HIPAA

HIPAA what does it stand for?

• Hungary Hippo

• Health Insurance Personal Pin Association

• Health Insurance Portability and Accountability Act

What are the four items required to verify HIPAA?

• Member's name, address, phone number, SSN, and BCBSSC ID

• Member's full name, address, and SSN

• Member’s full name, BCBSSC ID number or SSN, address, and DOB

True or False: You must verify the full Date of birth?

• True

• False

How many parts of the address has to be verified for HIPAA?

• 5

• 3

• 2

• 4

If a CSA is calling a member back as promised, must full verification be completed?

• No

• Yes

• Maybe

What does PHI stand for regarding HIPAA?

• Protected Health Information

• Personal Health Information

• Public Heath Institute

• Permanent Health Insurance

What does PII means in terms of HIPPA?

• Public Interest Immunity

• Personally Identifiable Information

• Professional Indemnity Insurance

• Personal Identity Information

True or False: Psychotherapy notes can be disclosed to anyone.

• True

• False

A newborn policy is on file and the parent , who isn’t authorized, is requesting the ID number to pay the premium. What steps must the parent take to have authorization for the newborn?

• Nothing. You can assist.

• Parent must mail in a copy of the newborn’s birth certificate and the HIPAA authorization form.

• Mail only the HIPAA authorization form.

The AOR is calling in to update the member’s billing information. Can you assist?

• Yes. If the Agency BAA is on file, verify full name and AOR ID number.

• Yes. Agency BAA is on file, verify Agent’s name and AOR ID number, verify MBR’s full name, BCBSSC ID number, DOB, address.

• No. Must gain permission from the member