CRCR SECTION 3 Exam 2023

CRCR SECTION 3 Exam 2023 What does EMTALA require hospitals to do? - ANS-to provide a medical screening examination and stabilizing treatment to every person presenting at an ED and 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 Continues...