Deck 17: Healthcare Laws

Question 1

What term means to be free from unwanted intrusion?

A) Confidentiality
B) Precedence
C) State Preemption
D) Privacy

Answer 1

Privacy

Question 2

A HIPAA term that refers to healthcare providers, insurance plans, and healthcare clearinghouse that transmit protected health information electronically.

A) Permission
B) Business associate
C) Protected health information
D) Limited data set
E) Covered entities

Answer 2

Covered entities

Question 3

A provider treats a patient for an emotional condition. The patient requests her records and the provider refuses to release the records. What statement is true about this situation?

A) The provider is in error. HIPAA requires all patient can see their records.
B) The provider is in error. HITECH allows patients to receive a copy of their records.
C) The provider has a right to refuse based on the doctrine of professional discretion.
D) The provider has a right under a permission in HIPAA.

Answer 3

The provider has a right to refuse based on the doctrine of professional discretion.

Question 4

What is true regarding the Privacy Rule?

A) Created national standards that protect patient information
B) Limits situations where patient information can be used or disclosed
C) Allows patients to examine their health information
D) Allows patients to obtain a copy of their health records
E) All of the above

Question 5

What is true regarding compliance reporting for unsafe activities?

A) OSHA gives employees the right to file a complaint.
B) Employees can request an OSHA inspection.
C) OSHA will keep the reporter's information confidential.
D) All of the above are true.
E) A and C are true.

Question 6

What is not direct patient identifier?

A) Demographic information
B) Payment information
C) Physical health conditions
D) Insurance information

Question 7

A(n) _________ is the disclosing private facts without consent of the individual.

A) precedence
B) invasion of privacy
C) confidentiality
D) intentional tort

Question 8

_________ is a legally protected right of patients.

A) Privacy
B) Confidentiality
C) HIPAA
D) HITECH
E) Precedence

Question 9

What patient records are held at a higher level of confidentiality?

A) HIV records
B) Drug and alcohol substance abuse
C) Psychotherapy notes
D) All of the above

Question 10

What is part of the psychotherapy notes?

A) Prescriptions
B) Start and end times of the sessions
C) Results of clinical tests
D) Provider's analysis
E) Types and frequency of treatment

Question 11

Who are mandatory reporters for child maltreatment?

A) School personnel
B) Social workers
C) Healthcare providers
D) Law enforcement officers
E) All of the above

Question 12

What are reportable cases per state statutes?

A) Sexually transmitted infections
B) Injuries related to violence
C) Abuse, neglect, and exploitation
D) Specific diseases
E) All of the above

Question 13

What is true regarding the ADA Amendments Act of 2008?

A) Also known as ADA.
B) Expands the meaning and interpretation of the definition of disability.
C) People with cancer, diabetes, learning disabilities, and epilepsy are covered under this law.
D) All of the above
E) B and C only

Question 14

What is true regarding HIPAA?

A) Standard 1 related to transaction and code sets
B) Standard 2 related to the Privacy Rule
C) Standard 3 related to the Security Rule
D) Standard 4 related to unique identifiers for the providers, health plan, and the employer
E) All of the above

Question 15

This HIPAA term means a reason for releasing or disclosing patient information.

A) De-identify
B) Limited data set
C) Permission
D) Protected health information
E) Privacy

Question 16

A HIPAA term that relates to an agency or person that provides a service to a healthcare agency.

A) Permission
B) Business associate
C) Protected health information
D) Limited data set
E) Covered entities

Question 17

The Security Rule relates to

A) protecting written, electronic, and oral patient health information.
B) protecting the patient information that is electronically stored and transmitted.
C) providing unique numbers to all healthcare providers.
D) All of the above

Question 18

What agency enforces HIPAA?

A) OSHA
B) HHS Office for Civil Rights
C) FDA
D) GINA

Question 19

This is the unique identifier given to all healthcare providers.

A) EIN
B) HPI
C) NPI
D) EPI

Question 20

Walden-Martin Family Medicine Clinic is a ___________ and their accountants are considered _______________ under HIPAA.

