Health Care Law review questions

Question: Statistical Process Control focuses on controlling:

Answer Options:
A. Outcomes
B. Inputs
C. Causes
D. Processes
E. Variation

Answer: E. Variation

Question: Total Data mining uses what is commonly referred to as “big data.”

Answer Options:
True
False

Answer: True

Question: The Six Sigma employs a structured process called DMAIC. What does DMAIC stand for?

Answer Options:
True
False

Answer: True

Question: HEAT is the President’s newest tool against:

Answer Options:
A. Billing code discrepancies in health care
B. Fraud and abuse concerning Medicare and Medicaid claims
C. Hospital energy audits
D. For-profit organizations that don’t accept Medicare and Medicaid patients
E. None of these are correct

Answer: B. Fraud and abuse concerning Medicare and Medicaid claims

Question: Which criteria arranged in a structure-process-outcome framework is NOT a structural element of quality in the Baldrige Award criteria?

Answer Options:
A. Leadership
B. Strategic Planning
C. Followership
D. Focus on patients, other customers, and markets
E. All of these are structural aspects of Baldrige Criteria

Answer: C. Followership

Question: “Failure to provide a service whose benefit is greater than its risk” is the definition of which of the following terms?

Answer Options:
A. Underuse
B. Overuse
C. Misuse
D. Abuse

Answer: A. Underuse

Question: True or False? The Office of Inspector General of the DHHS (OIG-DHHS) reported that tens of billions of dollars were lost to fraud and abuse in 2010.

Answer Options:
True or False?

Answer: True

Question: The investigative and enforcement authority to deal with fraud and abuse violations was granted to the Department of Health and Human Services (DHHS) through:

Answer Options:
A. Anti-Kickback Act
B. False Claims Act
C. Operation Restore Trust
D. Stark Laws

Answer: C. Operation Restore Trust

Question: What are some of the ways in which health care organizations protect the rights of their patients?

Answer Options:
A. Utilization review processes
B. Institutional review boards
C. Patient advocacy or ombudsman offices
D. Institutional ethics committees
E. All of these are correct

Answer: E. All of these are correct

Question: An example of a Stark Law violation is:

Answer Options:
A. A hospital offering a physician office space at below fair market value
B. Paying a physician for a referral
C. Hiring a doctor who is an excluded party as a Medicare provider
D. Upcoding a claim to receive higher reimbursement
E. All of these are correct

Answer: B. Paying a physician for a referral

Question: For a health provider’s action to be considered negligent, which of the following factors is NOT necessary?

Answer Options:
A. Duty toward the harmed party (duty to care)
B. Breach of duty
C. Causation
D. Injury or damages
E. Malice

Answer: E. Malice

Question: EMTALA:

Answer Options:
A. Requires all Medicare and Medicaid hospitals to provide appropriate screening
B. Requires private, for-profit hospitals to provide patients an appropriate screening
C. Mandates that no patient should be billed for services if they can’t pay
D. All of these are correct
E. None of these are correct

Answer: A. Requires all Medicare and Medicaid hospitals to provide appropriate screening

Question: The qui tam provision offers individuals:

Answer Options:
A. Protection for coming forward against their organization or employer
B. Monetary incentives
C. Shelter from prosecution in many instances
D. All of these are correct
E. None of these are correct

Answer: D. All of these are correct

Question: Flowcharting is a quality improvement technique used for:

Answer Options:
A. Process mapping
B. Data collection analysis
C. Cause-effect
D. Geographical mapping
E. Process analysis

Answer: A. Process mapping