AHIMA Compliance and Legal

Question 1

What is healthcare compliance?

Accepted Answer

Adhering to laws, regulations, and ethical standards governing healthcare operations

Answer

Healthcare compliance ensures organizations follow all applicable laws, regulations, and standards.

Question 2

What is the False Claims Act?

Accepted Answer

A federal law imposing liability on those who submit fraudulent claims to government healthcare programs

Answer

The False Claims Act penalizes submitting knowingly false or fraudulent claims for payment to federal programs like Medicare.

Question 3

What is an audit trail in health information?

Accepted Answer

A chronological record showing who accessed, modified, or deleted data and when

Answer

Audit trails create accountability by tracking all interactions with health data.

Question 4

What is informed consent documentation?

Accepted Answer

A record showing the patient was informed of risks, benefits, and alternatives before agreeing to treatment

Answer

Informed consent documents demonstrate the patient received sufficient information to make a voluntary, knowledgeable decision about their care.

Question 5

What are accreditation requirements for health records?

Accepted Answer

Standards set by organizations like The Joint Commission governing record content, timeliness, and completeness

Answer

Accrediting bodies set minimum standards for documentation quality, completeness, and accessibility.

(AHIMA) American Health Information Management Association Practice Test