Podcast
Questions and Answers
What is the primary reason to verify a member's eligibility before scheduling a trip?
What is the primary reason to verify a member's eligibility before scheduling a trip?
What should you do if a member is not found in the system?
What should you do if a member is not found in the system?
When can you change a member's physical address?
When can you change a member's physical address?
Why is it important to protect your computer when working with member information?
Why is it important to protect your computer when working with member information?
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What should you do with member information that has already been shared with you?
What should you do with member information that has already been shared with you?
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You can give out member information if it has already been given to someone else.
You can give out member information if it has already been given to someone else.
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You must verify a member's physical address before scheduling a trip.
You must verify a member's physical address before scheduling a trip.
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You can dispose of paper documents in the trash.
You can dispose of paper documents in the trash.
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You can schedule a trip without verifying a member's eligibility.
You can schedule a trip without verifying a member's eligibility.
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You should turn off your computer when you walk away to protect member account information.
You should turn off your computer when you walk away to protect member account information.
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Study Notes
HIPAA Compliance
- Protect all member account information to maintain confidentiality.
Disposal of Paper Documents
- Dispose of paper documents securely by using a shredder.
Computer Security
- Always turn off your computer screen when you walk away to prevent unauthorized access.
Handling Member Account Information
- Never give out member information to anyone, under any circumstances.
- Only repeat information that has already been given to you to maintain confidentiality.
Verifying Member Eligibility
- Verify a member's eligibility before scheduling a trip to ensure they are eligible for services.
- Check the member's eligibility on Page 1 of their profile, where it will be displayed at the top.
- If the member is eligible, proceed with scheduling. If not, complete a manual form.
Member Not Found Procedure
- If a member cannot be found, conduct a Deep Dive Search under Special Transportation Situations.
- If the member is still not found, follow the HP's protocols for verifying eligibility.
- Verify the member's physical address, ensuring it matches exactly.
Updating Physical Address
- The only time you can change a member's physical address is if it shows "PO BOX" or "Homeless".
HIPAA Compliance
- Protect all member account information to remain compliant with HIPAA regulations
Disposing of Sensitive Documents
- Dispose of paper documents containing sensitive information by shredding them
Computer Security
- Protect your computer by turning off the screen when you walk away to prevent unauthorized access
Handling Member Account Information
- Never give out member information to maintain confidentiality
- Only repeat information that has already been given to you to avoid breaching member confidentiality
Verifying Member Eligibility
- Verify member eligibility before scheduling a trip to ensure accurate processing
- Check member eligibility on Page 1 of the member's account, displayed at the top
- If member is eligible, proceed with scheduling
- If member is not eligible, complete a manual form to initiate the eligibility verification process
Member Not Found Procedures
- Conduct a Deep Dive Search under Special Transportation Situations if member cannot be located
- Verify the proper process for verifying eligibility per the Health Plan's (HP) protocols
- Verify member's physical address, ensuring it matches exactly
- Change physical address only if it shows "PO BOX" or "Homeless"
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Description
Learn how to remain compliant with HIPAA regulations by protecting member account information, disposing of documents securely, and verifying eligibility. Understand the importance of confidentiality and data security.
