Deck 2: Medical Ethics, Law, and Compliance

Question 1

The standards of conduct that grow out of one's understanding of right and wrong are known as:

A) Ethics
B) Morals
C) Behavior
D) Common Sense

Answer 1

Ethics

Question 2

What is considered to be one response to the bioethical issue of life sustainment without patient consent?

A) Appointing a power of attorney
B) Appointing a guardian
C) Creating a living will
D) Updating a will

Answer 2

Creating a living will

Question 3

What is another name for etiquette?

A) Good education
B) Good manners
C) Good attitude
D) Good morals

Answer 3

Good manners

Question 4

Who is called "the father of modern medicine"?

A) Galileo
B) Zeus
C) Hippocrates
D) Galen

Question 5

The law, as it applies to standards of acceptable care, is known as:

A) Medical ethics
B) Medical jurisprudence
C) Medical etiquette
D) Medical morals

Question 6

Medical practice acts __________ users of healthcare services.

A) Protect
B) Harm
C) Contact
D) Pay

Question 7

The permit issued by the registration branch of the Drug Enforcement Administration (DEA) must be renewed how often?

A) Bi-annually
B) Annually
C) Every three years
D) Every five years

Question 8

The relationship between the physician and the patient starts when the patient:

A) Goes to the physician for care
B) Receives a bill
C) Receives a diagnosis
D) Selects the physician as a PCP

Question 9

The contract between a physician and patient is _____, that is, it is not expressed in either words or writing.

A) Not valid
B) A deal
C) Implied
D) Applied

Question 10

At times a written contract is provided. This is called a(n) __________ contract.

A) Implied
B) Expressed
C) Fixed
D) Common

Question 11

A standard written contract may allow a patient to:

A) Have one free office visit
B) Pay for services at a 10% discount
C) Receive free care
D) Pay for services over an extended period of time

Question 12

In the physician-patient relationship, the patient _____ certain responsibilities.

A) Does have
B) Does not have
C) Has to earn
D) May always waive

Question 13

Which type of consent applies to routine treatment only?

A) Implied
B) Expressed
C) Defined
D) Belated

Question 14

Which type of consent is important to avoid later lawsuits, or even more seriously, criminal accusations?

A) Implied
B) Expressed
C) Defined
D) Belated

Question 15

Which type of consent means that the patient has had an illness or problem explained by the physician in simple, understandable language?

A) Expressed
B) Implied
C) Informed
D) Oral

Question 16

This gives someone else, of the patient's choosing, the right to make decisions for the patient:

A) Durable power of attorney
B) Certified power of attorney
C) Secure power of attorney
D) Trusting power of attorney

Question 17

How many categories of covered entities are there?

A) Three
B) Two
C) One
D) Four

Question 18

Individually identifiable health information that is transmitted or maintained by electronic media is called:

A) Patient Health Information
B) Private Health Information
C) Protected Health Information
D) Personal Health Information

Question 19

PHI includes all of the following except:

A) Social Security Number
B) Telephone Number
C) Finger Prints
D) Weight

Question 20

The HIPAA law requires identifiers for all of the following except:

A) Providers
B) Health Claims
C) Patients
D) Health plans

Question 21

The NPI is a __________ position numeric identifier with a check digit in the last position to help detect keying errors.

A) 10
B) 8
C) 6
D) 12

Question 22

The minimum necessary standard does not apply to disclosures for which purposes?

A) Among healthcare providers for treatment purposes
B) Among patients' family and friends for informational purposes
C) Among healthcare providers and students for research purposes
D) Among patients in the waiting room for conversational purposes

Question 23

For use or disclosure of PHI other than for treatment, payment, or operations, the patient must:

A) Pay a release of information fee
B) Sign an authorization to release information
C) Call and authorize the release of information
D) Visit the physician within 30 days of the release of information

Question 24

TPO stands for:

A) Treatment, payment, organization
B) Taxation, physician, organization
C) The payment operation
D) Treatment, payment, operations

Question 25

An authorization document must be in plain language and include all of the following except:

A) Signature of the individual
B) Description of the purpose of each disclosure
C) Expiration date
D) Cost requirement for release of information

Question 26

Adherence to rules and regulations is also known as:

A) Legality
B) Compliance
C) Complements
D) Ability

Question 27

This person may be an office manager or a biller:

A) Chief Medical Officer
B) Chief of Staff
C) Chief Compliance Officer
D) Chief Financial Officer

Question 28

This type of environment makes employees feel encouraged to report mistakes promptly without fear of retribution:

A) Open door policy
B) Closed door policy
C) Online-only policy
D) Chain of command policy

Question 29

An audit should be conducted at least how often by a designated staff member or outside consultant?

A) Once per year
B) Once every two years
C) Every six months
D) Once every five years

Question 30

Within how many days should corrective action be taken once a problem is identified?

