Medical Management Privacy Practices

9 Questions | By Treid1 | Last updated: Mar 20, 2022 | Total Attempts: 54

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This is a brief quiz to test your knowlegde of privacy practices as they relate to Medicare Advantage and Medical Management.

Questions and Answers

1.

What are the required elements that must be acquired from a caller identifying themselves as an ADVANTAGE Medicare Solutions member before releasing any information containing PHI or making any changes to their set up in Facets?
- A.
  
  Full name, children's name, pet's name, favorite color
- B.
  
  Name and date of birth
- C.
  
  Full name, date of birth, member ID number, and one additional piece of information such as SSN, address, phone number, effective date(s), if they have Part A and/or B Medicare coverage.
- D.
  
  None of these options
2.

By law, ADVANTAGE Medicare Solutions must have our members' verbal or written authorization to release their protected health information (PHI).
- A.
  
  True
- B.
  
  False
3.

You initiate a call to a member's provider to discuss a case. Do you need to go through the caller authentication procedures?
- A.
  
  Yes
- B.
  
  No
4.

Which screen in Facets would you view to see if a member has a POA on file?
- A.
  
  Members/Responsible Person
- B.
  
  Members/Medicare Verification
- C.
  
  Subscriber/Memo Field
- D.
  
  None of the above
5.

A member provides verbal authorization for you to speak with his/her sibling. How long does this authorization last?
- A.
  
  45 days
- B.
  
  30 days
- C.
  
  20 days
- D.
  
  14 days
- E.
  
  None of the above
6.

If an ADVANTAGE Medicare Solutions member wants to allow someone to call in and receive information that contains PHI on their behalf for an extended period of time, is there a form they can request? If so, what is it called?
- A.
  
  No such form exists.
- B.
  
  Yes, it is called the PHI Authorization form.
- C.
  
  Yes, it is called the HIPAA Authorization form.
- D.
  
  There is no form, they just need to call and have it permantly documented.
7.

If a provider calls with specific questions about a member, what system or website do you use to confirm that it's a valid provider you're speaking with?
- A.
  
  Facets
- B.
  
  Google
- C.
  
  NPPES
- D.
  
  All of the above
- E.
  
  None of the above
8.

How can a member obtain a HIPAA Authorization form?
- A.
  
  Call Member Services
- B.
  
  Call the Grievance Line
- C.
  
  Look in their EOC
- D.
  
  All of the above
- E.
  
  None of the above
9.

A member's diagnosis or condition is considered PHI.
- A.
  
  True
- B.
  
  False