Final Assessment
Quiz by Nicole Talarico
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- Q1
The goals of HIPAA include all of the following except:
Securing the privacy of the individual healthcare information
Sell personal information to third parties
Reducing the costs associated with the administration of health care
120s - Q2
True or False, we are permitted to provide brokers with member specific information upon request
falsetrueTrue or False120s - Q3
True or False, when sending an email internally or externally it’s permitted to include PHI in the subject line of an email.
falsetrueTrue or False120s - Q4
True or False, all of the following are considered “security” best practices
· Use a Password Protected Screen Saver.
· Log off and shut down your PC at the end of the day.
· Secure sensitive files when leaving the work area.
· Store confidential information in a secure area
· You should always lock your workstation when not in use
truefalseTrue or False60s - Q5
What should you do with documents that contain PHI?
Throw them out in any company garbage bin
Bring them home and throw them out
Secure sensitive papers and software under lock and key. If working onsite, shred all paper documents containing protected health or confidential information on-site or place them in on-site locked recycle bins.
120s - Q6
How do you get to the Sales/Account Service Library?
Save it as a favorite
From the LifeTimes Online page, under Employee Resources, select Fingertips, under Divisional Pages, select Marketing & Sales, under Our Departments select Account Services/Sales Library
From the LifeTimes Online page, under Employee Resources, select Marketing & Sales, under Our Departments select Account Services/Sales Library
120s - Q7
What document contains commonly used acronyms by the health plan?
Glossary and Terms
Fingertips
Data Bases
Health Plan Acronyms
120s - Q8
True or False Sales and Account Service can find resources in all of the following libraries, Customer Care Library, Membership Library, Marketing Operations Library
truefalseTrue or False120s - Q9
What is the difference between an individual aggregate and family aggregate in relation to a deductible or the out of pocketmax?
Family Aggregation-Each covered family member only needs to satisfy his or her individual deductible, not the entire family deductible, prior to receiving plan benefits.
Individual Aggregation- For family coverage, the entire family’s annual deductible must be met by one or any combination of covered members before a copay or coinsurance is applied for any family member.
Individual Aggregation- Each covered family member only needs to satisfy his or her individual deductible, not the entire family deductible, prior to receiving plan benefits.
Family Aggregation- For family coverage, the entire family’s annual deductible must be met by one or any combination of covered members before a copay or coinsurance is applied for any family member.
120s - Q10
What does “Network” refer to?
A group of providers and hospitals that have agreed to accept payment in exchange for serving members.
The group of doctors you can see
The area in which your plan is covered in
120s - Q11
What are the 4 different metal levels for community rated products?
Platinum, Gold, Silver and Bronze
Platinum, Silver, Gold and Bronze
Gold, Platinum, Bronze, Silver
Platinum, Gold, Bronze and Silver
120s - Q12
What does AGIF stand for?
Users enter free textType an Answer120s - Q13
True or False Brokers are able to obtain new group paperwork, renewal paperwork, annual group information form from ExcellusBCBS.com and Univerahealthcare.com
truefalseTrue or False120s - Q14
All of the following are required on an AGIF Except?
total number of full-time employees & full time equivalents
address, ownership structure
Group name, group number, group EIN/TIN
Phone Number, Email Address, Employee Names
120s - Q15
What is considered a large group?
150+ employees
50+ employees
100 + employees
200+ employees
120s