A) 30 days
B) 60 days
C) 90 days
D) 120 days

Question 31

Accurate data entry speeds the correct payment of claims and lessens the chance of:

A) Local fines
B) State fines
C) State audit
D) Federal audit

Question 32

Accurate documentation contributes to improved:

A) Patient satisfaction
B) Patient compliance
C) Patient care
D) Patient payment

Question 33

Assistants who maintain good __________ relationships with patients and other staff members help reduce the likelihood of litigation.

A) Social
B) Extracurricular
C) Outside
D) Interpersonal

Question 34

Documentation of all __________ should be placed in the compliance manual.

A) Hiring
B) Training
C) Firing
D) Auditing

Question 35

Many practices accept requests for information only when they are:

A) Requested in writing
B) Requested in person
C) Requested by an attorney
D) Both written and notarized

Question 36

How many parts are there to HIPAA's Administrative Simplification provisions?

A) One
B) Two
C) Three
D) Four

Question 37

Which is not a standard of the HIPAA Administrative Simplification Provisions?

A) HIPAA Security Requirements
B) HIPAA Electronic Transaction and Code Set Standard Requirements
C) HIPAA Privacy Requirements
D) HIPAA Release of Information Requirements

Question 38

If a physician wishes to videotape a patient visit or procedure for training purposes, which kind of consent must the patient give?

A) Expressed consent
B) Implied consent
C) No consent
D) Written consent

Question 39

The area of ____ deals with the ethics of medical treatment and technologies, processes, and scarcity of resources.

A) Ethics
B) Etiquette
C) Compliance
D) Bioethics

Question 40

When Patricia was diagnosed with Alzheimer's disease, she decided she might need another individual to make informed medical decisions, should she not be able to make them for herself. Which document would she need to complete?

A) Medical durable power of attorney
B) Expressed consent form
C) Certificate of deposit
D) Deposition

Question 41

The following information was placed on the computer screen containing electronic health information data: Susan Durbin, Social Security number 123-45-6789, DOB 12/3/1975. Upon checkout, Susan's neighbor saw the data on the screen and later called Susan to ask why she was seeing the doctor. Why is this a breach of confidentiality?

A) Protected health information was disclosed without permission
B) Health information was disclosed
C) The phone number was incorrect
D) The blood type was not listed

Question 42

Lisa is asked to develop and implement policies and procedures to protect medical data. What would be her first step?

A) Assign a security officer
B) Assign passwords to individuals who need access
C) Identify areas of vulnerability
D) Conduct staff training

Question 43

HIPAA stands for _________.

A) Health Insurance Portability and Account Action
B) Heathcare Interest Payment and Accountability Action
C) Health Insurance Portability and Accountability Act
D) Heathcare Income Payment and Account Action

Question 44

A general written consent for the sharing of information for the purpose of carrying out treatment or submitting insurance claims is a(n) ________________.

A) Authorization for the Release of Information
B) Statement of Defensive Medicine
C) Statement of Ethics
D) Etiquette Form

Question 45

A patient's refusal to have tests, x-rays, or vaccinations can be defined as ______________.

A) Release of information
B) Contributory negligence
C) Fraud
D) Falsifying information

Question 46

_____________ is an intentionally dishonest practice that deprives others of their rights.

A) Etiquette
B) Abuse
C) Contributory negligence
D) Fraud

Question 47

A law set to limit the time for initiating litigation is known as ________________________.

A) Arbitration
B) Settlement
C) Statute of limitations
D) Contributory negligence

Question 48

A clear threat of injury to another is ______________.

A) Assault
B) Contributory Negligence
C) Fraud
D) Ethics

Question 49

_______________ is any bodily contact without permission.

A) Assault
B) Battery
C) Fraud
D) Ethics

Question 50

When a physician orders additional tests and follow-up visits to confirm a diagnosis or treatment, this kind of medicine is known as _______________________.

A) Defensive medicine
B) Contributory negligence
C) Malpractice
D) Advanced directives

Question 51

Behaviors and customs that are standards for what is considered good manners is ________.

A) Etiquette
B) Ethics
C) Moral values
D) Bioethics

Question 52

A(n) __________________________ gives someone else, of the patient's choosing, the right to make decisions for the patient.

A) Durable power of attorney
B) Expressed consent
C) Informed consent
D) Summons

Question 53

In order to prescribe controlled substances, the physician must be registered with the ______________.

A) POA
B) DEA
C) DPA
D) GPA

Question 54

_____________ deals with the ethics of medical treatment, technology, and procedures.

A) Express consent
B) Etiquette
C) Ethics
D) Bioethics

Question 55

A(n) _________________ provides a license to practice medicine.

A) Licensure
B) Compliance
C) Good Samaritan acts
D) Liability

Question 56

__________________________ are companies that "translate" or "facilitate"
Translation of electronic transactions between the providers of health care and the healthcare plans.

A) Good Samaritan Acts
B) Business associates
C) Healthcare clearinghouses
D) CMS

Question 57

The AAMA has developed the ______________________ which outlines moral and ethical behaviors for the medical assistant in relation to the medical profession.

