Question 1

Which law can be waived under certain circumstances?

Accepted Answer

A)   Patient's Bill of Rights
B)   EMTLA
C)   OSHA
D)   CLIAE) B) and C)
F) A) and B)

Question 2

Which of the following agencies may impose sanctions on a healthcare professional?

Accepted Answer

A)   OSHA
B)   An employer
C)   CMS
D)   All of the optionsE) All of the above
F) A) and C)

Question 3

A compliance plan is used to

Accepted Answer

A)   let the employee know the rules of his or her employer.
B)   provide guidelines for employees and inform them of what measures will be taken when a policy is violated.
C)   inform the employee of the results of not reporting one of their coworkers for any wrongdoing.
D)   explain to the employee why he or she should not share a patient's personal information.E) All of the above
F) A) and B)

Question 4

Which of the following regulate laboratory testing and require clinical laboratories to be certificated?

Accepted Answer

A)   Patient's Bill of Rights
B)   EMTLA
C)   Compliance plan
D)   CLIAE) A) and B)
F) All of the above D

Question 5

The Office of the Inspector General functions under which agency?

Accepted Answer

A)   The American Medical Association
B)   The Occupational Safety and Health Administration
C)   The Department of Labor
D)   The Department of Health and Human ServicesE) All of the above
F) C) and D)

Question 6

Workplace sanctions are determined by

Accepted Answer

A)   laws.
B)   whistleblowers.
C)   professional codes of conduct.
D)   policies and procedures.E) A) and B)
F) None of the above

Question 7

If a coder consistently put the wrong code on a claim, this is considered

Accepted Answer

A)   a fraudulent claim.
B)   an infraction.
C)   acceptable.
D)   a simple mistake.E) B) and D)
F) A) and B)

Question 8

If an insurance carrier finds an error, they look for

Accepted Answer

A)   the intent of the error.
B)   reasons to sue the physician.
C)   who is responsible for the error within the physician's office.
D)   All of the optionsE) A) and C)
F) A) and D)

Question 9

Upcoding can be considered

Accepted Answer

A)   a violation of the Stark law.
B)   a violation of the Medical Practice Acts.
C)   fraud.
D)   noncompliance.E) B) and C)
F) A) and D)

Question 10

Physicians are governed not only by state laws but also by

Accepted Answer

A)   the American Medical Association.
B)   the Association of American Physicians.
C)   the American Medical Group Association.
D)   All of the optionsE) B) and C)
F) C) and D)

Question 11

If a physician is placed on the OIG's exclusion list, which of the following may occur?

Accepted Answer

A)   Receive a fine
B)   Not be able to receive Medicare payments
C)   Be employed by a hospital and participate in federal healthcare programs
D)   All of the optionsE) A) and B)
F) A) and C)

Question 12

If a physician receives financial incentives from a drug manufacturer to prescribe a particular drug, this is considered

Accepted Answer

A)   abuse of privilege.
B)   kickbacks.
C)   a violation of the Stark law.
D)   All of the optionsE) B) and D)
F) A) and D)

Question 13

Which of the following healthcare professional should follow the Patient's Bill of Rights?

Accepted Answer

A)   The nurse providing patient care
B)   The physician and his or her staff
C)   The ancillary personnel in the hospital
D)   All healthcare personnelE) A) and B)
F) A) and C)

Question 14

If a hospital performs clinical testing and does not comply with CLIA, what policies might it be violating?

Accepted Answer

A)   Conditions of Participation for Hospitals for Laboratory Services
B)   Clinical Laboratory Improvement Act
C)   Occupational Safety and Health Act
D)   All of the optionsE) A) and C)
F) None of the above

Question 15

Consequence that is imposed against a legal or ethical violation is called

Accepted Answer

A)   compliance.
B)   due process.
C)   sanction.
D)   disciplinary action.E) A) and D)
F) B) and C)

Question 16

Which of the following agency oversees CLIA?

Accepted Answer

A)   AMA
B)   OIG
C)   FDA
D)   OCRE) B) and C)
F) A) and D) C

Question 17

Which is true about CLIA?

Accepted Answer

A)   It is a governmental agency.
B)   It is a professional organization.
C)   It is a group of laws.
D)   It is a proposed law.E) None of the above
F) A) and D)

Question 18

Which of the following laws protects a patient needing critical care when arriving at any hospital emergency room?

Accepted Answer

A)   AMA
B)   AHIMA
C)   OCR
D)   EMTALAE) B) and C)
F) A) and D)

Question 19

Disciplinary action varies except for the following

Accepted Answer

A)   state to state.
B)   facility to facility.
C)   one area of expertise to another.
D)   state and federal regulations.E) A) and D)
F) A) and B)

Question 20

If a healthcare professional oversteps his or her scope of practice, which can occur?

Accepted Answer

A)   Loss of license
B)   License suspension
C)   Censure
D)   All of the optionsE) A) and D)
F) A) and B) D

Exam 5: Healthcare Standards and Compliance

Which law can be waived under certain circumstances?

Correct AnswerverifiedShow Answer

Which of the following agencies may impose sanctions on a healthcare professional?

Correct AnswerverifiedShow Answer

A compliance plan is used to

Correct AnswerverifiedShow Answer

Which of the following regulate laboratory testing and require clinical laboratories to be certificated?

Correct AnswerverifiedD

The Office of the Inspector General functions under which agency?

Correct AnswerverifiedShow Answer

Workplace sanctions are determined by

Correct AnswerverifiedShow Answer

If a coder consistently put the wrong code on a claim, this is considered

Correct AnswerverifiedShow Answer

If an insurance carrier finds an error, they look for

Correct AnswerverifiedShow Answer

Upcoding can be considered

Correct AnswerverifiedShow Answer

Physicians are governed not only by state laws but also by

Correct AnswerverifiedShow Answer

If a physician is placed on the OIG's exclusion list, which of the following may occur?

Correct AnswerverifiedShow Answer

If a physician receives financial incentives from a drug manufacturer to prescribe a particular drug, this is considered

Correct AnswerverifiedShow Answer

Which of the following healthcare professional should follow the Patient's Bill of Rights?

Correct AnswerverifiedShow Answer

If a hospital performs clinical testing and does not comply with CLIA, what policies might it be violating?

Correct AnswerverifiedShow Answer

Consequence that is imposed against a legal or ethical violation is called

Correct AnswerverifiedShow Answer

Which of the following agency oversees CLIA?

Correct AnswerverifiedC

Which is true about CLIA?

Correct AnswerverifiedShow Answer

Which of the following laws protects a patient needing critical care when arriving at any hospital emergency room?

Correct AnswerverifiedShow Answer

Disciplinary action varies except for the following

Correct AnswerverifiedShow Answer

If a healthcare professional oversteps his or her scope of practice, which can occur?

Correct AnswerverifiedD

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D

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C

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D