2015 - Adp - Enrollment Rules - Mv/Training

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  • 1/10 Questions

    In the case of any unauthorized release of PHI, please report it immediately to Compliance or your supervisor.

    • True
    • False
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About This Quiz

This 2015 ADP Enrollment Rules MV\/Training quiz assesses knowledge on handling PHI, reporting security incidents, and recognizing legal standards like HIPAA. It's designed for employees to ensure compliance with healthcare and legal regulations.

Compliance Training Quizzes & Trivia

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  • 2. 

    PII stands for __________ ___________ Information.

    Explanation
    PII stands for Personally Identifiable Information. This term refers to any data that can be used to identify an individual, either directly or indirectly. It includes information such as names, addresses, social security numbers, and financial records. The use and protection of PII is regulated by various laws and regulations to ensure the privacy and security of individuals' personal information.

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  • 3. 

    How can one report a security incident to Compliance?

    Correct Answer
    Explanation
    To report a security incident to Compliance, one can email [email protected]. This email address is specifically provided for reporting security incidents and is likely monitored by the Compliance team at Towers Watson. It is important to use this email address to ensure that the incident is properly documented and addressed by the appropriate personnel.

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  • 4. 

    Whose responsibility is it to report fraud, waste and abuse?

    • It’s everyone’s responsibility

    • Supervisors

    • CMS

    • The BAs

    Correct Answer
    A. It’s everyone’s responsibility
    Explanation
    Reporting fraud, waste, and abuse is not limited to a specific group or individual. It is the responsibility of everyone to report such incidents. This ensures that any wrongdoing is brought to light and appropriate actions can be taken to prevent further harm or loss. By involving everyone, a collective effort is made to maintain transparency and integrity in the organization or system.

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  • 5. 

    If the customer has 2 homes (Snowbirds), which one should you use as the address on the application?

    • Wherever they are when you are speaking to them

    • The address Medicare/IRS has as their permanent address

    • The address AARP has on file

    • Their Approved (HIPAA) Representative’s address

    Correct Answer
    A. The address Medicare/IRS has as their permanent address
    Explanation
    The correct answer is to use the address Medicare/IRS has as their permanent address. This is because the permanent address is the official address of the customer and it is the address that Medicare and the IRS have on record for them. Using this address ensures that the customer's information is accurate and up to date.

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  • 6. 

    Failure to report fraud can lead to…

    • Disciplinary action

    • Re-training

    • Termination

    • All of the Above

    Correct Answer
    A. All of the Above
    Explanation
    Failure to report fraud can lead to disciplinary action, re-training, and termination. When an individual fails to report fraud, they are neglecting their responsibility to uphold ethical standards and protect the organization's interests. Disciplinary action may be taken to address this misconduct, such as a written warning or suspension. Re-training may be necessary to ensure that individuals understand the importance of reporting fraud and are equipped with the knowledge and skills to do so effectively. In severe cases, termination may be the consequence, as the organization cannot tolerate employees who fail to report fraudulent activities.

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  • 7. 

    What qualifies as Protected Health Information (pHI)?

    • Name

    • Subway Card number

    • Date of Birth

    • A & C

    Correct Answer
    A. A & C
    Explanation
    Protected Health Information (PHI) refers to any individually identifiable health information that is created, received, or maintained by a covered entity. This includes information such as a person's name and date of birth, which can be used to identify an individual. Subway Card number, on the other hand, does not fall under the category of PHI as it is not directly related to an individual's health information. Therefore, the correct answer is A & C.

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  • 8. 

    Providing a customer with false information intentionally is an example of…

    • Abuse

    • Fraud

    • Waste

    • None of the Above

    Correct Answer
    A. Fraud
    Explanation
    Intentionally providing false information to a customer is considered fraud. Fraud involves deceit, misrepresentation, or intentional deception for personal gain or to cause harm to others. In this scenario, the act of intentionally misleading a customer with false information is a fraudulent practice as it aims to deceive the customer for personal gain or other malicious purposes.

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  • 9. 

    What does HIPAA stand for?

    • Health Inspection for Parasites Allergy Act

    • Health Insurance Protection and Administration Act

    • Home Invention Patents for America Act

    • Health Insurance Portability and Accountability Act

    Correct Answer
    A. Health Insurance Portability and Accountability Act
    Explanation
    HIPAA stands for Health Insurance Portability and Accountability Act. This act was passed in 1996 and is a federal law in the United States that provides data privacy and security provisions for safeguarding medical information. It ensures that individuals' health information is protected and allows for the portability of health insurance coverage when changing jobs. Additionally, it establishes standards for electronic health care transactions and sets guidelines for the use and disclosure of personal health information.

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  • 10. 

    The legal POA can complete the entire enrollment process even if the customer is not present. 

    • True

    • False

    Correct Answer
    A. True
    Explanation
    A legal power of attorney (POA) grants someone the authority to act on behalf of another person in legal matters. In this case, it means that if a customer has given a POA to someone, that person can complete the enrollment process on behalf of the customer, even if the customer is not physically present. This is because the POA gives the authorized person the legal right to act as if they were the customer themselves. Therefore, the statement is true.

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  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Jul 31, 2014
    Quiz Created by
    Bthorup
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