Verisys Compliance Training

Please watch the video, then take the quiz, and complete the attestation form below. Thank you for your full attention and participation in the Verisys Compliance Program.

Hope you enjoyed the Verisys Compliance Training Video.

Next, complete the quiz followed by the attestation form below, and submit.

Once filled and submitted, your training session is complete. Thank you!

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Name*

First Last

Why do we have Policies and Procedures (P&Ps)?*

So our procedures are consistent

To ensure the integrity and accuracy of our data

To meet the standards required by NCQA, URAC, ISO

All of the above

Verisys is considered an FDR by CMS (Centers for Medicare & Medicaid Services). What is an FDR?*

First-Tier, Downstream, Related entities

Federal Data Register

Franklin D. Roosevelt

False Discover Rate

Where can you anonymously report compliance concerns?*

A – Tell your neighbor

B - Submit a form on Relay

C – Verisys compliance hotline (866.293.0417)

D – Both B and C

Which of these requires intent to get paid and knowing the actions are wrong?*

Fraud

Waste

Abuse

Which of these is NOT a potential penalty/consequence for violating laws or regulation prohibiting fraud, waste, and abuse (FWA)?*

Civil Monetary Penalties (CMP’s)

Deportation

Exclusion from participation in all federal health care programs

Why does Verisys drug test?*

To provide a safe, enjoyable and productive work environment for all employees.

To ensure our employees are able to perform their duties at peak performance levels.

As required under our contracts with some of our customers.

All of the Above.

When do we test?*

At time of onboarding

At time of suspected use

At time of on-the-job accident or injury

All of the above

As I recently took a vacation to Las Vegas, where cannabis is legal, and I reside in a state where cannabis is both medically and recreationally illegal, I cannot lose my job for using cannabis while in Vegas?*

True

False

It is Harassment and should be reported if an employee texted unwanted provocative photos to a co-worker’s personal device after a few drinks and outside of work hours?*

True

False

Posts or chat between co-workers on Social Media or other 3rd party medium cannot be considered harassment?*

True

False

What is social engineering?*

The art of manipulating, influencing, or deceiving you

The art of earning an engineering degree through social media

The art of organizing social events

Which method is the most commonly used for social engineering?*

Telephone calls

Text messages

Social media

Which is NOT a red flag to detect a suspicious email?*

Addressing you by your first name

An alarming subject line

Unknown people in the “To”, “From”, and “Reply-To” lines

“Reply-To” address does not match the “From” address

An unusual “Date” line

Content creates urgency, fear, or greed

The following are some of the many reasons hackers hack...money, political, corporate espionage, entertainment*

True

False

Which of the following behaviors would you NOT report to your security team as indication of an insider threat?*

Someone disregarding organizational procedures or policies

Someone seeking access to proprietary information or systems without proper authorization

Someone accessing systems or facilities outside of normal work hours

Someone who is reporting someone else’s suspicious behavior

The FCRA defines a consumer as:*

The individual person the information refers to

The organization that is using the information to make a decision (i.e., hire, fire, promote, demote)

Provider of consumer information to CRA’s

The entity that assembles information for the purpose of furnishing reports

What is a legitimate use of public records data?*

A – Fight Identity Theft

B – Prevent and Investigate Financial Crimes and Fraudulent Claims

C – Regulatory Compliance

D – Digging up dirt on a friend or relative

E – A, B, and C

Name one federal law that impacts Verisys’ compliance team every day.*

The New Deal

The Green Deal

The Fair Housing Act

The Affordable Data Act

Fair Credit Reporting Act

FCRA requires an organization implements reasonable procedures” to “assure maximum possible accuracy” of the information contained in each Consumer Report.*

True

False

Protected Health Information (PHI) must contain:*

Personally Identifiable Information (PII) only

Only medical health information or records

Both PII and medical health information

Attestation Statement

Please confirm the statement below by checking the box.*

I watched the Verisys Annual Compliance Training Video and completed the Quiz.

Signature*

Date*

MM slash DD slash YYYY

Your Name / Signature*

Email*

CONFIRMATION OF ANNUAL TRAINING & CERTIFICATION OF COMPLIANCE*

First Last

I hereby attest that I completed Verisys Corporation’s annual Compliance Training Program by either attending the live session or by completing all sections of the online training.

