HIPAA

What is an Advanced Directive

• Living will

• Power of Attorney

• Do not resuscitate (DNR)

What do you verify for members

• Full name

• Date of Birth

• Member ID

• First name

• SSN

What are the first Items verified for a provider

• Caller Name

• NPI

• Contact number

• Tax ID

What is the Document that is only good for 1 year from date of signature?

• POA

• Application

• HIPAA Authorization form

• Document request

Who must verify for an informal rep. if the member is present?

• Caller

• Member

• Provider

• Lawyer

How long must we maintain HIPAA after Death

• 5 years

• 10 years

• 30 years

• 50 years

Why would we release PHI without speaking to the member

• Members best interest

• They are in the bathroom

• They are at work

• because we want to

What systems do we use to verify HIPAA

• compass

• Medisys

• Cirs

• Sears

• Atlas

What is it called if PHI is given without HIPAA Auth

• Broken

• Mistake

• Breach

• Failure

What is a Potential Breach called

• Accident

• Incident

• Incense

• Separation