#1
Which act established standards for the privacy and security of individually identifiable health information?
Health Insurance Portability and Accountability Act (HIPAA)
ExplanationHIPAA sets standards for protecting sensitive patient data in healthcare.
#2
Which regulatory agency oversees the approval and regulation of drugs and medical devices in the United States?
Food and Drug Administration (FDA)
ExplanationFDA regulates the safety and efficacy of drugs and medical devices.
#3
What does the acronym 'CMS' stand for in the context of healthcare compliance?
Centers for Medicare & Medicaid Services
ExplanationCMS oversees Medicare and Medicaid programs.
#4
What does the acronym 'OCR' stand for in the context of healthcare compliance?
Office of Civil Rights
ExplanationOCR enforces HIPAA's Privacy Rule to protect civil rights.
#5
What does the 'OIG' stand for in the context of healthcare compliance?
Office of Inspector General
ExplanationOIG investigates fraud and abuse in federal healthcare programs.
#6
What is the primary purpose of the Stark Law?
To prevent kickbacks and self-referrals in healthcare
ExplanationStark Law aims to prevent financial incentives for medical referrals.
#7
What does the term 'CLIA' stand for in healthcare compliance?
Clinical Laboratory Improvement Amendments
ExplanationCLIA sets quality standards for clinical laboratory testing.
#8
What is the purpose of the False Claims Act (FCA) in healthcare?
To prevent fraudulent billing to government healthcare programs
ExplanationFCA aims to prevent submission of false claims for government reimbursement.
#9
Which of the following is NOT a protected health information (PHI) identifier under HIPAA?
Email address
ExplanationEmail addresses are not considered PHI identifiers under HIPAA.
#10
What is the purpose of the Sunshine Act in healthcare?
To promote transparency regarding financial relationships between healthcare providers and pharmaceutical companies
ExplanationThe Sunshine Act aims to disclose financial ties between providers and pharmaceutical companies.
#11
Which of the following is NOT a component of a compliance program in healthcare?
Billing fraud
ExplanationBilling fraud is a violation, not a component of compliance programs.
#12
What does 'HITECH' refer to in the context of healthcare compliance?
Health Information Technology for Economic and Clinical Health Act
ExplanationHITECH promotes the adoption of electronic health records and protects health information.
#13
Which of the following is NOT typically considered a violation of the Anti-Kickback Statute?
Providing free services to uninsured patients
ExplanationProviding free services is not a violation; kickbacks are.
#14
Which of the following is NOT a requirement under the Health Insurance Portability and Accountability Act (HIPAA)?
Requiring healthcare providers to obtain consent before treatment
ExplanationHIPAA does not mandate consent for treatment; it focuses on privacy and security of health data.
#15
Which of the following is NOT typically covered by the Emergency Medical Treatment and Labor Act (EMTALA)?
Mandating insurance coverage for emergency medical services
ExplanationEMTALA ensures emergency medical care regardless of insurance status.