate understanding of the patient's medical history, symptoms, and concerns. It is important to provide appropriate language support to ensure the patient receives the necessary care and treatment.Rate this question:
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- 12.
A patient presents to the ER and states their injury occured while they were at work. Who will be the guarantor for this account?
- A.
The employer
- B.
The patient
- C.
The work comp carrier
- D.
The patients father
Correct Answer
C. The work comp carrierExplanation
The work comp carrier will be the guarantor for this account because when a patient is injured at work, the workers' compensation insurance carrier is responsible for covering the medical expenses related to the injury. They will handle the billing and payment process for the medical services provided to the patient.Rate this question:
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- 13.
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.
- A.
Employees name
- B.
Details of the injury
- C.
Date you are calling
- D.
Employees account or medical record number
Correct Answer(s)
A. Employees name
C. Date you are calling
D. Employees account or medical record numberExplanation
When reporting an injury sustained on the job to Employee Health, the employee's name is important for identification purposes. The date you are calling is necessary to document when the injury was reported. The employee's account or medical record number is needed to access their medical records and track their treatment. The details of the injury may also be important, but it is not explicitly mentioned as a requirement in the question.Rate this question:
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- 14.
A patient has Medicare coverage primary, what information must be verified with medifax? Select all that apply
- A.
Part A eligibility
- B.
Co-pay amount
- C.
Part B eligibilty
- D.
MSP and HMO
Correct Answer(s)
A. Part A eligibility
C. Part B eligibilty
D. MSP and HMOExplanation
When a patient has Medicare coverage primary, it is important to verify the Part A eligibility, Part B eligibility, and MSP (Medicare Secondary Payer) and HMO (Health Maintenance Organization) information. Verifying the Part A eligibility ensures that the patient is eligible for hospital insurance benefits under Medicare. Verifying the Part B eligibility ensures that the patient is eligible for medical insurance benefits under Medicare. Verifying the MSP and HMO information is important to determine if there are any other insurance plans that may be primary to Medicare, which affects the billing and reimbursement process.Rate this question:
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- 15.
There must be a note stating insurance eligibility on every account.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The statement asserts that there must be a note indicating insurance eligibility on every account. If this statement is true, it means that it is a requirement for all accounts to have a note specifying their insurance eligibility. Therefore, the correct answer is True.Rate this question:
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- 16.
All employees are required to help obtain signatures for all accounts on every shift.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
This statement suggests that all employees are obligated to assist in obtaining signatures for all accounts during their shifts. This implies that obtaining signatures is a necessary task for all employees and is expected to be done regularly. Therefore, the correct answer is True, indicating that all employees are indeed required to help obtain signatures for all accounts on every shift.Rate this question:
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- 17.
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
- A.
COA
- B.
Facesheet
- C.
DPA Questionaire
- D.
Medicare Rights
- E.
Advanced Beneficiary Notice
Correct Answer(s)
A. COA
B. Facesheet
C. DPA Questionaire
D. Medicare RightsExplanation
The patient being eligible for Medicare means that they have government-sponsored health insurance. In order to ensure proper documentation and billing, the patient must sign and scan certain forms into Vista. The COA (Conditions of Admission) form outlines the terms and conditions of the patient's admission to the hospital. The Facesheet contains basic demographic and insurance information about the patient. The DPA (Data Privacy Act) Questionnaire collects information regarding the patient's privacy preferences. The Medicare Rights form explains the patient's rights and responsibilities under Medicare. The Advanced Beneficiary Notice may not be required in this case as it is usually used when a service may not be covered by Medicare and the patient would be responsible for payment.Rate this question:
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- 18.
When registering a Newborn account it is OK to mirror the race, ethnicity, and language information from the mothers account.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
When registering a newborn account, it is acceptable to mirror the race, ethnicity, and language information from the mother's account. This means that the newborn's account can have the same race, ethnicity, and language details as the mother's account. This practice is commonly followed to ensure consistency and accuracy in record-keeping.Rate this question:
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- 19.
What is the proper process for updating a guarantor?
- A.
Type the patients name on the guarantor line
- B.
Pressing F7 on the guarantor page and searching for the person
- C.
Entering a Y in the person data field and updating the information
Correct Answer
B. Pressing F7 on the guarantor page and searching for the personExplanation
The proper process for updating a guarantor is to press F7 on the guarantor page and search for the person. This suggests that there is a specific function or feature associated with the F7 key that allows the user to search for and select the correct person to update as the guarantor. This process ensures that the correct information is being updated for the intended individual.Rate this question:
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- 20.
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?
- A.
Yes
- B.
