HIPAA HEROS
WORKFLOW REFRESHER
WORK THE SYSTEMS
SPECIALTY POPULATIONS
CI CHAMPIONS
100

VERBAL HIPAA EVENTS SHOULD BE PLACED IN THIS STATUS 

WHAT IS CLOSED? 

100

WHAT TYPE OF TASK SHOULD YOU BE WRITING FOR YOURSELF

WHAT IS A CASE TASK (NOT CONTACT TASK)

100

THIS SYSTEM IS WHERE WE FIND CLAIMS 

WHAT IS MEDCOMPASS?

100

NAME 1 VAB THAT IS GEARED TOWARD A SPECIFIC POPULATION

-DIAPER CLUB, PACK AND PLAY, FOOD SMART, CALMING KITS

100

A CRITICAL INCIDENT MUST BE ENTERED INTO DYNAMO WITHIN THIS AMOUNT OF TIME 

WHAT IS 24 HOURS 

200
WHERE YOU FIND CONFIRMATION OF HIPAA APPROVAL 

WHAT IS QNXT?

200

CRDS MUST BE UPDATED EVERY ___ DAYS

WHAT IS 30 
200
YOU CAN FIND A MEMBER'S HOUSING STATUS (ARE THEY UNHOUSED) HERE

WHAT IS POINT CLICK CARE (AKA COLLECTIVE MEDICAL)

200

MATERNITY MATTERS FOLLOWS PEOPLE WHO HAVE BEEN PREGNANT UNTIL HOW LONG POST PARTUM

WHAT IS 18 MONTHS 

200

IF WE RECEIVE A CI VIA UM WE DOCUMENT THE REFERRAL SOURCE AS THIS 

WHAT IS CLAIMS 

300

POWER OF ATTORNEY IS ONLY VALID IF A MEMBER _______

WHAT IS CANNOT SPEAK FOR THEMSELVES

300

FACE TO FACES SHOULD BE OFFERED THIS OFTEN FOR INTENSIVE MEMBERS 

WHAT IS EVERY 90 DAYS 

300

WHEN YOU ENTER A GENERAL COVERED BENEFIT IN CRD YOU MUST DOCUMENT THE NAME OF THE REFERRAL HERE 

WHAT IS A CMAT NOTE 

300

WHAT IS UNIQUE ABOUT OUR MEMBERS WHO HAVE HBIA/HBIS COVERAGE 

THEY ARE NON-CITIZENS AND HAVE REDUCED COVERAGE

300

OUR TEAM DOCUMENTS ALL CRITICAL INCIDENTS HERE 

WHAT IS OUR TEAMS TRACKER 

400

A MEMBER CANNOT CONSENT TO TREATMENT OR CASE MANAGEMENT IF THEY __________

HAVE A LEGAL GUARDIAN

400
THESE 2 THINGS SHOULD REMAIN IN "OPEN" STATUS IN THE FILE 

WHAT ARE MEMBER PREFERENCES AND HCE 

400

NAME 3 PLACES YOU CAN GO TO LOCATE A SPECIALIST FOR YOUR MEMBER

THE PROVIDER GRID

QNXT

ABHIL WEBSITE 

400

IF A CHILD IS STRATIFIED AS SUPPORTIVE WE DO NOT COMPLETE THIS 

WHAT IS THE PSA

400

THE CRITICAL INCIDENT FOLLOW UP WORKFLOW IS: 

3 SUCCESSFUL FOLLOW UPS OR 4 CALLS AND 1 LETTER. 3 OUTREACHES TO APS AND OR 2 OUTREACHES TO DCFS 

500

EMERGENCY ROI/POA/GUARDIANSHIP PAPERWORK CAN BE REVIEWED WITHIN 24 HOURS IF YOU DO THIS 

SEND THE PAPERWORK TO YOUR LEAD WITH THE JUSTIFICATION (can be submitted as an escalation to the team instead of faxed)

500

YOU IDENTIFY A NEED IN YOUR ASSESSMENT AND IMMEDIATELY PROVIDE A REFERRAL. THIS SHOULD BE DOCUMENTED IN A CRD AND ALSO REFLECT IN YOUR

WHAT IS A CARE PLAN (WE NEED TO HAVE A GOAL TO ADDRESS NEEDS IDENTIFIED UNLESS WE DOCUMENT THE MEMBER DOES NOT WANT IT) 

500

YOU FIND A MEMBER'S REDETERMINATION DATE IN THIS PART OF QNXT

WHAT IS ATTRIBUTES/SHARE OF COST?

500

CURRENTLY, OUR BH TEAM FOLLOWS ALL MEMBERS THAT HAVE HAD ___ OR MORE IP ADMITS IN THE LAST 6 MONTHS 

WHAT IS 5 

500

THESE ARE THE CRITERIA FOR CALLING APS 

60+, DOCUMENTED DISABILITY, CONCERN FOR SAFETY AND WELL BEING

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