ch6

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Which of the following provides guidance for the healthcare organization and staff to ensure compliance and that policies are followed?

All of the options An employee handbook and compliance plan provide written sets of policies and procedures for organizations and employees to follow. Additionally, the Office of the Inspector General offers guidelines on how to create and implement a compliance program for individual and small group physician practices and larger healthcare organizations.

Which of the following is protected under the Affordable Care Act?

All of the options Protections under the Affordable Care Act include the following: preventive care coverage at no cost to the patient; no lifetime limits on insurance coverage; coverage for patients with preexisting conditions; extended coverage for young adults; and removal of insurance barriers for emergency services.

Which of the following is guaranteed under the Patient's Bill of Rights?

All of the options The Patients' Bill of Rights' guarantees include: the right to respectful care; the right to receive current, relevant, and understandable information; the right to know the identity of everyone involved in their care; the right to make decisions about the plan of care prior to undergoing treatment; and the right to privacy.

Blood and urine tests would be regulated by which of the following laws?

Clinical Laboratory Improvement Act

Which of the following outlines the basic rules of conduct and interaction between patients and healthcare professionals?

Patient's Bill of Rights

An example of a "kickback" would be

Kickbacks are payments that create a bias toward promoting certain specialists, treatments, drugs, and other services or products because promotion results in personal financial gain for the physician.

All the following govern and review qualifications, compliance, and licensure qualifications for healthcare organizations and/or healthcare professionals except

Patient's Bill of Rights There are many professional specialties that govern and review qualifications, compliance, and licensure requirements, such as the American Medical Association (AMA), American Health Information Management Association (AHIMA), Centers for Medicare and Medicaid Services (CMS), US Department of Health and Human Services (HHS), and Occupational Safety and Health Administration (OSHA).

Medical Practice Acts

State's medical practice acts are laws that are important safety measures to ensure patients and the general public are protected against unlicensed and unqualified physicians and fraudulent and unsafe medical practices.

Emergency Medical Treatment and Active Labor Act

The Emergency Medical Treatment and Active Labor Act (EMTLA) of 1986 requires any hospital emergency room that receives payments from Medicare and Medicaid to provide an appropriate medical screening to any patient seeking treatment.

Office of Inspector General

The Office of Inspector General (OIG) is an independent agency that functions under the Department of Justice and the US Department of Health and Human Services. There are more than 70 OIG offices throughout the United States that help to monitor and combat fraud, waste, and abuse.

Office of Inspector General (2)

The Office of Inspector General (OIG) targets hospitals and healthcare systems to enforce Stark Law, which prohibits physician self-referral, and anti-kickback Statute, which prohibits illegal remuneration involving any federal healthcare programs, such as Medicare or Medicaid.

Patient's Bill of Rights

The Patient's Bill of Rights in 1973, and revised it in 1992, outlined basic rules of conduct and interaction between patients and healthcare professionals to ensure the delivery of safe and effective patient care.

All the following is true about the Patient's Bill of Rights except

it has been adopted by medical offices, but not hospitals. Almost all hospitals and medical offices have adopted a Patient's Bill of Rights, and are usually posted throughout the facility, as well as distributed along with the practice's privacy release of information policies. It outlines basic rules of conduct and interaction between patients and healthcare professionals to ensure the delivery of safe and effective patient care. In 2010, a Patient's Bill of Rights was included under the Affordable Care Act.


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