No
Correct Answer
B. NoExplanation
It is not okay to register the patient without obtaining consent from the mother. In this scenario, the aunt does not have written permission from the mother, and there is no documentation in Vista stating that the aunt has consent to bring in the child. Without proper consent from the legal guardian, it would be inappropriate and potentially illegal to proceed with registering the patient.Rate this question:
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- 21.
If a patient has been seen at the hospital within the last 6 months you do not need to verify the patients information.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Always verify the patients information.Rate this question:
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- 22.
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?
- A.
5
- B.
F
- C.
G
- D.
6
Correct Answer
C. GExplanation
Based on the information provided, the patient has Medicare Part B coverage and Medi-Cal secondary coverage. Medicare Part B is a type of insurance that covers outpatient services, while Medi-Cal is a government program that provides free or low-cost healthcare coverage to low-income individuals. Therefore, the patient's financial class will be "G," which likely indicates that they are eligible for government assistance or have a low income.Rate this question:
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- 23.
It is ok to register an ER patient without entering the chief complaint on the patient states line during the initial registration.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Registering an ER patient without entering the chief complaint on the patient states line during the initial registration is not okay. The chief complaint is an essential piece of information that helps healthcare professionals prioritize and provide appropriate care to the patient. It provides crucial insights into the patient's condition and helps determine the urgency of treatment. Neglecting to record the chief complaint can lead to delays in care and potentially compromise patient safety. Therefore, it is important to always enter the chief complaint during the initial registration of an ER patient.Rate this question:
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- 24.
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?
- A.
Medicare primary
- B.
Medicare HMO/PPO
- C.
United Healthcare primary
Correct Answer
B. Medicare HMO/PPO -
- 25.
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.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Due to the patient being away in x-ray, the attempt to obtain signatures was unsuccessful. Therefore, additional attempts must be made to obtain the necessary signatures.Rate this question:
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- 26.
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?
- A.
Medi-cal
- B.
Anthem Blue Cross PHP, CCS
- C.
CCS
- D.
CCS, Anthem Blue Cross PHP
Correct Answer
D. CCS, Anthem Blue Cross pHPExplanation
The patient should be registered under CCS and Anthem Blue Cross PHP. This is indicated by the response "CCS PRIOR AUTH REQUIRED FOR CCS SVCS" and the presence of both CCS and Anthem Blue Cross PHP in the eligibility/benefit information.Rate this question:
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- 27.
When is it OK to not fax an admit notification to California Health and Wellness or Anthem Blue Cross pHP?
- A.
When the Triage Nurse tells you that you don't have to
- B.
When the patients emergency contact information is empty
- C.
Never
- D.
When the insurance hasn't been verified
Correct Answer
C. NeverExplanation
The correct answer is "Never". This means that it is never acceptable to not fax an admit notification to California Health and Wellness or Anthem Blue Cross PHP. This suggests that regardless of any circumstances, it is always necessary to send the admit notification via fax to these insurance providers.Rate this question:
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- 28.
It is OK to call in sick to work at the time your are supposed to show up for your shift?
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
You must give at least 2 hours notice, except in the case of emergency.Rate this question:
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- 29.
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.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
It is not okay to look at your neighbor's account without their permission, even if they were brought to the hospital. Patient confidentiality and privacy laws prevent unauthorized access to someone's medical information. It is important to respect their privacy and only access their medical records if they explicitly give consent or if there is a legal requirement to do so.Rate this question:
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- 30.
Downtime can be utilized by:(select all that apply)
- A.
Stocking inventory
- B.
Being on your cell phone
- C.
Cleaning and sanitizing work area
- D.
Reviewing all admits to ensure they are complete
Correct Answer(s)
A. Stocking inventory
C. Cleaning and sanitizing work area
D. Reviewing all admits to ensure they are completeExplanation
Downtime can be utilized by stocking inventory to ensure that there is enough stock available for future operations. It can also be used for cleaning and sanitizing the work area to maintain a clean and safe environment. Additionally, reviewing all admits to ensure they are complete can be done during downtime to ensure that all necessary paperwork and documentation is in order. Being on your cell phone is not a productive use of downtime as it does not contribute to the efficient functioning of the work environment.Rate this question:
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- 31.
When medifax is down during the night shift what should you do? (select all that apply)
- A.
Run Medi-cal online utilizing the Medi-cal website
- B.
Enter a note and don't worry about making attempts later
- C.
Continue to make attempts after the time noted on the medifax for system to be up again
- D.
Don't run medifax at all because you know it is down
Correct Answer(s)
A. Run Medi-cal online utilizing the Medi-cal website
C. Continue to make attempts after the time noted on the medifax for system to be up again -
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Current Version
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Jan 29, 2024Quiz Edited by
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Mar 23, 2016Quiz Created by
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