2015 Health Alliance - Broker Compliance Training Exam

15 Questions | Total Attempts: 1051

SettingsSettingsSettings
Please wait...
2015 Health Alliance - Broker Compliance Training Exam

Questions and Answers
  • 1. 
    It is very important to safeguard enrollee information. Which of the following examples qualify as safeguarding enrollee information?
    • A. 

      Shredding documents that contain enrollee information prior to disposal

    • B. 

      Storing documents that contain enrollee information in a locked cabinet or desk when not in use

    • C. 

      Transporting documents that contain enrollee information in a locked container

    • D. 

      All of the above

  • 2. 
    Any activity suspected, in good faith, to be fraud, misconduct or compliance violation must be reported to the Health Alliance Compliance Officer or Compliance Line.
    • A. 

      True

    • B. 

      False

  • 3. 
    If a member’s spouse calls you and would like to discuss a specific claim of the member, it is Ok to speak with the member’s spouse, without the member being present and without a written HIPAA compliant authorization?
    • A. 

      True

    • B. 

      False

  • 4. 
    There are many ways fraud and abuse can occur. Which of the following examples are considered fraud or abuse?
    • A. 

      Loaning one’s ID card to someone else to obtain prescription drug benefits

    • B. 

      Submitting prescription drug receipts that are forged or altered for reimbursement

    • C. 

      Encouraging an individual to disenroll from a plan

    • D. 

      All of the above

  • 5. 
    It is permissible to include enrollee information in the body of an email without encrypting the email.
    • A. 

      True

    • B. 

      False

  • 6. 
    Your contract with Health Alliance may be terminated in which of the following instances:
    • A. 

      Confirmed misconduct

    • B. 

      Not adhering to the standards of conduct outlined in the broker application.

    • C. 

      Confirmed fraudulent activity.

    • D. 

      All of the above.

  • 7. 
    As a broker you are allowed to accept bribes, kickbacks or inducements in connection with performing duties for Health Alliance.
    • A. 

      True

    • B. 

      False

  • 8. 
    As a contracted broker of Health Alliance you are expected to:
    • A. 

      Act in an ethical and compliant manner.

    • B. 

      Comply with all applicable laws and regulations.

    • C. 

      Protect member information and the physical and intellectual property of Health Alliance.

    • D. 

      All of the above

  • 9. 
    You are allowed to receive member claims information from Health Alliance without authorization from the member?
    • A. 

      True

    • B. 

      False

  • 10. 
    You should never pursue a business opportunity or relationship that would compromise Health Alliance ethical standards or violate a law or regulation.
    • A. 

      True

    • B. 

      False

  • 11. 
    The HITECH Act extends the HIPAA Privacy and Security and the Breach enforcement actions to cover brokers.
    • A. 

      True

    • B. 

      False

  • 12. 
    You must notify Health Alliance of a breach of unsecure PHI within:
    • A. 

      10 days

    • B. 

      5 days

    • C. 

      20 days

    • D. 

      30 days

  • 13. 
    It is acceptable to share my logon id and password to the Health Alliance web site with others.
    • A. 

      No

    • B. 

      Yes

  • 14. 
    If I suspect my logon id and password to the Health Alliance web site has been compromised, I must:
    • A. 

      Change my password immediately

    • B. 

      Do nothing

  • 15. 
    When I am finished with my work on the Health Alliance web site, I must:
    • A. 

      Do nothing

    • B. 

      Immediately log off

    • C. 

      Close my browser and not log off

    • D. 

      Leave myself logged in indefinitely

Related Topics
Back to Top Back to top