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United Healthcare: Complete Resources and Compliance Guide

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Comprehensive resource for healthcare professionals and students on United Healthcare policies, compliance, and operational procedures. Includes practice scenarios, quizzes, and detailed explanations to reinforce understanding of healthcare regulations, ethics, and patient management. Ideal for exam preparation, professional training, and mastery of United Healthcare standards.

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Institution
United Healthcare
Course
United Healthcare

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Uploaded on
January 13, 2026
Number of pages
31
Written in
2025/2026
Type
Exam (elaborations)
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United Healthcare – Ethics and Compliance Exam
Questions PRACTICE QUESTIONS PLUS
RATIONALES 2026 |INSTANT DOWNOAD PDF

1. Which of the following best describes the purpose of an
ethics and compliance program in healthcare?
A. To reduce paperwork for employees
B. To ensure the organization meets legal and ethical standards
C. To increase profits at all costs
D. To hire more staff
Correct Answer: B – To ensure the organization meets legal and
ethical standards. Ethics and compliance programs guide
employees to act lawfully and ethically.
2. What is the most important reason for reporting a potential
compliance violation?
A. To get a promotion
B. To protect the organization and patients
C. To punish a coworker
D. To delay work tasks
Correct Answer: B – To protect the organization and patients.
Reporting violations ensures patient safety and organizational
integrity.
3. Which of the following behaviors would be considered a
conflict of interest?
A. Accepting a gift from a vendor that could influence decision-

,making
B. Attending a team meeting
C. Completing tasks on time
D. Reporting a safety hazard
Correct Answer: A – Accepting a gift from a vendor that could
influence decision-making. Conflicts of interest occur when
personal benefit could affect professional judgment.
4. HIPAA regulations primarily protect which of the following?
A. Company financial records
B. Employee personal emails
C. Patient health information
D. Vendor contracts
Correct Answer: C – Patient health information. HIPAA ensures
patient privacy and security of their medical data.
5. Which action best demonstrates ethical behavior in the
workplace?
A. Reporting errors honestly
B. Ignoring minor policy violations
C. Taking credit for a coworker’s work
D. Withholding information to gain advantage
Correct Answer: A – Reporting errors honestly. Ethical behavior
involves honesty and transparency.
6. Which of the following is considered a whistleblower
protection under compliance policies?
A. Retaliation against the reporter
B. Confidential reporting channels

,C. Public shaming
D. Demotion for reporting
Correct Answer: B – Confidential reporting channels.
Whistleblower protections allow employees to report violations
safely.
7. When faced with an ethical dilemma, the best first step is
to:
A. Ignore it
B. Consult the company’s code of ethics or compliance officer
C. Make a decision based on personal gain
D. Ask coworkers to handle it
Correct Answer: B – Consult the company’s code of ethics or
compliance officer. Policies provide guidance for resolving
ethical dilemmas.
8. Which of the following would violate United Healthcare’s
code of conduct?
A. Falsifying patient records
B. Completing mandatory training on time
C. Attending team meetings
D. Following safety protocols
Correct Answer: A – Falsifying patient records. This violates
ethical and legal standards.
9. Why is it important to maintain accurate documentation in
healthcare?
A. To avoid legal issues and ensure patient safety
B. To reduce paperwork

, C. To confuse auditors
D. To increase office workload
Correct Answer: A – To avoid legal issues and ensure patient
safety. Accurate documentation supports patient care and
compliance.
10. Which scenario represents an ethical marketing practice?
A. Advertising only services covered by insurance
B. Exaggerating benefits to attract patients
C. Concealing risks from patients
D. Targeting vulnerable populations unethically
Correct Answer: A – Advertising only services covered by
insurance. Ethical marketing is truthful and transparent.
11. A healthcare employee receives a gift from a
pharmaceutical company. Which action aligns with
compliance rules?
A. Accept the gift and keep it secret
B. Refuse or report the gift per company policy
C. Sell the gift for profit
D. Give it to a coworker
Correct Answer: B – Refuse or report the gift per company
policy. Compliance rules prevent conflicts of interest.
12. What is the purpose of a compliance hotline?
A. To share personal stories
B. To report unethical or illegal activities confidentially
C. To schedule vacations
D. To discuss salaries
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