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A study guide or exam preparation material related to cigna's compliance program. It covers various topics such as securing technology devices, disciplinary actions for non-compliance, goals of the compliance department, the hitech act, the sales development action program (sdap), reporting suspected phi disclosures, hipaa rules, and the concept of 'minimum necessary' in relation to phi. Questions and answers to test the reader's understanding of these compliance-related topics. The level of detail and the comprehensive coverage of cigna's compliance program suggest that this document could be useful for university students, particularly those studying healthcare administration, compliance, or related fields. The document could serve as study notes, lecture notes, or a summary to help prepare for exams or assignments on compliance in the healthcare industry.
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Which of the following are examples of how to keep your technology devices secure? - ANSWER Both A and C 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? - ANSWER Verbal/written warnings, reprimands, suspensions, terminations, and financial penalties. Which of the following statements is accurate? - ANSWER Cigna's goal is for all sales agents to practice compliance daily in the course of representing the company. Which of the following are goals of the Compliance department? - ANSWER All of the above Which of the following statements is true of the HITECH act? - ANSWER It made business associates of covered entities directly liable for compliance with certain HIPAA Security and Privacy Rules. What is the first step if the SDAC committee determines a violation is founded? - ANSWER The agent will be required to undergo remediation. Shelly, 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? - ANSWER Both A and B Which of the following best describe the auditing and monitoring programs of the Sales Development Action Program (SDAP)? - ANSWER Sales Integrity monitors data pertaining to the sale of Cigna products and potential violations of state, federal or Cigna policy
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? - ANSWER She did the right thing; reasonable suspicions of disclosure of PHI should be reported. Which of the following forms of PHI is covered under HIPAA? - ANSWER Oral, handwritten, printed and information contained on a computer hard drive. Which of the following is a reason why the the Compliance Department conducts internal and external audits? - ANSWER To identify areas of risk and compliance with Federal and State regulatory guidelines. HIPAA rules apply to "business associates", in addition to health plans and providers. Which of the following are included under "business associates"? - ANSWER Employees and subcontractors such as contracted sales agents and brokers. Lead Generation Services. 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? - 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 - ANSWER All of the above Which of the following best describes the term "minimum necessary" in reference to PHI? - ANSWER To identify areas of risk and compliance with Federal and State regulatory guidelines.