Page 62 - Clinical Managers Orientation Binder
P. 62

6/28/2019











                               HIV Confidentiality



                               Patients/members living with HIV, alcohol, and/or substance
                               abuse and mental health issues have additional confidentiality
                               protections by state and federal law

                               NYS Public Health Law 27-F and Part 63 of the DOH
                               Regulations:

                                  1. Governs:
                                             a. HIV Testing
                                             b. HIV Confidentiality

                                             c. HIV Reporting and Partner Notification

                                  2. More protective HIV-related information than HIPAA 21












                               Regulations: Visit Verification




                               Visit Verification is necessary:


                               1.  To prevent fraud, waste, and abuse
                               2.  To confirm that a service has been provided
                               3.  To ensure the accuracy of our service delivery and billing

                               Recommendation:
                               Monthly viewing Visit Location Discrepancy Report (Policy currently being
                               revised)- look at the team or individual clinician

                               Please note:  Staff are instructed to open their note in the patient’s home
                               at the start of their visit and have the patient sign the note at the end of
                               their visit.  This is how “visit time in home is calculated.”
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