CRCR SECTION 3
Exam 2023
What does EMTALA require hospitals to do? - ANS-to provide a medical screening
examination and stabilizing treatment to every
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requesting medical evaluation or treatment
What is the first critical step for all patients arriving for service, scheduled or
unscheduled? - ANS-verifying the patient's identification with a combination of two
identifiers from a valid information source
Admission process forms include: - ANS-consent to treatment, conditions of admission,
privacy notice, important message from Medicare, advance directives and medical
power of attorney, patient bill of rights
EMTALA prohibits inquires about health care or liability payer information if the inquiry
will delay examination or treatment. What other requirements apply to the Emergency
Department registration work? - ANS-patients are initially triaged by medical personnel
and a "quick" registration initiated to allow electronic order entry and documentation,
identification and verification of insurance eligibility and benefits once the medical
screening has been completed, no additional registration may occur until the patient is
stabilized
Typical activities which must be performed when an unscheduled patient arrives for a
service include: - ANS-identification of patient in the MPI or initiation of a new MPI
record, insurance verification of eligibility and benefits, managed care screening,
medical necessity screening, price estimation and financial counseling to achieve the
appropriate account resolution
Case managers are involved from admission with the discharge planning process. The
purpose of discharge planning is: - ANS-to estimate how long the patient will be in the
hospital, identify the expected outcome of the hospitalization and initiate any special
requirements for services at or after the time of discharge
The chargemaster is basically a list of services, procedures, room accommodations,
supplies, drugs, tests, etc. typically associated with the billing for services rendered to
patients. Challenges typically associated with the Charge master include: - ANSomission of charges, obsolete or invalid codes, and the omission of required modifiers
Ultimately, the services provided in the healthcare system are reduced to standard
codes. The primary types of coding systems currently used in healthcare are: - ANSICD-10-CM/ICD-10-PCS; CPT/HCPCS codes
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