1.
In the case of any unauthorized release of pHI, please report it immediately to Compliance or your supervisor.
Correct Answer
A. True
Explanation
The statement is advising individuals to report any unauthorized release of PHI (Protected Health Information) immediately to Compliance or their supervisor. This emphasizes the importance of promptly addressing and addressing any breaches of patient privacy and confidentiality. By reporting such incidents promptly, appropriate actions can be taken to mitigate any potential harm to patients and ensure compliance with privacy regulations.
2.
How can one report a security incident to Compliance?
ExplanationTo 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.
3.
If the customer has 2 homes (Snowbirds), which one should you use as the address on the application?
Correct Answer
B. 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.
4.
The legal POA can complete the entire enrollment process even if the customer is not present.
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.
5.
What does HIPAA stand for?
Correct Answer
D. 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.
6.
PII stands for __________ ___________ Information.
Correct Answer
Personally Identifiable
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.
7.
What qualifies as Protected Health Information (pHI)?
Correct Answer
D. 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.
8.
Whose responsibility is it to report fraud, waste and abuse?
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.
9.
Providing a customer with false information intentionally is an example of…
Correct Answer
B. 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.
10.
Failure to report fraud can lead to…
Correct Answer
D. 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.