I am also re-attesting to abide by and comply with the requirements outlined in the following documents, which I originally consented to when I was hired:*

1. Employee Consent To Drug and/or Alcohol Testing

2. Verisys Employee Handbook OR Aperture Employee Handbook

3. Verisys Corporation, the “Company”, Employee and Contractor, Inventions Agreement OR Aperture Non-Disclosure and Non-Solicitation Agreement

4. Verisys Corporation, the “Company”, Employee and Contractor, Non-Disclosure, Non-Solicitation and Non-Compete Agreement OR Aperture Non-Disclosure and Non-Solicitation Agreement

5. Verisys Corporation, the “Company”, Employee and Contractor, Confidentiality, Privacy, Business Ethics, Employment Law, and the Policy and Procedure Acknowledgement and Agreement OR Aperture Code of Conduct

6. Verisys Corporation, the “Company”, Employee and Contractor, Conflict of Interest OR Aperture Code of Conduct

Signature*

Date*

MM slash DD slash YYYY

Annual Certification and Attestation of Regulatory Compliance*

I have never knowingly or willfully made any false statement or representation of a material fact in any application for any benefit or payment under a Federal or State health care program as defined in Title 42 of the United States Code, hereinafter referred to as the "Program".

I have never knowingly or willfully solicited or received any remuneration (including any kickback, bribe, or rebate) directly or indirectly, overtly or covertly, in cash or in kind, to refer or in return for referring an individual to a person for the furnishing or arranging for the furnishing of any item or service for which payment may be made in whole or in part under a Federal or State health care program, or to refer or in return for purchasing, leasing, ordering, or arranging for or recommending purchasing, leasing, or ordering any good, facility, service, or item for which payment may be made in whole or in part under the Program.

I have never been convicted of a Program-related crime.

I have never been found guilty of child, patient or elder abuse (physical, sexual, financial or mental) in any jurisdiction.

I have never been convicted of any crime related to health care fraud.

I have never been convicted of any crime related to the unlawful manufacture, distribution, prescription, or dispensing of a controlled substance.

I have never been convicted of any crime related to fraud, theft, embezzlement, breach of fiduciary responsibility, or other financial misconduct.

I have never been convicted of any crime related to obstruction of an investigation.

I have never had a professional license, registration or certificate ("License") revocation or suspension or lost such a License or the right to apply for or renew such a License, for reasons related to professional competence, performance, qualification, discipline, debarment, sanction, exclusion or financial integrity.

I have never surrendered any License while a formal disciplinary proceeding was pending against me before a regulatory authority and the proceeding concerned professional competence, performance, qualification, discipline, debarment, sanction, exclusion or financial integrity.

I have never been excluded or suspended under a Federal or State health care program or Federal or State procurement or entitlement program.

I have never been convicted of fraud, kickbacks, and other prohibited activities under the Program.

I do not or have not ever, nor has an immediate family member, had control of or interest in an entity that has been convicted of fraud, kickbacks, and other prohibited activities under the Program.

I have never been assessed a civil monetary penalty under sections 1320a-7a, 1320a-7b or 1320a-8 of Title 42 of the United States Code.

I have never failed to disclose required information or failed to fully and accurately disclose the required information in any dealings with the Program.

I am currently not in default on any State or Federal education loan or scholarship obligations and immediately notify the Company if, for any reason, I default on any such obligation.

I am currently not in default on any child support obligations and will immediately notify the Company if, for any reason, I default on any such obligation.

I have received and read the Company’s Conflict of Interest Policy. I understand the policy, my duties and responsibilities to comply with its provisions, and the consequences of non-compliance. I am in compliance with the policy, know of no violation of or deviations from the policy, have raised all issues concerning actual or potential conflicts of interest in writing with the Human Resources Director, the Compliance Officer or Corporate Counsel, as appropriate.

By having checked each of the statements, I certify and attest, under penalty of perjury, the foregoing is true and correct.

For any item I have not initialed, I freely disclose the following:

I declare under penalty of perjury that the foregoing is true and correct.*

First Last

Title*

Signature*

Date*

MM slash DD slash YYYY