CHA CHA Regulatory and Legal Framework 1

Question 1

Under the Medicare Hospice Benefit, which federal regulation outlines the Conditions of Participation (CoPs) that hospice programs must meet?

Accepted Answer

42 CFR Part 418

Answer

42 CFR Part 484

Answer

42 CFR Part 482

Answer

42 CFR Part 488

Question 2

The False Claims Act (FCA) primarily protects the government against which type of hospice misconduct?

Accepted Answer

Submitting fraudulent claims for Medicare reimbursement

Answer

Failing to maintain licensure

Answer

Understaffing the interdisciplinary team

Answer

Not providing bereavement services

Question 3

Which federal agency is responsible for conducting surveys to certify hospice programs for Medicare participation?

Accepted Answer

Centers for Medicare & Medicaid Services (CMS)

Answer

Office of Inspector General (OIG)

Answer

The Joint Commission

Answer

Department of Veterans Affairs

Question 4

A hospice patient electing the Medicare Hospice Benefit must have a prognosis of how long to live if the illness runs its normal course?

Accepted Answer

6 months or less

Answer

12 months or less

Answer

3 months or less

Answer

9 months or less

Question 5

Which law established the anti-kickback statute that prohibits hospices from offering financial incentives to physicians for patient referrals?

Accepted Answer

Social Security Act Section 1128B(b)

Answer

HIPAA Title II

Answer

Stark Law Section 1877

Answer

ACA Section 3132

Question 6

Under HIPAA, a hospice's Notice of Privacy Practices (NPP) must be provided to patients at which point?

Accepted Answer

At the first service delivery encounter

Answer

Only upon patient request

Answer

At discharge

Answer

Annually by mail