HAC Healthcare Policy & Legislation 2

Question 1

Under Medicare, what does 'Part D' specifically cover?

Accepted Answer

Prescription drug coverage

Answer

Medicare Part D provides optional prescription drug coverage through private plans approved by Medicare.

Question 2

Which ACA provision expanded access to preventive services by requiring most health plans to cover them:

Accepted Answer

Without cost-sharing (no copays or deductibles) for in-network services

Answer

The ACA mandates that non-grandfathered health plans cover USPSTF Grade A and B preventive services without imposing any cost-sharing on patients.

Question 3

The Stark Law (Physician Self-Referral Law) prohibits physicians from:

Accepted Answer

Referring Medicare patients to entities in which they have a financial relationship, with limited exceptions

Answer

The Stark Law bars physicians from referring Medicare patients for designated health services to entities where the physician or immediate family has a financial interest, unless an exception applies.

Question 4

What is the primary purpose of a Certificate of Need (CON) law in healthcare?

Accepted Answer

To require state approval before healthcare facilities can expand or add certain services

Answer

CON laws require healthcare organizations to obtain state approval demonstrating community need before building facilities, purchasing major equipment, or adding new services.

Question 5

The Anti-Kickback Statute (AKS) makes it illegal to:

Accepted Answer

Offer, pay, solicit, or receive remuneration to induce or reward referrals of federal healthcare program business

Answer

The AKS prohibits any exchange of value intended to influence referrals for services covered by federal healthcare programs like Medicare and Medicaid.

(HAC) Healthcare Analyst Certification Practice Test

(HAC) Healthcare Analyst Certification Practice Test

HAC Healthcare Policy & Legislation 2