CIGNA COMPLIANCE QUESTIONS AND ANSWERS

CIGNA COMPLIANCE QUESTIONS AND ANSWERS 

What is the first step if the SDAC committee determines a violation is founded?
The agent will be suspended.
The agent will be required to participate in a Ride-Along.
The agent will be required to undergo remediation.
The agent will be terminated.
The agent will be required to undergo remediation.
Which of the following are goals of the Compliance department?
Correct compliance problems promptly and effectively.
Reduce the potential for re-occurrence.
Ensure ongoing compliance.
All of the above.
All of the above
Which of the following is a reason why the the Compliance Department conducts
internal and external audits?
To verify that everyone is licensed and appointed.
To identify areas of risk and compliance with Federal and State regulatory
guidelines.
To monitor the number of enrollments that each person has completed.
None of the above.
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"?
Lead Generation Services.
Company board of directors
Employees and subcontractors such as contracted sales agents and brokers.
Personal health record vendors.
Employees and subcontractors such as contracted sales agents and brokers.
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?
Refraining from disclosing confidential information in phone conversations when
others are present.
Store all protected, printed information in a locked cabinet that is separate from
her sister's.
Both A&B.
None of the above.
Both A&B
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?
All sales agents of Cigna are contractually obligated to review and abide by the
policies and procedures and sign an attestation yearly.
No, the attestation is only a one-time requirement and is not required yearly.
Only direct employees of Cigna are contractually obligated to review the policies
and procedures and sign an attestation yearly.
Cigna does not have any policies, procedures reviews, and/or attestation
requirements for broker agents.
All sales agents of Cigna are contractually obligated to review and abide by the policies
and procedures and sign an attestation yearly.
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?
She did the right thing; reasonable suspicions of disclosure of PHI should be
reported.
She should have reported only to her manager, never to the privacy officer.

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