HIPPA

Question 1

What is PHI?

Answer 1

Person health information. For example names, date of birth, SS, dates of service, claim history, address etc.

Question 2

Identify common caller types and reasons for calling:

Answer 2

Members
Providers
Third parties.
Prospective callers

Question 3

Define Omnibus rule:

Answer 3

Omnibus rule was released in 2013 to modify HIPPA regulations. Was an effort to strengthen PHI protection and enhabce privacy rights of patients. It ensures that the PHI of adult dependents i.e. dependenfs who have reached the age of 18 stays protected and private. This means any PHI for adult dependents can only be shared with another member, even the card holder for the account, if the adult dependent has given permission via verbal or written authorization.

Question 4

Describe HIPPA verifying Members and information that can be provided:

Answer 4

Veify name, Dob, and ID number or address.