HIPAA

HIPAA what does it stand for?

• Health Insurance Personal Protection Act

• Health Insurance Portability and Accountability Act

• Health Insurance Protection and Accountability Act

• Health Insurance Program Account Act

True or False?

There are 4 pieces of information that can be used to verify a member for HIPAA?

• TRUE

• FALSE

If a daughter/son is calling on behalf of their parent, who is a member of Wellcare. what do we list the caller as?

• Member

• Son/Daughter

• Guardian

• Third-Party

True or False?

If a third party caller is calling on a members behalf and they are not listed on the members account, we need to get the member to give verbal permission to speak to the caller?

• TRUE

• FALSE

How long can a third-party caller speak verbally on the members behalf?

• 10 days

• 14 days

• 3 days

• 7 days

What does PHI stand for regarding HIPAA?

• Protected Health Information

• Public Health Information

• Personal Health Information

• Permanent Health Information

True or False?

HIPAA happens on every call?

• True

• False

If a Champion is making an outbound call or call back to a member, must full verification be completed?

• No, verification was made during the first call, so it doesn't have to be done again.

• Yes, verification must be done on every call to or from a member.

• Yes, but only if 24 hours has passed.

• No, we don't do verification on outbound calls.

What does PII mean in terms of HIPAA?

• Public Interest Immunity

• Professional Indemnity Insurance

• Personal Identity Information

• Personally Identifiable Information

It is okay to release PHI during a call, while giving general information.

• True

• False