Question 1

The Centers for Medicare and Medicaid Services (CMS) administer programs for the prevention and control of communicable and vector-borne diseases and other preventable conditions.

Accepted Answer

A) True 
 B)False  False

Question 2

Match the term with its definition.
-considered superior or supreme above laws arising from other sources

Accepted Answer

A) constitutional law 
B) statutory law 
C) ordinances 
D) administrative law 
E) executive orders
F)common law 
A) constitutional law 
B) statutory law 
C) ordinances 
D) administrative law 
E) executive orders
F)common law A

Question 3

Match the program with its function.
-designed to reduce payment errors and protect and strengthen the Medicare Trust Fund

Accepted Answer

A) Healthcare Fraud and Abuse Control Program 
B) Medicare Integrity Program 
C) Beneficiary Incentive Program 
D) Medicaid Fraud and Abuse National Initiative 
E) Healthcare Fraud and Abuse Data Collection Program 
A) Healthcare Fraud and Abuse Control Program 
B) Medicare Integrity Program 
C) Beneficiary Incentive Program 
D) Medicaid Fraud and Abuse National Initiative 
E) Healthcare Fraud and Abuse Data Collection Program B

Question 4

Which is the most accurate statement about the Privacy Rule and the Security Rule?

Accepted Answer

A)  The Privacy Rule establishes the concept of protected health information. 
B)  The Privacy Rule and Security Rule are interchangeable terms. 
C)  They apply only to insured individuals. 
A)  The Privacy Rule establishes the concept of protected health information. 
B)  The Privacy Rule and Security Rule are interchangeable terms. 
C)  They apply only to insured individuals.

Question 5

A local health care facility reports that their costs have risen since they initiated the transition from paper to electronic patient information. HIPAA's administrative simplification effort was predicted to have an effect of decreasing costs. What would you infer from this information?

Accepted Answer

It is too early to conclude wh

Question 6

HIPAA was passed in 1996 and was designed with four goals in mind. Describe the four goals.

Accepted Answer

(1) provide insurance portability; (2) p

Question 7

Which of the following statements are most accurate in regards to record retention policies?

Accepted Answer

A)  Health record content must be retained for a minimum of 7 years. 
B)  Record retention policies can vary from state to state. 
C)  Accrediting bodies determine the final guidelines for record retention policies. 
D)  State regulatory bodies determine the final guidelines for record retention policies. 
A)  Health record content must be retained for a minimum of 7 years. 
B)  Record retention policies can vary from state to state. 
C)  Accrediting bodies determine the final guidelines for record retention policies. 
D)  State regulatory bodies determine the final guidelines for record retention policies.

Question 8

____________ are principles established by authorities prescribing or directing certain actions or forbearance from actions.

Accepted Answer

A)  Standards 
B)  Regulations 
C)  Rules 
D)  Requirements 
A)  Standards 
B)  Regulations 
C)  Rules 
D)  Requirements

Question 9

What does the principle of minimum necessary standard govern? What is required of the health care provider?

Accepted Answer

The principle of the minimum necessary s

Question 10

Civil law is generally defined as that part of the law that includes criminal law.

Accepted Answer

A) True 
 B)False

Question 11

Match the term with its definition.
-prescribed by the controlling authority, which has binding legal force

Accepted Answer

A) law 
B) regulations 
C) rules 
D) requirements 
E) standards 
A) law 
B) regulations 
C) rules 
D) requirements 
E) standards

Question 12

If the scenario given above, where a neighbor verbally threatens you, now escalates to the neighbor pushing you to the ground, which type(s) of laws (private, public, criminal, civil) are involved and why?

Accepted Answer

Public law can encompass both

Question 13

Match the term with its definition.
-intentional deception of another to that person's detriment

Accepted Answer

A) fraud 
B) abuse 
C) waste 
D) upcoding 
E) unbundling 
A) fraud 
B) abuse 
C) waste 
D) upcoding 
E) unbundling

Question 14

The AOA is the most widely known accrediting body in health care.

Accepted Answer

A) True 
 B)False

Question 15

Match the program with its function.
-creation of a national health care fraud and abuse database

Accepted Answer

A) Healthcare Fraud and Abuse Control Program 
B) Medicare Integrity Program 
C) Beneficiary Incentive Program 
D) Medicaid Fraud and Abuse National Initiative 
E) Healthcare Fraud and Abuse Data Collection Program 
A) Healthcare Fraud and Abuse Control Program 
B) Medicare Integrity Program 
C) Beneficiary Incentive Program 
D) Medicaid Fraud and Abuse National Initiative 
E) Healthcare Fraud and Abuse Data Collection Program

Question 16

Record retention policies are the general principles determining the length of time that health records must be maintained by the health care provider.

Accepted Answer

A) True 
 B)False

Question 17

Match the term with its definition.
-laws created by the legislative branches of federal and state governments

Accepted Answer

A) constitutional law 
B) statutory law 
C) ordinances 
D) administrative law 
E) executive orders
F)common law 
A) constitutional law 
B) statutory law 
C) ordinances 
D) administrative law 
E) executive orders
F)common law

Question 18

You have a disagreement with your neighbor and the neighbor verbally threatens you. Is this an example of assault? Why or why not? Is this an example of battery? Why or why not?

