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A series of questions and answers related to cigna's compliance program. It covers topics such as auditing and monitoring programs, compliance with policies and procedures, protected and confidential information, hipaa rules, the hitech act, and disciplinary standards. The questions address various scenarios and aim to test understanding of compliance requirements within the organization. It is useful for employees, contracted agents, and subcontractors to ensure they adhere to cigna's rules, regulations, policies, and procedures, as well as federal and state regulatory guidelines. The content is designed to reinforce the importance of compliance in daily practices and to identify areas of risk.
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Which of the following best describe the auditing and monitoring programs of the Sales Development Action Program (SDAP)? - correct answer Sales Integrity monitors data pertaining to the sale of Cigna products and potential violations of state, federal or Cigna policy. Brandon, a sales agent completed the review of Cigna policies and procedures and signed the attestation to comply last year. Will Brandon be required to complete the review and attestation again this year? - correct answer All sales agents of Cigna are contractually obligated to review and abide by the policies and procedures and sign an attestation yearly. Which of the following are examples of protected or confidential information - correct answer All of the above. HIPAA rules apply to "business associates", in addition to health plans and providers. Which of the following are included under "business associates"? - correct answer Employees and subcontractors such as contracted sales agents and brokers. Which of the following statements is accurate? - correct answer Cigna's goal is for all sales agents to practice compliance daily in the course of representing the company. Which of the following statements is true of the HITECH act? - correct answer It made business associates of covered entities directly liable for compliance with certain HIPAA Security and Privacy Rules. Which of the following is a reason why the the Compliance Department conducts internal and external audits? - correct answer To identify areas of risk and compliance with Federal and State regulatory guidelines. Kate, a broker sales agent, suspects a disclosure of a member's PHI and decides to report her suspicion to the privacy officer. Turns out after investigation that there really was no disclosure of PHI. Which of these options appropriately describes her actions? - correct answer She did the right thing; reasonable suspicions of disclosure of PHI should be reported. Which of the following are goals of the Compliance department? - correct answer All of the above. Shelly Brown, a broker agent, shares the same office space and equipment with her real estate agent sister, Simone. Simone often provides MA leads to Shelly and both
cooperate closely together. Considering their family and professional ties, which of the following safeguards are necessary for Shelly to implement in securing beneficiaries' data? - correct answer Both A&B. Cigna provides well-publicized disciplinary standards. Which of the following represents all the disciplinary actions that employees, contracted agents, and subcontractors who do not comply with CMS and Cigna's rules, regulations, policies and procedures may face? - correct answer Verbal/written warnings, reprimands, suspensions, terminations, and financial penalties. Which of the following best describes the term "minimum necessary" in reference to PHI? - correct answer Use only the minimum PHI necessary to conduct business. What is the first step if the SDAC committee determines a violation is founded? - correct answer The agent will be required to undergo remediation. Which of the following forms of PHI is covered under HIPAA? - correct answer Oral, handwritten, printed and information contained on a computer hard drive. Which of the following are examples of how to keep your technology devices secure? - correct answer Never share your login details with anyone and secure your wireless connection before transmitting PHI wirelessly via the internet.