Accident/Injury Registration Questions

Accident/Injury Registration Questions

Why Registration/Admissions Matters

The importance of asking the right questions

Chris Roark, JD

Chris helps us understand why registration staff is essential to the success of everyone at the hospital.

Registration staff Importance

  • Without admissions/registration, no one else can do their job!

What to Ask

What to ask

Brandon Rife, JD

Every car accident situation is different. Brandon helps us hone in on what information is most important.

  • Accident Details
  • Insurance Information

Accident details & Insurance information

Accident Details

  • MVA related?
  • driver or passenger?
  • Single vehicle or multiple?
  • Other vehicle at fault?

Insurance Information

  • At-fault auto insurance info (TPL)
  • Patient's vehicle's insurance info (MP/PIP)
  • Health Insurance 

Info needed

  • We only need one form of insurance from an accident/injury patient

Match what insurance is needed

  • Med-pay
    The auto insurance of the vehicle the patient was in
  • Third party liability (TPL)
    The insurance of the potentially at-fault vehicle
  • Health insurance
    The patient's health insurance

Why is ALL info needed?

What if we get it wrong?

  • CMS compliance: Improper billing of certain accident/injury accounts can result in government audits and fines.
  • Denials: The patient’s auto insurance may need to be billed first (even if they were not at fault) in order to avoid a denial. Their auto insurance company will then be refunded by the at-fault insurance through a process called subrogation. If this not done in the correct order, there could be a denial leaving the patient responsible for the bill.
  • Everyone Loses: Without all insurance information, there is a higher risk the hospital will not get paid, and the patient may be responsible for large bills.

Subrogation is

  • A government audit that could result in a fine
  • The process by which the patient's insurance is refunded by the at-fault insurance
  • The name given to the at-fault party's insurance