Certified Revenue Cycle Representative (CRCR) Practice Exam

When is the nightly room charge likely to be incorrect?

1. Transfer from ICU to the Medical/Surgical floor is not reflected in the registration system.

2. Pharmacy orders to the ICU have not been entered into the pharmacy system

3. Condition has not been discussed during the shift change report meeting

4. Discharge for the next day has not been charted

The correct answer is: Transfer from ICU to the Medical/Surgical floor is not reflected in the registration system.

The nightly room charge is likely to be incorrect when the transfer from ICU to the Medical/Surgical floor is not reflected in the registration system. This is because the registration system tracks the patient's location within the facility, which directly impacts the billing process. When a patient is transferred between departments, the system needs to be updated to reflect the change in care level and associated rates. If this transfer is not accurately documented in the registration system, the billing department may not apply the correct charges based on the patient's stay, leading to an incorrect room charge on the patient's bill. In contrast, while the other scenarios involve critical aspects of patient care and documentation, they do not directly relate to affecting the accuracy of the nightly room charge. Pharmacy orders and condition discussions, while important for patient safety and quality of care, do not have a direct impact on the billing details related to room charges. Discharge planning is essential for care continuity but does not influence the current night's billing unless it causes an error in documentation regarding the room assignment.