This law focuses on privacy and consent to ensure patient confidentiality of their protected health information.
What is the HIPAA Act/Law
What is
1. Medi-Cal number/SSN
2. Full Name
3. Date of Birth
4. Address
This is used to access the MEDS Training environment.
What is CIZEDS?
Health Plan Status, Eligibility Status and Mailing Details are examples of _____ _______ _______(3 words).
What is Personal Health Information or PHI?
This HIPAA Privacy Rule provides federal protections for covered entities and gives patients an array of rights with respect to that information.
What is Personal Health information. PHI
This character in MEDS under Bad Address, lets you know the beneficiary is homeless.
What is the letter H?
This command in MEDS will get you to the Authorized Representative Verification screen.
What is QD?
This script is used at the start of every call taken by a CSR.
What is Good morning/afternoon/evening. Thank you for call HCO, my name is (your name). May I have the Medi-Cal ID or SSN for the person you are calling for.?
These are the 3 eligibility status' that are available in MEDS for beneficiaries.
What are Mandatory, Voluntary and ineligible.
This person must provide their code to gain access to the beneficiaries information.
Who is Eligibility Worker (EW)?
This command in MEDS will allow to see the Dental Information for the beneficiary.
What is QH?
This script is used at the end of each call that a CSR takes.
What is, "Thank you for calling if you chose to participate in the survey, please stay on the line"?
This process ensures PHI is only given to the beneficiary or authorized person(s).
What is Call Verification Process?
The step to take for dealing with, Medical State Fair Hearing, Ombudsman Office, Governor, Legislature, Department of Health Care Services or Media.
What is transfer to CSR-2(supervisor)?
These two red links allow for caller enrollment.
What is
1. Inbound Call Enrollment?
2. Outbound Call Enrollment?
2 part question
In this system you would have to double click to gain access to the beneficiaries information.
What is CRM and any where on the line other than the Case ID?
This program is California's Medicare program.
What is Medi-Cal?
This call relies on a 3rd party representative speaking as the beneficiary.
What is a Relay Call?
This command in MEDS allows access to verify the beneficiaries address.
What is QA?
This department provides feedback on calls that are handled by CSR's.
What is Quality Assurance?