WHAT DOES HIPAA STAND FOR?
HEALTH INSURANCE PORTABILITY and ACCOUNTABILITY ACT
What is the number to GLOBO
844 311-9777
How many seconds do you have to say Hello to the mbr
3-5 seconds
What are some Empathy statements
What are some rapport building questions?
How's Your Day Going?
How's the weather?
What do you have planed for the weekend?
How was your weekend?
What Does P.H.I. stand for?
Protected Health Information
WHAT IS THE PIN FOR IOWA
1031
Do You Technically have to follow the script?
Yes
WHY IS EMPATHY IMPORTANT?
IT ALLOWS YOU TO RELATE AND UNDERSTAND YOUR MBR TO BUILD STRONGER RELATIONSHIPS
What are some inappropriate rapport topics?
religion
money/salary
what's your social media platform
politics
What is the most important element of HIPAA?
TO KEEP PERSONALLY IDENTIFIABLE PATIENT INFORMATION SECURE AND PRIVATE
What Information do you need from the interpreter for your documentation?
First Name and I.D. Number
TRUE OR FALSE
IF THE FIRST PRIORITY IS TO GET THE MBR TO COMPLETE THE RENEWAL ON THE PHONE WITH THE STATE. YOU DONT HAVE TO GIVE OTHER RENEWAL OPTIONS?
FALSE, YOU HAVE TO GIVE ALL RENEWAL OPTIONS
DEFINE EMPATHY
THE ABILITY TO UNDERSTANDAND SHARE THE FEELINGS OF ANOTHER
TRUE OR FALSE
IS RAPPORT NEEDED ONLY IN THE OPENING OF THE CALL?
FALSE, RAPPORT IS NEEDED THROUGHOUT THE ENTIRE CALL
WHAT IS THE DIFFERENCE BETWEEN INBOUND AND OUT HIPAA REQUIREMENTS?
INBOUND CALLS HIPAA 3 IDENIFIERS REQUIRED
1.FULL NAME
2. DOB
3.SSN
4. MBR ID NUMBER
OUTBOUND 2 IDENIFIERS REQURED
1.FULL NAME
2. DOB OR ZIPCODE
When on an interpreter call do you talk in 3rd party?
No, you are to talk as if you are speaking directly to the mbr
TRUE OR FALSE
YOU TELL MBR THE MONTH DAY AND YEAR OF THEIR RENEWAL
FALSE, YOU ONLY TELL MBR MONTH AND YEAR
WHAT IS THE GOLDEN RULE TO EMPATHY?
TO TREAT OTHERS AS YOU WOULD TREAT YOURSELF
What is the purpose of building rapport
To gain the trust and respect of customers
What are P.H.I. IDENTIFIERS
Name
Medical Plan ID Number
Geographic subdivisions smaller than a State
Street Address *
City
County
Precinct
Zip Code & their equivalent geocodes, except for the initial three digits
Birth Date*
Telephone numbers*
Social Security numbers (Last 4)
what is the department code
090
TRUE OR FALSE
A RECAP OF THE CALL IS NOT IMPORTANT AS LONG AS YOU HAVE EVERYTHING THAT HAPPENED IN THE CALL DOCUMENTED?
FALSE, WITH EVERY CONNECTED CALL A RECAP IS MANDATORY. AS WELL AS DOCUMENTATION
WHAT IS THE DIFFRENCE BETWEEN EMPATHY AND SYMPATYH?
EMPATH IS THE ABILITY TO FEEL SOMEONE ELSES EMOTIONS
SYMPATHY MEANS FEELING OR SHOWING REATION SUCH AS SORROW OR PITTY
What are the 6 GOLDEN RULES of building rapport?
1. SMILE
2.SHOW INTEREST
3.LISTEN
4.ADDRESS MBRS BY FIRST NAME
5.PUT MBR FIRST
6.MAKE MBR FEEL IMPORTANT