Certified Revenue Cycle Representative (CRCR) Practice Exam

What role does the attending physician play in patient admission?

1. Determines if outpatient care is sufficient

2. Oversees insurance verification

3. Reviews the patient’s case for appropriate admission

4. Completes the admission paperwork

The correct answer is: Reviews the patient’s case for appropriate admission

The attending physician plays a critical role in reviewing the patient’s case for appropriate admission. This responsibility involves assessing the patient's medical history, presenting symptoms, and the urgency of care required. The physician evaluates whether the severity of the patient's condition necessitates inpatient treatment based on established medical guidelines and the specific needs of the patient. In many healthcare systems, the attending physician is the one who ultimately decides whether a patient's condition warrants hospitalization or if it can be managed through outpatient services. This decision-making process is vital to ensure that patients receive the appropriate level of care, thus optimizing resource use in healthcare facilities and enhancing patient outcomes. While physicians may influence various aspects of the patient admission process, including discussions around insurance verification and completion of paperwork, these are typically not their primary responsibilities or duties. Their main focus is on the clinical aspects of patient care, guiding the admission decision based on medical necessity.