HURC 1st week

An associate is unsure of what the letters in HIPAA stand for. Which "spell-out" below is correct?

• Health Information Personal Accountability Act.

• Health Insurance Privacy and Portability Act.

• Health Insurance Portability and Accountability Act

Why is it important for associates to understand HIPAA regulations?

• To avoid legal consequences

• To increase productivity

• To impress their supervisors

What is the first thing you need to add to a clinical?

• H&P

• First PT/OT note

• Progress notes

• Care Plan

You need to authenticate patient information to check the status of an authorization, what info is not needed here?

• Member Name

• Member DOB

• Member ID

• Member Social Security #

We can see the patient information in this platform....

• Hurc

• Epic

• Email

• Excel

Aetna insurance authorizations can be started through this portal...

• Navihealth

• Availity

• Clover

• Horizon

We need to know this information about ourselves when calling to check status:

• Hospital

• Ph#

• NPI and TAX ID

• Email

UHC Medicare authorization can be started through which portal?

• Navihealth

• Aetna

• Clover

• Horizon

When sending an approval we need to provide:

• Approved dates

• Follow up information (ph# and fax#

• Auth#

• Name of person doing follow ups

When we have an approval, what do we need to ask about the follow up nurse/clinitian?

• Name

• Ph#

• Fax#

• All of the above