A) Code of Ethics and Creed
B) Malpractice Guidelines
C) Hippocratic Oath
D) Informed Consent

Question 58

Which document states clearly the intent to refuse certain life-sustaining measures and specifies the length and methods of these measures?

A) Living will
B) Code of ethics and creed
C) Hippocratic oath
D) Informed consent

Question 59

Each ____________ governs the practice of medicine within its borders through laws known as medical practice acts.

A) Town
B) County
C) State
D) Community

Question 60

When a minor has gained independence either by situation or by court order, this is referred to as:

A) Authorization
B) Emancipation
C) Subpoena
D) Litigation

Question 61

Liability for negligence is recognized by law to include not only the physician's action but also the actions of:

A) The patient
B) The clearninghouse
C) The physician's employees
D) The referring physician

Question 62

Risk areas that need to be in a compliance plan must address:

A) Coding and billing only
B) Documentation and improper inducements only
C) Reasonable services, coding and billing and improper inducements only
D) Coding, documentation, improper inducements, and reasonable services

Question 63

Dr. Smith's son is a partner in a medical testing facility, and Dr. Smith sends all his patients to this facility for testing. This is an example of:

A) Improper coding and billing
B) Improper inducements
C) Kickbacks
D) Self-referral

Question 64

Dr. Goveia's medical assistant, Melissa, has contacted the local medical supply company and informed them that she will purchase items from them if they give her a check for $10.00 every time she places an order. This is an example of:

A) Improper coding and billing
B) Improper inducements
C) Kickbacks
D) Self-referral

Question 65

Dr. Mary Crib, who is a dermatologist, has contacted the local health clinic and informed the staff that if they refer to her any patients on Medicare or Medicaid, she will give the health clinic a 10% referral payment. This is an example of:

A) Improper coding and billing
B) Improper inducements
C) Kickbacks
D) Self-referral

Question 66

_______________ requires a party to appear in court and to bring specified documents or items.

A) Compliance
B) Good Samaritan Act
C) Subpoena
D) Subpoena duces tecum

Question 67

Mental health information, genetics information, and ___________________ are not included in the designated record set.

A) Psychotherapy notes
B) Medical billing records
C) Medical coding records
D) PHI

Question 68

Which standards require standardization in healthcare e-commerce?

A) Privacy Rule
B) Security Rule
C) Transactions and Code Set Standards
D) PHI

Question 69

According to HIPAA, when utilizing a third-party billing service that is not a clearinghouse, what must you have on file?

A) Business Associate agreement
B) Authorization
C) Medical practice acts
D) Informed consent

Question 70

Concepts of what is good and professional behavior, which is shown in ethics by the use of words such as compassion, honesty, honorable and responsibility is:

A) Etiquette
B) Ethics
C) Moral values
D) Compliance

Question 71

Martha comes in the office and presents a state assistance card, followed by the next patient, Debra, who presents a Blue Cross Blue Shield card. The medical assistant greets Debra with a smile but never acknowledges Martha, and after handing back Martha's card, the medical assistant makes sure to sanitize her hands. This is an example of:

A) Poor ethics
B) Poor etiquette
C) Compliance
D) Liability

Question 72

______________________ are legal documents stating the patient's wishes for medical care, should he or she not be able to make these decisions.

A) Authorizations
B) Good Samaritan acts
C) Medical Practice acts
D) Advance directives

Question 73

Most states have adopted a newer method to help patients who are not able to express desired life-sustaining interventions called _____________, and it is signed by both the patient and the physician.

A) DEA
B) POLST
C) EMT
D) GSA

Question 74

A local physician has decided that he no longer wants to treat patients with a diagnosis of HIV but does not send a letter stating that the practice will locate another physician. The patient is concerned because he has not been informed of this and has decided to sue the physician for:

A) Medical abandonment
B) Assault
C) Battery
D) Contributory negligence

Question 75

A sworn statement to the court before any trial begins is called a

A) Summons.
B) Subpoena.
C) Subpoena duces tecum.
D) Deposition.

Question 76

Which of these is a written notice that is sent to the person being sued?

A) Summons
B) Subpoena
C) Subpoena duces tecum
D) Deposition

Question 77

A legal document in which the court orders that all documents relevant to the case be delivered to the court is called a

A) Summons.
B) Subpoena.
C) Subpoena duces tecum.
D) Deposition.

Question 78

____________________ is when the plaintiff and the physician's insurance company reach an agreement and the case does not go to court.

A) Arbitration
B) Settlement
C) Statute of limitations
D) Contributory negligence

Question 79

What is it called when a person who is not a judge hears evidence and helps both sides resolve the dispute or makes a decision if the two sides cannot agree as an alternative to trial?

A) Arbitration
B) Settlement
C) Statute of Limitations
D) Contributory Negligence

Question 80

Which of these was designed to protect individuals who render care to an injured person from liability for civil damages that may arise as a result of providing emergency care?

A) Arbitration
B) Settlement
C) Contributory negligence
D) Good Samaritan Act