#1
Which organization oversees healthcare compliance in the United States?
CMS
ExplanationCMS (Centers for Medicare & Medicaid Services) oversees healthcare compliance in the United States.
#2
What does HIPAA stand for in healthcare compliance?
Health Insurance Portability and Accountability Act
ExplanationHIPAA (Health Insurance Portability and Accountability Act) stands for a comprehensive law ensuring the security and privacy of individuals' health information.
#3
What does EHR stand for in the context of healthcare compliance?
Electronic Health Record
ExplanationEHR (Electronic Health Record) is a digital version of a patient's paper chart, promoting efficient healthcare information management.
#4
Which of the following is an example of a healthcare compliance violation?
Failure to report adverse events in clinical trials
ExplanationFailure to report adverse events in clinical trials constitutes a healthcare compliance violation.
#5
What is the purpose of the Privacy Rule under HIPAA?
To protect individuals' medical records and other personal health information
ExplanationThe Privacy Rule under HIPAA is designed to protect individuals' medical records and other personal health information from unauthorized access and disclosure.
#6
What is the purpose of the Sunshine Act in healthcare compliance?
To promote transparency around financial relationships between healthcare providers and manufacturers
ExplanationThe Sunshine Act promotes transparency by requiring disclosure of financial relationships between healthcare providers and manufacturers.
#7
Which of the following is NOT a primary goal of healthcare compliance programs?
Increasing healthcare costs
ExplanationIncreasing healthcare costs is NOT a primary goal of healthcare compliance programs; rather, they aim to ensure adherence to regulations, quality care, and cost-effectiveness.
#8
What is the purpose of the Stark Law?
To prevent self-referral and physician financial conflicts of interest
ExplanationThe Stark Law aims to prevent self-referral and conflicts of interest by physicians in financial matters within healthcare.
#9
Which of the following is NOT a requirement of the HITECH Act?
Regulation of pharmaceutical marketing practices
ExplanationRegulation of pharmaceutical marketing practices is NOT a requirement of the HITECH Act; instead, it focuses on promoting the adoption of health information technology.
#10
What is the purpose of the False Claims Act in healthcare compliance?
To regulate billing practices and prevent healthcare fraud
ExplanationThe False Claims Act aims to regulate billing practices and prevent fraud in the healthcare sector.
#11
Which legislation introduced the concept of meaningful use in healthcare?
Health Information Technology for Economic and Clinical Health (HITECH) Act
ExplanationThe HITECH Act introduced the concept of meaningful use in healthcare by promoting the adoption of electronic health records.
#12
What is the role of the Office for Civil Rights (OCR) in healthcare compliance?
Enforcing HIPAA regulations
ExplanationThe Office for Civil Rights (OCR) enforces HIPAA regulations, ensuring compliance and protecting individuals' rights regarding health information.
#13
What agency enforces compliance with the Anti-Kickback Statute?
Office of Inspector General (OIG)
ExplanationThe Office of Inspector General (OIG) enforces compliance with the Anti-Kickback Statute, ensuring healthcare practices remain free from kickbacks.
#14
Which entity is responsible for accrediting healthcare organizations in the United States?
Joint Commission
ExplanationThe Joint Commission is responsible for accrediting healthcare organizations in the United States, ensuring they meet quality and safety standards.
#15
What is the role of OSHA in healthcare compliance?
Ensuring workplace safety for healthcare employees
ExplanationOSHA (Occupational Safety and Health Administration) plays a role in healthcare compliance by ensuring workplace safety for healthcare employees.
#16
What does OIG stand for in the context of healthcare compliance?
Office of Inspector General
ExplanationOIG (Office of Inspector General) plays a crucial role in overseeing and enforcing compliance in healthcare.
#17
What is the role of the Centers for Medicare & Medicaid Services (CMS) in healthcare compliance?
Administering federal healthcare programs and overseeing compliance with their regulations
ExplanationCMS administers federal healthcare programs and oversees compliance with their regulations, ensuring quality and adherence to standards.
#18
What is the primary goal of the Federal Sentencing Guidelines for Organizations (FSGO) in relation to healthcare compliance?
To provide incentives for healthcare organizations to self-disclose compliance violations
ExplanationThe primary goal of FSGO in healthcare compliance is to provide incentives for organizations to self-disclose compliance violations and promote ethical practices.