Business involving services or supplies payable

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Reference no: EM133439020

Questions

1. Which law prohibits the payment of "remuneration" in exchange for referrals, or in exchange for other business involving services or supplies payable by federal health programs?

Civil Monetary Penalties Law

Federal Anti-kickback Law

Stark Law

False Claims Act

2. Passed during the Civil War in 1863, the _____ states that anyone who defrauds the government is liable for the government's overpayments, as well as additional civil penalties.

Federal Anti-kickback Law

Civil Monetary Penalties Law

False Claims Act

Stark Law

3. Which Supreme Court case upheld New York state law requiring physicians to report to the Department of Health the prescribing of certain medications, amounts and pharmacies used?

The Privacy Act of 1974

Whalen v. Roe

Griswold v. Connecticut

Roe v. Wade

4. A _____ occurs when PHI is lost or stolen, disposed of improperly, and/or accessed or communicated inappropriately.

failure

breach

contamination

violation

5. Stark II expanded the scope of Stark I to include which of the following service providers? Select all that apply.

home health services

orthotics and prosthetics

durable medical equipment

dialysis services

6. Violations of the Stark laws can have which of the following consequences? Select all that apply.

loss of Medicare payments or the obligation to repay payments received

civil monetary penalties

triggering the False Claims Act

prison sentences

7. Which of the following types of information does HIPAA consider individually identifiable? Select all that apply.

admission date

political party membership

Social Security number

birth date

8. Health information designated by HIPAA as being protected is known as _____.

protected entities

protected health information

covered entities

covered health information

9. Which U.S. Supreme Court case asserted a pregnant woman's right to autonomy diminishes as her pregnancy progresses?

Whalen v. Roe

Roe v. Wade

The Privacy Act of 1974

Griswold v. Connecticut

10. Information that could be traced back to a specific person with reasonable effort is known as _____.

individual specific information

individually identifiable information

conclusive information

patient specific information

11. Concerned that the Federal Anti-kickback law was too broad and might encompass innocuous business transactions, Congress approved several permissible exceptions to the AKS known as _____.

good faith

real defense

safe harbors

political defense

12. Known as the _____, this HIPAA provision states covered entities and their staff are only permitted to share what is necessary to accomplish their work.

health care operations purposes

treatment purposes

minimum necessary standard

employment verification purposes

13. The _____ must describe in plain language the patient's rights and the organization's privacy practices.

Notice of Consent for Treatment

Notice of Consent Practices

Notice of Medical Practices

Notice of Privacy Practices

14. Which of the following would fall under the HIPAA classification of Health Care Providers? Select all that apply.

clinics

home health agencies

employer health plans

chiropractors

15. Under HIPAA, which of the following groups are considered covered entities? Select all that apply.

health care administrators

health care clearinghouses

health care providers

health plans

Reference no: EM133439020

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