ED REGISTRAR OVERVIEW QUESTIONS
Even though a patient says they have never been here before; why would we still search for them first?
In case they have been seen at another Methodist Facilities/Clinics
Which screen shows a summary of the demographic and billing information on file for a patient record (MRN)?
Interactive Face Sheet
Where does the information on the Guarantor info form come from?
It defaults in from the patients demographics, since the relationship between guarantor and patient self
Do guarantor accounts hold insurance information for a patient?
No
Should you update/edit a patient before they are triaged?
No
What happened to the Expected date and Expected time fields after I selected arrive?
No longer editable
What address is used to send the patient an appointment reminder?
Patient addres
What is a Guarantor?
Person or business tghat is financially responsible for a patient
What type of guarantor account is automatically created in the ED?
Personal/Family
Which view shows patients who need to be registered?
Ready for Reg/Identify
What does RTE stand for?
Real time eligibility
What status is the patient in when they are arrived in the ED?
Registered
T/F: Every document that appears in the documents table needs to be collected.
Some documents will not apply to the patient visit
Why does the Eligibility Query form appear?
The system knows Aetna is an RTE enabled payor
Why do we need to verify coverage every calendar month?
To ensure the patient still has active coverage
T/F: A patient must be seen by an ED physician before Patient Access can complete the registration.
True
T/F: The system makes you search for an existing patient before creating a new patient record.
True
What are the benefits to using RTE queries?
*Allows us to get real-time information about pa tient eligibility for thes benefits *Can continue registration while waiting for response
What type of information will we receive when the benefits return?
*Copay *Deductible *Co-Insurance *Medicare Lifetime Reserve Days
What are some of the changes you see on the track board from our previous version?
*Icons *Legend *Nurse Initials *Dr. Initials *Reg Completion Status *Copay Due *Copay Collected *Patient Class *Triage Codes
What does Hyperspace automatically create when a NEW patient arrives to the ED?
*P/F guarantor account *Hospital account
Why might you have to update a guarantor account or a coverage?
*Patient is financially independent and needs their own guarantor account *Patient lost their job and their coverage *Patient has changed jobs and has obtained new coverage
How do you search for patients today?
*SSN *Name *Name & DOB
What do you see is the same in this Epic track board as our pervious version of the track board?
*Sorting function *Time the patient has bee here *Age *Chief Complaint
Why would some of the information on the Checklist already be verified?
*The information was verified through the interactive Face Sheet *Coverage was verified through RTE
When registering a previous patient why do we not read their info back to them?
*To protect the patient's PHI *We may have incorrect info in our system *Information might have changed
What is a coverage/insurance?
A collection of benefits regarding the patient's medical care
What is EMTALA?
A law that requires hospitals to provide emergency health care treatment to anyone needing it; regardless of the citizenship, legal status, or ability to pay
How can you identify if a coverage was created from an RTE query?
A lightning bolt icon appears
When will the patients appear on the Ready for Reg/Identity tab?
After they have been seen by the ED Physician
Which section of the ED TrackBoard do you expect the patient to appear?
All Patients
What does it mean to have verified information?
All information is collected and up to date
Which of the following buttons should you click to arrive a patient in the ED?
Arrival
What need to be entered or marked before we can verify the HAR(Hospital Account Record)?
Attached a coverage or mark patient as self-pay
Where do you document occurrence codes for the patients?
Claim Screen
T/F: As a Patient Access Rep my responsibilities are to arrive all ED patients to the track board.
False
T/F: When you terminate a coverage for a patient, it also terminates the coverage for other members.
False-It only terminates the coverage for the patient record you have opened
T/F: You should enter a termination date in the Member eff from field.
False-Member eff TO field
T/F: If a patient does not have an patient contact I will enter None,Given in the name filed with a phone number of 999-999-9999
False-No,Contact 000-000-0000
What address is used to send a statement or bill?
Guarantor address
