HAC Healthcare Policy & Legislation

Question 1

Which federal law primarily governs the privacy and security of protected health information (PHI) in the United States?

Accepted Answer

Health Insurance Portability and Accountability Act (HIPAA)

Answer

Affordable Care Act (ACA)

Answer

Emergency Medical Treatment and Labor Act (EMTALA)

Answer

Health Information Technology for Economic and Clinical Health Act (HITECH)

Question 2

Under the Affordable Care Act (ACA), what is the primary purpose of the Independent Payment Advisory Board (IPAB)?

Accepted Answer

To propose Medicare spending reductions when growth exceeds targets

Answer

To approve new prescription drugs for Medicare coverage

Answer

To set Medicaid eligibility thresholds for states

Answer

To oversee the Health Insurance Marketplace enrollment process

Question 3

EMTALA requires hospitals with emergency departments to:

Accepted Answer

Provide a medical screening exam and stabilize any emergency condition regardless of ability to pay

Answer

Accept only patients referred by in-network physicians

Answer

Obtain pre-authorization from insurers before providing emergency care

Answer

Discharge patients within 24 hours of stabilization to reduce costs

Question 4

Which of the following best describes the role of the Centers for Medicare & Medicaid Services (CMS) in healthcare policy?

Accepted Answer

CMS administers Medicare, Medicaid, CHIP, and oversees health insurance market standards

Answer

CMS approves new pharmaceutical drugs before they reach the market

Answer

CMS licenses healthcare professionals at the state level

Answer

CMS manages the National Institutes of Health research grant program

Question 5

The False Claims Act (FCA) is primarily used in healthcare to address:

Accepted Answer

Fraudulent billing and false claims submitted to government healthcare programs

Answer

Privacy breaches involving unauthorized disclosure of patient records

Answer

Upcoding of diagnosis codes on private insurance claims

Answer

Medication errors that result in patient harm

Question 6

Which federal program provides health coverage to low-income individuals and families and is jointly funded by states and the federal government?

Accepted Answer

Medicaid

Answer

Medicare Part A

Answer

CHIP (Children's Health Insurance Program)

Answer

TRICARE

Question 7

The HITECH Act of 2009 strengthened HIPAA by:

Accepted Answer

Increasing penalties for HIPAA violations and expanding breach notification requirements

Answer

Creating new federal standards for electronic prescribing of controlled substances

Answer

Establishing the federal Health Insurance Marketplace

Answer

Mandating that all hospitals adopt electronic health records by 2014