Accepted Answer

This is an example of assault

Question 19

CMS (Centers for Medicare and Medicaid Services) has granted deeming authority to JCAHO. What does deeming authority mean?

Accepted Answer

Deeming authority means that c

Question 20

Match the term with its definition.
-submitting a billing code for a higher level of reimbursement than was actually rendered

Accepted Answer

A) fraud 
B) abuse 
C) waste 
D) upcoding 
E) unbundling 
A) fraud 
B) abuse 
C) waste 
D) upcoding 
E) unbundling

The Centers for Medicare and Medicaid Services (CMS) administer programs for the prevention and control of communicable and vector-borne diseases and other preventable conditions.

Match the term with its definition. -considered superior or supreme above laws arising from other sources

Match the program with its function. -designed to reduce payment errors and protect and strengthen the Medicare Trust Fund

Which is the most accurate statement about the Privacy Rule and the Security Rule?

A local health care facility reports that their costs have risen since they initiated the transition from paper to electronic patient information. HIPAA's administrative simplification effort was predicted to have an effect of decreasing costs. What would you infer from this information?

HIPAA was passed in 1996 and was designed with four goals in mind. Describe the four goals.

Which of the following statements are most accurate in regards to record retention policies?

____________ are principles established by authorities prescribing or directing certain actions or forbearance from actions.

What does the principle of minimum necessary standard govern? What is required of the health care provider?

Civil law is generally defined as that part of the law that includes criminal law.

Match the term with its definition. -prescribed by the controlling authority, which has binding legal force

If the scenario given above, where a neighbor verbally threatens you, now escalates to the neighbor pushing you to the ground, which type(s) of laws (private, public, criminal, civil) are involved and why?

Match the term with its definition. -intentional deception of another to that person's detriment

The AOA is the most widely known accrediting body in health care.

Match the program with its function. -creation of a national health care fraud and abuse database

Record retention policies are the general principles determining the length of time that health records must be maintained by the health care provider.

Match the term with its definition. -laws created by the legislative branches of federal and state governments

You have a disagreement with your neighbor and the neighbor verbally threatens you. Is this an example of assault? Why or why not? Is this an example of battery? Why or why not?

CMS (Centers for Medicare and Medicaid Services) has granted deeming authority to JCAHO. What does deeming authority mean?

Match the term with its definition. -submitting a billing code for a higher level of reimbursement than was actually rendered

Health Care Delivery Systems

The Health Information Management Profession

Ethical Standards

Health Data Content and Structures

Nomenclatures and Classification Systems

Quality Health Care Management

Health Statistics

Research

Database Management

Information Systems Technology

Informatics

Management Organization

Human Resource Management

Financial Management

Reimbursement Methodologies

Filters

Exam 3: Legal Issues

The Centers for Medicare and Medicaid Services (CMS) administer programs for the prevention and control of communicable and vector-borne diseases and other preventable conditions.

Match the term with its definition. -considered superior or supreme above laws arising from other sources

Match the program with its function. -designed to reduce payment errors and protect and strengthen the Medicare Trust Fund

Which is the most accurate statement about the Privacy Rule and the Security Rule?

A local health care facility reports that their costs have risen since they initiated the transition from paper to electronic patient information. HIPAA's administrative simplification effort was predicted to have an effect of decreasing costs. What would you infer from this information?

HIPAA was passed in 1996 and was designed with four goals in mind. Describe the four goals.

Which of the following statements are most accurate in regards to record retention policies?

____________ are principles established by authorities prescribing or directing certain actions or forbearance from actions.

What does the principle of minimum necessary standard govern? What is required of the health care provider?

Civil law is generally defined as that part of the law that includes criminal law.

Match the term with its definition. -prescribed by the controlling authority, which has binding legal force

If the scenario given above, where a neighbor verbally threatens you, now escalates to the neighbor pushing you to the ground, which type(s) of laws (private, public, criminal, civil) are involved and why?

Match the term with its definition. -intentional deception of another to that person's detriment

The AOA is the most widely known accrediting body in health care.

Match the program with its function. -creation of a national health care fraud and abuse database

Record retention policies are the general principles determining the length of time that health records must be maintained by the health care provider.

Match the term with its definition. -laws created by the legislative branches of federal and state governments

You have a disagreement with your neighbor and the neighbor verbally threatens you. Is this an example of assault? Why or why not? Is this an example of battery? Why or why not?

CMS (Centers for Medicare and Medicaid Services) has granted deeming authority to JCAHO. What does deeming authority mean?

Match the term with its definition. -submitting a billing code for a higher level of reimbursement than was actually rendered

Health Care Delivery Systems

The Health Information Management Profession

Ethical Standards

Health Data Content and Structures

Nomenclatures and Classification Systems

Quality Health Care Management

Health Statistics

Research

Database Management

Information Systems Technology

Informatics

Management Organization

Human Resource Management

Financial Management

Reimbursement Methodologies

Filters