A) PHI; covered entity
B) covered entity; permission
C) covered entity; business associate
D) business associate; PHI
E) business associate; covered entity

Question 21

This law prohibits intentionally defrauding any healthcare benefit program.

A) Stark Law
B) The Healthcare Fraud Statute
C) Federal Anti-Kickback Law
D) False Claims Act

Question 22

Failure to provide children with adequate nutrition and clothing is considered

A) physical abuse.
B) emotional abuse.
C) medical neglect.
D) educational neglect.
E) physical neglect.

Question 23

This act prohibits employment discrimination based on the person's genetic information.

A) Title VII
B) ADEA
C) GINA
D) ADA
E) FICA

Question 24

This law prohibits child labor and provides overtime pay and a minimum wage.

A) FICA
B) Fair Labor Standards Act
C) EPA
D) ERISA
E) FMLA

Question 25

Which situation would require a written authorization from a patient to disclose the PHI?

A) Tammy wants to get a copy of her own records.
B) Tom didn't pay his bill and the healthcare facility wants to turn his bill over to a collection agency.
C) Beth's employer requires a copy of the pre-employment health physical.
D) Susan has a sexually transmitted infection and her information must be reported to the local health department.
E) All of the above require written authorization before releasing the PHI.

Question 26

The purpose of the act was to make organ donation easier for people.

A) National Organ Transplant Act
B) Patient Self-Determination Act
C) Uniform Determination of Death Act
D) Uniform Anatomical Gift Act
E) Advance Directives Act

Question 27

This law provides unpaid leave time for maternity, adoption, or caring for ill family members.

A) FICA
B) EPA
C) ERISA
D) GINA
E) FMLA

Question 28

This act requires most healthcare institutions to inform patients of their rights to make decisions and the facility's policies respecting advance directives.

A) National Organ Transplant Act
B) Patient Self-Determination Act
C) Uniform Determination of Death Act
D) Uniform Anatomical Gift Act
E) Advance Directives Act

Question 29

This law prohibits intentionally receiving or giving anything of value to get referrals or generate federal healthcare program business.

A) Stark Law
B) The Healthcare Fraud Statute
C) Federal Anti-Kickback Law
D) False Claims Act

Question 30

This law prohibits a healthcare provider from referring a Medicare patient for services to a facility in which the provider or the provider's immediate family has a financial relationship.

A) Stark Law
B) The Healthcare Fraud Statute
C) Federal Anti-Kickback Law
D) False Claims Act

Question 31

What is true regarding incident reports?

A) The purpose is to gather information about the situation in case of a future lawsuit
B) Should be completed for medication errors and medical device malfunction
C) Complete by providing the details and draw conclusions regarding the situation
D) All of the above are true.
E) A and B are true.

Question 32

What is true regarding the Food, Drug, and Cosmetic Act?

A) Involved in the process of drug recalls
B) Enforces by the DEA
C) Responsible for the safety, effectiveness, security, and quality of drugs
D) All of the above.
E) A and C are true.

Question 33

What is true regarding HITECH?

A) Held business associations directly liable for compliance to HIPAA.
B) Created greater penalty amounts for greater violations.
C) Increased the breach notification requirements.
D) All of the above.
E) A and B are true.

Question 34

This law created a payroll tax that requires a deduction from a person's paycheck. The withheld amount and an employer contribution fund the Social Security program and a portion of Medicare.

A) FICA
B) Fair Labor Standards Act
C) EPA
D) ERISA
E) FMLA

Question 35

This law prohibits a person from submitting fraudulent Medicare or Medicaid claims for payment.

A) Stark Law
B) The Healthcare Fraud Statute
C) Federal Anti-Kickback Law
D) False Claims Act

Question 36

This law, also called the Wagner Act, gave the right to most workers to organize or join a union.

A) Title VII of the Civil Rights Act
B) Age Discrimination in Employment Act
C) Rehabilitation Act
D) Pregnancy Discrimination Act
E) National Labor Relations Act

Question 37

What is the importance of GINA?

A) Modified HIPAA and increases the protection to individuals
B) Guaranteed equal pay and prevented hiring discrimination
C) Prohibits genetic discrimination in health coverage and employment
D) All of the above.
E) A and C are true.

