Certified Revenue Cycle Representative (CRCR) Practice Exam

What process involves the accurate recording of patient bed and level of care assessment on a real-time basis?

1. Utilization review

2. Case management

3. Census management

4. Patient through-put

The correct answer is: Case management

The process of accurate recording of patient bed and level of care assessment on a real-time basis is best represented by case management. Case management involves coordinating patient care activities and ensuring that patients receive appropriate levels of care throughout their treatment. It requires ongoing assessments of patient needs and resources, ensuring that medical staff understands the patient's status and level of care required. In the context of a healthcare environment, case managers play a crucial role in tracking patient beds, monitoring the appropriateness of the care provided, and ensuring that the resources align with patient needs, all in real time. They serve as key facilitators between patients, medical staff, and insurance to optimize care and obtain necessary approvals for continued treatment. Utilization review, while related to assessing the appropriateness of healthcare services, is more focused on evaluating the necessity and efficiency of care rather than the real-time tracking of patients’ statuses. Census management deals with the compilation and monitoring of patient census data but does not specifically focus on individual patient care levels. Patient throughput relates to the efficiency of moving patients through the healthcare facility but doesn’t directly address real-time recording of bed assignments and assessment of patient care levels. These distinctions clarify why case management is the most suitable answer in this context.