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UHC ETHICS AND COMPLIANCE EXAM
UPDATED 2025–2026 WITH ALL NEW
QUESTIONS AND EXACTLY RIGHT ANSWERS |
A+ QUALITY GUARANTEE
1. Which of the following best defines ethics in a healthcare organization?
A. Principles guiding right and wrong behavior in decision-making
B. Company policies that only protect the organization legally
C. Procedures for scheduling appointments
D. Financial reporting standards
ANSWER: A. Principles guiding right and wrong behavior in decision-
making
2. A conflict of interest occurs when:
A. Personal interests interfere with professional responsibilities
B. An employee follows company policy
C. Two employees have a friendly disagreement
D. A supervisor provides guidance to staff
ANSWER: A. Personal interests interfere with professional responsibilities
3. Which is a key element of compliance programs in healthcare?
A. Adherence to laws, regulations, and internal policies
B. Ignoring minor policy violations
C. Emphasizing profits over rules
D. Allowing informal decision-making
ANSWER: A. Adherence to laws, regulations, and internal policies
4. You discover a coworker falsifying patient records. The correct action is:
A. Report the behavior immediately through proper channels
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B. Ignore it
C. Confront the coworker without documentation
D. Post about it on social media
ANSWER: A. Report the behavior immediately through proper channels
5. Which of the following is an example of a breach of confidentiality?
A. Sharing patient information without authorization
B. Discussing work schedules
C. Sending internal memos to colleagues
D. Attending a training session
ANSWER: A. Sharing patient information without authorization
6. The “Code of Conduct” in UHC primarily serves to:
A. Provide employees guidance for ethical decision-making
B. Outline job descriptions only
C. Detail compensation structures
D. Explain technical workflows
ANSWER: A. Provide employees guidance for ethical decision-making
7. Which of the following is an application of ethical decision-making?
A. Reporting billing errors discovered in claims
B. Ignoring minor mistakes for convenience
C. Completing work faster at the expense of accuracy
D. Delegating reporting responsibility without oversight
ANSWER: A. Reporting billing errors discovered in claims
8. An employee receives a gift from a vendor that may influence business
decisions. What should they do?
A. Disclose the gift according to company policy
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B. Accept without reporting
C. Sell it for personal profit
D. Hide the gift from management
ANSWER: A. Disclose the gift according to company policy
9. Which of the following constitutes a violation of UHC compliance
standards?
A. Billing for services not provided
B. Following clinical protocols accurately
C. Completing training on time
D. Maintaining accurate documentation
ANSWER: A. Billing for services not provided
10.When an employee witnesses harassment in the workplace, the appropriate
action is:
A. Report it through the established reporting process
B. Ignore it
C. Join in the behavior
D. Wait for someone else to intervene
ANSWER: A. Report it through the established reporting process
11.Which principle emphasizes treating patients fairly and without bias?
A. Justice
B. Confidentiality
C. Compliance
D. Efficiency
ANSWER: A. Justice
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12.The term “whistleblower” refers to:
A. An individual who reports unethical or illegal activity
B. An employee who complains about workload
C. A manager providing feedback
D. A patient reporting service issues
ANSWER: A. An individual who reports unethical or illegal activity
13.Which of the following best describes fraud in a healthcare setting?
A. Intentional deception for financial or personal gain
B. Accidental billing errors
C. Honest documentation mistakes
D. Routine scheduling conflicts
ANSWER: A. Intentional deception for financial or personal gain
14.Which of the following actions demonstrates compliance with HIPAA?
