Answer Options:
A. Confidentiality
\nB. Right to refuse care
\nC. Self-determination
\nD. Emergency treatment in a facility covered by EMTALA
\nE. All of these are correct.
Answer: E. All of these are correct.
Question: Compliance internal controls include which of the following?
Answer Options:
A. Public policy
\nB. Presidential oversight
\nC. Monitoring to assess the quality of the system
\nD. Monitoring to assess the quality of the system and risk assessment
\nE. Monitoring to assess the quality of the system and public policy
Answer: D. Monitoring to assess the quality of the system and risk assessment
Question: The qui tam provision of the Anti-Kickback Statute offers individuals:
Answer Options:
A. protection against retaliation by their employer.
\nB. monetary incentives for reporting suspected noncompliance.
\nC. shelter from prosecution in many instances.
\nD. All of these are correct.
\nE. None of these is correct.
Answer: D. All of these are correct.
Question: True or False? Common law is synonymous with legislative decisions.
Answer Options:
True
\nFalse
Answer: False
Question: Nonmaleficence is a concept that states that you should:
Answer Options:
A. do no harm.
\nB. do the least harm you can.
\nC. ensure that self is properly trained.
\nD. provide fairness to all.
Answer: A. do no harm.
Question: The False Claims Act was enacted by the federal government as which of the following?
Answer Options:
A. A civil remedial measure
\nB. A constitutional amendment
\nC. A civil remedy
\nD. A contract dispute resolution device
\nE. None of these is correct.
Answer: A civil remedy
Question: True or False? Recovery Audit Contractors analyze claims before they are paid to identify fraud and abuse before it happens.
Answer Options:
True
\nFalse
Answer: False
Question: Which of the following is not part of the definition of health care malpractice?
Answer Options:
A. Carelessness
\nB. Negligence
\nC. Person with a health care profession
\nD. Recklessness
\nE. Overpayment
Answer: E. Overpayment
Question: EMTALA applies to all hospital admissions.
Answer Options:
True
\nFalse
Answer: False
Question: A previous court decision that influences and is the basis for deciding later, similar cases is called:
Answer Options:
A. a proposed law.
\nB. criminal law.
\nC. a judicial realm.
\nD. common law.
\nE. statutory law.
Answer: A. a proposed law.
Question: The meaning of contractual allowance is:
Answer Options:
A. Ensures the hospital or provider will get paid 100% of billed charges for services rendered.
\nB. The minimum amount an insurance carrier will pay a hospital or provider for services rendered.
\nC. The contract set out between the patient and provider for allowable patient charges.
\nD. The maximum amount an insurance company will pay a hospital or provider for services rendered.
\nE. None of these is correct.
Answer: D. The maximum amount an insurance company will pay a hospital or provider for services rendered.
Question: True or False? Common law is derived from legislative actions.
Answer Options:
True
\nFalse
Answer: False
Question: Which of the following elements is not necessary for a contract to be binding?
Answer Options:
Must be lawful
\nMust be written
\nBoth parties must be competent to consent
\nMust be for something of value
\nAn agreement between two or more parties
Answer: Must be written
Question: Essential elements of an effective compliance program include which of the following?
Answer Options:
A. Establishing compliance standards of conduct and procedures
\nB. Overall compliance program oversight
\nC. Due diligence in distribution of authority
\nD. Monitoring and auditing systems
\nE. All of these are correct.
Answer: E. All of these are correct.
Question: Civil law focuses mostly on:
Answer Options:
A. wrongs against strangers.
\nB. wrongs against individuals or specific organizations.
\nC. wrongs against society.
\nD. wrongs against government officials.
Answer: B. wrongs against individuals or specific organizations.
Question: Which of the following is not required part of the definition of “informed consent”?
Answer Options:
A. Having the patient/guardian read and sign a document
\nB. Making sure that the person/legatee is mentally competent to decide
\nC. Ensuring the patient/guardian understands what is being asked
\nD. Using a surrogate decision maker only when legally allowed
\nE. None of these is correct.
Answer: A. Having the patient/guardian read and sign a document
Question: Which of the following is an example of health care fraud and abuse?
Answer Options:
A. Submitting claims for medically unnecessary care
\nB. Upcoding bills
\nC. Duplicate billing of services
\nD. Kickbacks for referrals
\nE. All of these are correct.
Answer: E. All of these are correct.
Question: A wrongful act against a person or organization is considered what type of violation?
Answer Options:
A. Neither of these is correct.
\nB. Tort
\nC. Contract
\nD. Both of these are correct.
Answer: B. Tort
Question: Regulations under the Anti-Kickback Statute and Stark Law:
Answer Options:
A. have both been revoked recently.
\nB. will probably be combined into one law because they are so similar.
\nC. are being shifted to state jurisdiction because the federal government does not want to investigate these any more.
\nD. will probably be amended soon.
\nE. None of these is correct.
Answer: D. will probably be amended soon.
Question: Intentional torts include which of the following?
Answer Options:
A. Assault and battery
\nB. False imprisonment
\nC. Invasion of privacy
\nD. Defamation of character
\nE. All of these are correct.
Answer: E. All of these are correct.
Question: For a health provider’s action to be considered negligent, which of the following factors is not necessary?
Answer Options:
A. Malice
\nB. Duty toward the harmed party
\nC. Injury or damages
\nD. Causation
\nE. Breach of duty
Answer: A. Malice
Question: True or False? Under qui tam rules, the whistleblower can be awarded a percentage of the monies recovered.
Answer Options:
True
\nFalse
Answer: True
Question: The Stark Law applies to both Medicare and Medicaid.
Answer Options:
True
\nFalse
Answer: True
Question: Which of the following is an example of health care fraud and abuse?
Answer Options:
A. Submitting claims for medically unnecessary care
\nB. Upcoding bills
\nC. Duplicate billing
\nD. Kickbacks for referrals
\nE. All of these are correct
Answer: E. All of these are correct
Question: Which of the following is an example of a Stark Law violation?
Answer Options:
A. A hospital offering a physician office space at unfair market value
\nB. Paying a physician for a referral
\nC. Hiring a doctor who is an excluded party as a Medicare Provider
\nD. Upcoding a claim to receive higher reimbursement
\nE. All of these are correct
Answer: E. All of these are correct