2015 Health Alliance - Broker Compliance Training Exam
- 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
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