CHL Law and Ethics 4

Question 1

Which standard of decision-making should a surrogate use when a patient's specific wishes are unknown and no advance directive exists?

Accepted Answer

Best interest standard based on what a reasonable person would want

Answer

When a patient's specific wishes are unknown, the best interest standard guides surrogates to choose what a reasonable person in the patient's situation would want.

Question 2

The Consolidated Omnibus Budget Reconciliation Act (COBRA) requires employers to:

Accepted Answer

Offer continuation of group health coverage to employees who lose their jobs or have reduced hours

Answer

COBRA gives workers and their families who lose group health benefits the right to choose continuation coverage for limited periods under certain qualifying events.

Question 3

A healthcare organization discovers it has been overbilling Medicare due to a software coding error. Under the 60-day rule, the organization must:

Accepted Answer

Report and return the overpayment within 60 days of identification

Answer

The 60-day overpayment rule requires Medicare and Medicaid providers to report and return identified overpayments within 60 days or face False Claims Act liability.

Question 4

In ethical decision-making frameworks, the 'four-box' method developed by Jonsen, Siegler, and Winslade organizes clinical ethics cases around all of the following EXCEPT:

Accepted Answer

Financial reimbursement

Answer

The four-box method analyzes cases through medical indications, patient preferences, quality of life, and contextual features — financial reimbursement is not one of the four boxes.

Question 5

Which type of law is created by federal and state legislatures and forms the basis for most healthcare regulations?

Accepted Answer

Statutory law

Answer

Statutory law is enacted by legislative bodies (Congress or state legislatures) and includes major healthcare laws such as HIPAA, EMTALA, and the ACA.

CHL - Certified Healthcare Leader Practice Test

CHL - Certified Healthcare Leader Practice Test

CHL Law and Ethics 4