1|Page
**TEST BANK FOR THE UHC ETHICS AND
COMPLIANCE CERTIFICATION EXAM**
2025/2026 UNITEDHEALTHCARE AND CMS
REQUIREMENTS. **200+ MULTIPLE-CHOICE
QUESTIONS** ANSWERS AND RATIONALES.
## Table of Contents
| Section | Topic Area | Questions |
|---------|-----------|-----------|
| 1 | Code of Conduct & Professionalism | 20 |
| 2 | HIPAA & Privacy Standards | 20 |
| 3 | Fraud, Waste & Abuse (FWA) Prevention | 25 |
| 4 | Conflicts of Interest | 20 |
| 5 | Reporting & Non-Retaliation | 15 |
| 6 | Medicare Marketing Compliance | 30 |
| 7 | Scope of Appointment (SOA) & Permission to Contact (PTC) | 20 |
| 8 | Enrollment Applications & Documentation | 20 |
| 9 | Events Training (Educational vs. Marketing/Sales) | 15 |
| 10 | Gift & Meal Rules | 15 |
| 11 | Compensation & Chargebacks | 15 |
| 12 | Workplace Conduct & Safety | 15 |
,2|Page
## Section 1: Code of Conduct & Professionalism (20 questions)
**1. The UHC Code of Conduct exists to:**
A) Restrict employee communication
B) Provide guidelines for ethical behavior
C) Increase profits only
D) Eliminate all risks
**Answer:** B – The Code of Conduct guides employees to act
ethically and responsibly in all business dealings.
**2. An employee who witnesses a coworker violating company policy
should:**
A) Ignore it
B) Report it through proper channels
C) Email coworkers about it
D) Leave their job immediately
**Answer:** B – Reporting violations promptly ensures compliance and
protects the organization.
**3. Acting with integrity means:**
A) Doing what is easy
,3|Page
B) Doing what is profitable
C) Doing what is right, even when no one is watching
D) Winning at all costs
**Answer:** C – Integrity is maintaining ethical behavior even without
supervision.
**4. Which behavior demonstrates professionalism at UHC?**
A) Consistently meeting deadlines
B) Gossiping about coworkers
C) Ignoring policies
D) Bypassing reporting requirements
**Answer:** A – Professionalism includes accountability and reliability
in daily work.
**5. Employees are expected to:**
A) Always follow policies and laws
B) Only comply when convenient
C) Ignore minor ethical issues
D) Rely on supervisors to act first
, 4|Page
**Answer:** A – Full compliance is required to uphold the company's
ethical standards.
**6. What is the most important reason for following the UHC Code of
Conduct?**
A) To avoid getting fired
B) To maintain trust with members, partners, and regulators
C) To increase sales commissions
D) To reduce paperwork
**Answer:** B – Ethical conduct builds trust and credibility, which are
essential for business success and regulatory compliance.
**7. Which of the following is a violation of UHC's ethical standards?**
A) Reporting a safety hazard
B) Asking for clarification on a policy
C) Concealing a known billing error
D) Attending compliance training
**Answer:** C – Concealing errors violates transparency and ethical
standards; errors must be reported and corrected.
**TEST BANK FOR THE UHC ETHICS AND
COMPLIANCE CERTIFICATION EXAM**
2025/2026 UNITEDHEALTHCARE AND CMS
REQUIREMENTS. **200+ MULTIPLE-CHOICE
QUESTIONS** ANSWERS AND RATIONALES.
## Table of Contents
| Section | Topic Area | Questions |
|---------|-----------|-----------|
| 1 | Code of Conduct & Professionalism | 20 |
| 2 | HIPAA & Privacy Standards | 20 |
| 3 | Fraud, Waste & Abuse (FWA) Prevention | 25 |
| 4 | Conflicts of Interest | 20 |
| 5 | Reporting & Non-Retaliation | 15 |
| 6 | Medicare Marketing Compliance | 30 |
| 7 | Scope of Appointment (SOA) & Permission to Contact (PTC) | 20 |
| 8 | Enrollment Applications & Documentation | 20 |
| 9 | Events Training (Educational vs. Marketing/Sales) | 15 |
| 10 | Gift & Meal Rules | 15 |
| 11 | Compensation & Chargebacks | 15 |
| 12 | Workplace Conduct & Safety | 15 |
,2|Page
## Section 1: Code of Conduct & Professionalism (20 questions)
**1. The UHC Code of Conduct exists to:**
A) Restrict employee communication
B) Provide guidelines for ethical behavior
C) Increase profits only
D) Eliminate all risks
**Answer:** B – The Code of Conduct guides employees to act
ethically and responsibly in all business dealings.
**2. An employee who witnesses a coworker violating company policy
should:**
A) Ignore it
B) Report it through proper channels
C) Email coworkers about it
D) Leave their job immediately
**Answer:** B – Reporting violations promptly ensures compliance and
protects the organization.
**3. Acting with integrity means:**
A) Doing what is easy
,3|Page
B) Doing what is profitable
C) Doing what is right, even when no one is watching
D) Winning at all costs
**Answer:** C – Integrity is maintaining ethical behavior even without
supervision.
**4. Which behavior demonstrates professionalism at UHC?**
A) Consistently meeting deadlines
B) Gossiping about coworkers
C) Ignoring policies
D) Bypassing reporting requirements
**Answer:** A – Professionalism includes accountability and reliability
in daily work.
**5. Employees are expected to:**
A) Always follow policies and laws
B) Only comply when convenient
C) Ignore minor ethical issues
D) Rely on supervisors to act first
, 4|Page
**Answer:** A – Full compliance is required to uphold the company's
ethical standards.
**6. What is the most important reason for following the UHC Code of
Conduct?**
A) To avoid getting fired
B) To maintain trust with members, partners, and regulators
C) To increase sales commissions
D) To reduce paperwork
**Answer:** B – Ethical conduct builds trust and credibility, which are
essential for business success and regulatory compliance.
**7. Which of the following is a violation of UHC's ethical standards?**
A) Reporting a safety hazard
B) Asking for clarification on a policy
C) Concealing a known billing error
D) Attending compliance training
**Answer:** C – Concealing errors violates transparency and ethical
standards; errors must be reported and corrected.