A. Securing patient records and limiting access to authorized personnel
B. Discussing patient details in public areas
C. Sharing patient info via unsecured email
D. Ignoring privacy breaches
ANSWER: A. Securing patient records and limiting access to authorized
personnel
15.An example of an ethical dilemma in healthcare is:
A. Choosing between resource allocation for two equally needy patients
B. Completing daily documentation
C. Attending a staff meeting
D. Filing payroll on time
ANSWER: A. Choosing between resource allocation for two equally needy
patients
UHC ETHICS AND COMPLIANCE EXAM
UPDATED 2025–2026 WITH ALL NEW
QUESTIONS AND EXACTLY RIGHT ANSWERS |
A+ QUALITY GUARANTEE
1. Which of the following best defines ethics in a healthcare organization?
A. Principles guiding right and wrong behavior in decision-making
B. Company policies that only protect the organization legally
C. Procedures for scheduling appointments
D. Financial reporting standards
ANSWER: A. Principles guiding right and wrong behavior in decision-
making
2. A conflict of interest occurs when:
A. Personal interests interfere with professional responsibilities
B. An employee follows company policy
C. Two employees have a friendly disagreement
D. A supervisor provides guidance to staff
ANSWER: A. Personal interests interfere with professional responsibilities
3. Which is a key element of compliance programs in healthcare?
A. Adherence to laws, regulations, and internal policies
B. Ignoring minor policy violations
C. Emphasizing profits over rules
D. Allowing informal decision-making
ANSWER: A. Adherence to laws, regulations, and internal policies
4. You discover a coworker falsifying patient records. The correct action is:
A. Report the behavior immediately through proper channels
,2|Page
B. Ignore it
C. Confront the coworker without documentation
D. Post about it on social media
ANSWER: A. Report the behavior immediately through proper channels
5. Which of the following is an example of a breach of confidentiality?
A. Sharing patient information without authorization
B. Discussing work schedules
C. Sending internal memos to colleagues
D. Attending a training session
ANSWER: A. Sharing patient information without authorization
6. The “Code of Conduct” in UHC primarily serves to:
A. Provide employees guidance for ethical decision-making
B. Outline job descriptions only
C. Detail compensation structures
D. Explain technical workflows
ANSWER: A. Provide employees guidance for ethical decision-making
7. Which of the following is an application of ethical decision-making?
A. Reporting billing errors discovered in claims
B. Ignoring minor mistakes for convenience
C. Completing work faster at the expense of accuracy
D. Delegating reporting responsibility without oversight
ANSWER: A. Reporting billing errors discovered in claims
8. An employee receives a gift from a vendor that may influence business
decisions. What should they do?
A. Disclose the gift according to company policy
,3|Page
B. Accept without reporting
C. Sell it for personal profit
D. Hide the gift from management
ANSWER: A. Disclose the gift according to company policy
9. Which of the following constitutes a violation of UHC compliance
standards?
A. Billing for services not provided
B. Following clinical protocols accurately
C. Completing training on time
D. Maintaining accurate documentation
ANSWER: A. Billing for services not provided
10.When an employee witnesses harassment in the workplace, the appropriate
action is:
A. Report it through the established reporting process
B. Ignore it
C. Join in the behavior
D. Wait for someone else to intervene
ANSWER: A. Report it through the established reporting process
11.Which principle emphasizes treating patients fairly and without bias?
A. Justice
B. Confidentiality
C. Compliance
D. Efficiency
ANSWER: A. Justice
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12.The term “whistleblower” refers to:
A. An individual who reports unethical or illegal activity
B. An employee who complains about workload
C. A manager providing feedback
D. A patient reporting service issues
ANSWER: A. An individual who reports unethical or illegal activity
13.Which of the following best describes fraud in a healthcare setting?
A. Intentional deception for financial or personal gain
B. Accidental billing errors
C. Honest documentation mistakes
D. Routine scheduling conflicts
ANSWER: A. Intentional deception for financial or personal gain
14.Which of the following actions demonstrates compliance with HIPAA?
A. Securing patient records and limiting access to authorized personnel
B. Discussing patient details in public areas
C. Sharing patient info via unsecured email
D. Ignoring privacy breaches
ANSWER: A. Securing patient records and limiting access to authorized
personnel
15.An example of an ethical dilemma in healthcare is:
A. Choosing between resource allocation for two equally needy patients
B. Completing daily documentation
C. Attending a staff meeting
D. Filing payroll on time
ANSWER: A. Choosing between resource allocation for two equally needy
patients
