#1
Which organization oversees healthcare regulations in the United States?
CMS
ExplanationCMS oversees healthcare regulations in the US.
#2
What does HIPAA stand for?
Health Insurance Portability and Accountability Act
ExplanationHIPAA stands for Health Insurance Portability and Accountability Act.
#3
Which act created the Health Insurance Marketplace?
Affordable Care Act (ACA)
ExplanationThe Affordable Care Act (ACA) created the Health Insurance Marketplace.
#4
What does EMTALA stand for?
Emergency Medical Treatment and Active Labor Act
ExplanationEMTALA stands for Emergency Medical Treatment and Active Labor Act.
#5
Which agency is responsible for enforcing the Clinical Laboratory Improvement Amendments (CLIA) regulations?
CMS
ExplanationCMS enforces the Clinical Laboratory Improvement Amendments (CLIA) regulations.
#6
Which of the following is not a primary goal of healthcare compliance?
Promoting competition among healthcare providers
ExplanationPromoting competition among healthcare providers is not a primary goal of healthcare compliance.
#7
What does the Stark Law primarily regulate?
Physician self-referral
ExplanationThe Stark Law primarily regulates physician self-referral.
#8
What is the purpose of the CLIA regulations in the United States?
To establish quality standards for laboratory testing
ExplanationCLIA regulations establish quality standards for laboratory testing in the US.
#9
Which agency enforces the Anti-Kickback Statute in the healthcare industry?
Department of Justice (DOJ)
ExplanationThe Department of Justice (DOJ) enforces the Anti-Kickback Statute in healthcare.
#10
What is the purpose of the ICD-10 coding system?
To code diagnoses and procedures for billing purposes
ExplanationICD-10 codes diagnoses and procedures for billing purposes.
#11
Which of the following is not a requirement of the Affordable Care Act (ACA)?
Elimination of Medicare
ExplanationThe ACA does not require the elimination of Medicare.
#12
Which of the following is not considered a healthcare compliance risk area?
Marketing strategies
ExplanationMarketing strategies are not considered healthcare compliance risk areas.
#13
What is the role of the Office of Inspector General (OIG) in healthcare compliance?
To conduct audits and investigations to detect fraud, waste, and abuse
ExplanationThe OIG conducts audits and investigations to detect fraud, waste, and abuse in healthcare.
#14
Which of the following is not a requirement for Meaningful Use under the EHR Incentive Program?
Billing and coding accuracy
ExplanationBilling and coding accuracy is not a requirement for Meaningful Use under the EHR Incentive Program.
#15
What is the role of the FDA in healthcare regulation?
Regulating medical devices and pharmaceuticals
ExplanationThe FDA regulates medical devices and pharmaceuticals in healthcare.