HIPAA Compliance: Member Verification

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Questions and Answers

When should you click Override LOS?

  • When you need to update Text Messaging
  • When the LOS is incorrect and you are allowed to override it (correct)
  • When you need to add Trip Remarks
  • When the LOS is correct

What is the purpose of adding Trip Remarks?

  • To provide notes for the driver
  • To update the pickup location
  • To provide notes for internal use pertaining to a particular trip (correct)
  • To confirm the method of transportation

What is typically included in the End Call Recap?

  • Method of transportation and date of appointment
  • What was done, method of transportation, and destination location (correct)
  • Facility phone number and special needs
  • Trip Number and Text Messaging updates

Why do you need to verify trip details with End Call Recap?

<p>To ensure the trip details are accurate (B)</p> Signup and view all the answers

When should you update Text Messaging?

<p>If applicable, after verifying trip details (A)</p> Signup and view all the answers

What is the primary purpose of searching patient after entering member's first and last name and date of birth?

<p>To obtain member's ID number (D)</p> Signup and view all the answers

When should you geocode the address?

<p>If needed (C)</p> Signup and view all the answers

What should you enter in the Address field if the member has never been to the address before?

<p>Premise number and one letter of the address (B)</p> Signup and view all the answers

What should you do if the address does not come up after searching?

<p>Click Add (A)</p> Signup and view all the answers

What is the purpose of entering facility name, type, and phone number?

<p>To add the destination to the trip (A)</p> Signup and view all the answers

What should you do after entering the appointment date and time?

<p>Click Next (B)</p> Signup and view all the answers

What is the purpose of reviewing the member profile notes?

<p>To check for any special needs (D)</p> Signup and view all the answers

What should you do if a woman riding in the vehicle is between 13 and 55 years old?

<p>Ask if she is pregnant (B)</p> Signup and view all the answers

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Study Notes

FIND MEMBER AND VERIFY HIPAA

  • Enter member's first and last name, date of birth, and phone number
  • Enter member's ID number and copy MID (Member ID)

PAGE 1 – MEMBER

  • Verify member's physical address (must match exactly)
  • Geocode address if needed
  • Request trip reason (type of doctor) and enter caller type

PAGE 2 – LOCATION

  • Check view member and review member profile notes
  • Enter appointment date and time in 24-hour military format
  • Check or uncheck round trip and verify pickup address is member's physical address
  • Search destination address, and select from prior trips or add new address
  • Enter full address, state, city, and zip code, and geocode
  • Enter facility name, type, and phone number

SPECIAL NEEDS AND EQUIPMENT

  • Add special needs: assistance needed, bariatric wheelchair (over 300lbs), cane, crutches, pregnant over 6 or 8 months, walker, wheelchair
  • Add equipment: oxygen, stretcher, etc.

PROCESS AND FINISH

  • Click process and add trip remarks and trans prov notes
  • Verify trip details with end call recap
  • Offer trip number and update text messaging
  • Click finish and review end call recap for details of the trip

END CALL RECAP

  • Trip details: method of transportation, date and day of week, time of appointment, round trip or one-way
  • Pickup and destination locations and addresses
  • Special needs and additional passengers and stops

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