Chapter 4 Patient Access with complete
solutions A+ graded
What is important when a patient first arrives at the office - correct answer ✔✔collection,
verification, and recording of patient data at the point of entry into the facility is critical to
efficient and effective revenue cycle management
first step on the journey to a clean claim - correct answer ✔✔patient access
patient access - correct answer ✔✔is an individual or department of individuals charged with
the responsibility of collecting
data that initiates the documentation for the patient encounter, a process called registration.
patient access can be called - correct answer ✔✔called patient registration or admissions. The
data collected or initiated by patient access are critical to the accurate accumulation of patient
data and the timely processing of an error-free claim.
4 types of patient information collected at an encounter - correct answer ✔✔patient
identification, administrative data, financial data, and clinical data
Administrative data - correct answer ✔✔such as patient identification and account numbers,
provide the facility with the ability to cumulate both billing data and clinical data associated
with patient services.
financial data - correct answer ✔✔by patient access are related to the patient's method of
payment. Additional financial data pertaining to individual services are recorded in the service
areas.
, clinical data - correct answer ✔✔recorded by clinicians and other patient service staff as
services are provided. For example, a physician records an order for a blood test, and laboratory
staff record laboratory service data when the test is performed. The order, test results, and
associated billing data are linked to the patient by the patient identification and account
numbers
centralization model - correct answer ✔✔the registrars report to the patient access department
and generally are located in one space or a limited number of spaces. Centralization facilitates
training, data collection consistency, and compliance, but it may decrease flexibility in the
registration process.
decentralization model - correct answer ✔✔registrars report to the department for which they
are registering and may be located in that department.
hybrid model - correct answer ✔✔all registrars report to patient access, but they are located in
the departments they serve
patient identification number - correct answer ✔✔(also known as a medical record number,
health record number, history number, or chart number) that is assigned to the patient at the
first encounter and then used to identify the patient through all subsequent encounters.
duplicate medical numbers corrupt the - correct answer ✔✔master patient index (MPI),
Master Patient Index MPI - correct answer ✔✔the key to locating patient records by searching
on a specific field. The MPI is used by the patient access department to identify previous
encounters and by the HIM department to find records for processing. It is also used by anyone
who needs to access a patient's health record, including caregivers. Finally, as the index to all
records, the MPI is accessed by electronic queries when data are pulled by analysts. Therefore,
the accuracy of the MPI is of critical importance to the integrity of the organization's data and
information governance programs.
solutions A+ graded
What is important when a patient first arrives at the office - correct answer ✔✔collection,
verification, and recording of patient data at the point of entry into the facility is critical to
efficient and effective revenue cycle management
first step on the journey to a clean claim - correct answer ✔✔patient access
patient access - correct answer ✔✔is an individual or department of individuals charged with
the responsibility of collecting
data that initiates the documentation for the patient encounter, a process called registration.
patient access can be called - correct answer ✔✔called patient registration or admissions. The
data collected or initiated by patient access are critical to the accurate accumulation of patient
data and the timely processing of an error-free claim.
4 types of patient information collected at an encounter - correct answer ✔✔patient
identification, administrative data, financial data, and clinical data
Administrative data - correct answer ✔✔such as patient identification and account numbers,
provide the facility with the ability to cumulate both billing data and clinical data associated
with patient services.
financial data - correct answer ✔✔by patient access are related to the patient's method of
payment. Additional financial data pertaining to individual services are recorded in the service
areas.
, clinical data - correct answer ✔✔recorded by clinicians and other patient service staff as
services are provided. For example, a physician records an order for a blood test, and laboratory
staff record laboratory service data when the test is performed. The order, test results, and
associated billing data are linked to the patient by the patient identification and account
numbers
centralization model - correct answer ✔✔the registrars report to the patient access department
and generally are located in one space or a limited number of spaces. Centralization facilitates
training, data collection consistency, and compliance, but it may decrease flexibility in the
registration process.
decentralization model - correct answer ✔✔registrars report to the department for which they
are registering and may be located in that department.
hybrid model - correct answer ✔✔all registrars report to patient access, but they are located in
the departments they serve
patient identification number - correct answer ✔✔(also known as a medical record number,
health record number, history number, or chart number) that is assigned to the patient at the
first encounter and then used to identify the patient through all subsequent encounters.
duplicate medical numbers corrupt the - correct answer ✔✔master patient index (MPI),
Master Patient Index MPI - correct answer ✔✔the key to locating patient records by searching
on a specific field. The MPI is used by the patient access department to identify previous
encounters and by the HIM department to find records for processing. It is also used by anyone
who needs to access a patient's health record, including caregivers. Finally, as the index to all
records, the MPI is accessed by electronic queries when data are pulled by analysts. Therefore,
the accuracy of the MPI is of critical importance to the integrity of the organization's data and
information governance programs.