Question 38

_______ is a disclosure of PHI, without a reason, which compromises the security or privacy of the information.

A) Permission
B) Confidentiality
C) HIPAA
D) Breach
E) Disclosure

Question 39

This law prohibits employment discrimination based on color, race, gender, religion, or national origin.

A) Title VII of the Civil Rights Act
B) Age Discrimination in Employment Act
C) Rehabilitation Act
D) Civil Rights Act
E) National Labor Relations Act

Question 40

What is true regarding HITECH?

A) It was part of the American Recovery and Reinvestment Act.
B) It is enforced by the HHS Office for Civil Rights.
C) It increased the enforcement of the privacy and security of electronic transmission and health information.
D) All of the above.
E) A and C are true.

Question 41

These state laws provide legal protection for those assisting an injured person during an emergency.

A) HIPAA
B) HITECH
C) CLIA
D) UDDA
E) Good Samaritan laws

Question 42

What is true regarding the Good Samaritan law?

A) A healthcare professional cannot be sued when helping out in an emergency.
B) A healthcare professional cannot be paid for the care given during an emergency.
C) A healthcare professional must use the same professional standard of care within the limitations of the situation.
D) All of the above.
E) B and C are true.

Question 43

What is true regarding CLIA?

A) Establishes quality standards and regulates laboratory testing
B) Quality standards focus on accuracy, reliability, and timeliness of test results
C) Only large healthcare facilities and hospitals need to follow the CLIA requirements.
D) All of the above.
E) A and B are true.

Question 44

A provider's spouse owns a physical therapy center. You notice that the provider refers many of the orthopedic patients to that physical therapy center. What should the medical assistant do?

A) Nothing, since this is not illegal.
B) Nothing, since the provider is not hiding the referrals.
C) Follow the reporting procedures outlined in the facility's compliance program.
D) Report the physical therapy center to the state licensing board.

Question 45

What is true regarding adult abuse, neglect, and exploitation?

A) Abuse, neglect, and exploitation of older and dependent adults are addressed in state statutes.
B) The Older Americans Act maintains the rights and dignity of older people.
C) Typically, providers are mandated reporters under the law.
D) All of the above
E) B and C

Question 46

What is true regarding compliance programs?

A) They are programs within businesses that detect and prevent violations of laws.
B) Help to protect organizations from fines and lawsuits.
C) Most have reporting mechanisms for employees.
D) All of the above
E) A and B

Question 47

_______ involves techniques used to reduce or eliminate accidental loss to the healthcare facility.

A) Compliance reporting
B) Risk management
C) Retribution
D) Whistleblower
E) Exploitation

Question 48

Dr. Martin diagnoses Missy Brown with Hepatitis A, which is a reportable disease. What is true?

A) Federal laws describe reporting requirements for communicable diseases.
B) Missy needs to provide written authorization for her information released to the health department.
C) Urgent public health concerns like Hepatitis A must be reported immediately.
D) All of the above.
E) A and C are true.

Question 49

What is true regarding the Controlled Substance Act?

A) A state law regulating the sale of controlled substances
B) Enforced by the FDA
C) Concerned with only the legal drugs
D) Contains five schedules of medications
E) All of the above

Question 50

What conditions are typically reportable cases?

A) Gunshot wounds
B) Stabbings
C) Nonaccidental knife wounds
D) All of the above
E) A and B

Question 51

What is true regarding child maltreatment?

A) All states require child maltreatment to be reported.
B) Most states mandate specific professionals to report child maltreatment.
C) Most state statutes consider abuse and neglect information to be privileged communication.
D) All of the above
E) A and B

Question 52

How often does a provider need to get a DEA number?

A) Every year
B) Every 2 years
C) Every 3 years
D) Every 5 years
E) Once in a lifetime

Question 53

What is true regarding reporting errors in patient care?

A) Errors in patient care need to be immediately reported to the provider.
B) An incident report must be completed.
C) Some states have medical error reporting systems in place.
D) The department supervisor must be notified.
E) All of the above