Sharing PHI is Caring
You've Got You Covered
Trainer's Choice
Best of 2023
SUBROGATE, SUBROGATE, SUBROGATE
LEGAL
Mystery
FINAL JEOPARDY
100
The Acronym 'PHI' stands for this
What is 'Protected Health Information'
100
A source of payment designated ONLY for medical and funeral expenses for the driver and occupants of vehicle.
What is medpay?
100
Health insurance companies like Aetna, Kaiser, Coventry, Centene, Health Net, Blue Cross Blue Shield North Carolina, Oxford, and others.
Who are clients of The Rawlings Company?
100
This team won the 2023 NCAA Mens Basketball Tournament.
UConn
100
The process of advising third parties of a subrogation or reimbursement claim is done via a formal, written correspondence.
What is a Notice (Notifying)?
100
This is the legal name for the liable party.
What is the tortfeasor?
100
Injuries such as concussion, whiplash, fracture, and lacerations are these types of claims.
What are trauma related claims?
200
Faxing PHI to the wrong number or leaving PHI on a copy machine are examples of this
What are possible HIPAA violations?
200
This is a state mandated program to pay for medical expenses, lost wages, out of pocket expenses & funeral expenses.
What is no-fault/PIP?
200
This is 1st party coverage that may be available when the tortfeasor does not have any liability coverage.
What is uninsured coverage?
200
This was the #1 selling album of 2023.
200
The rights that arise upon payment by the health plan for accident-related claims.
What is subrogation rights or subrogation claim?
200
This is a legal doctrine which calls for a reduction for attorney fees.
What is common fund doctrine?
200
Monies available from Medpay, no-fault, PIP, liability coverage, uninsured/underinsured motorist coverage.
What are sources of recovery?
300
Signed document from the patient allowing us to send PHI to a non-authorized party is called this.
What is a medical authorization (HIPPA Release)?
300
Medical Coverage available to the at fault driver.
What is medpay, PIP or No-fault?
300
If a member receives funds from a liability carrier, the health plan may pursue this from the member to recover benefits paid related to the accident.
What is reimbursement?
300
This was the top grossing movie of 2023?
300
This is pursuing subrogation based upon a legal right as set forth in the plan language of the health plan.
What is Contractual Subrogation?
300
This is a legal doctrine asserted when there are insufficient funds to satisfy all claims.
What is the Made Whole Doctrine?
300
DAILY DOUBLE:
How many points would you like to wager?
What are the 4 stages of The Rawlings Way?
400
This is the person you notify if you suspect you have accidentally committed a HIPAA violation.
Who is the Privacy Officer? (Currently Pat Tobin)
400
These are the two types of coverage that can be pursued when a patient slips and falls at a store.
What are premises medpay and liability coverage?
400
This is the total amount of financial responsibility or amount of available coverage of the third-party insurer.
What are Policy Limits?
400
What was the name of the ill fated submarine that imploded on its way to the wreck of the Titanic in June of 2023?
400
This is another name for subrogation based on fairness.
What is equitable subrogation?
400
To stand in the shoes of the member to pursue a legal claim against the tortfeasor is called this.
What is subrogation?
400
Coverages like Med-pay, PIP, No fault, Uninsured/ Underinsured coverages.
What is the injured party’s own auto insurance carrier (1st Party Coverage)?
400
Identify all possible sources of recovery for the driver of vehicle b.
PiP, MP, UM/UIM
BI, Dram Shop