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
driver or passenger?
Single vehicle or multiple?
Other vehicle at fault?
At-fault auto insurance info (TPL)
Patient's vehicle's insurance info (MP/PIP)
We only need one form of insurance from an accident/injury patient
Match what insurance is needed
The auto insurance of the vehicle the patient was in
Third party liability (TPL)
The insurance of the potentially at-fault vehicle
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.
A government audit that could result in a fine
The process by which the patient's insurance is refunded by the at-fault insurance