HAC Healthcare Policy & Legislation 1

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

HIPAA established national standards for protecting PHI and governs how covered entities and business associates handle patient information.

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

The IPAB was designed to recommend Medicare spending cuts when per-capita growth exceeded a defined threshold, keeping cost growth in check.

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

EMTALA mandates that covered hospitals screen and stabilize patients with emergency conditions without regard to insurance status or ability to pay.

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 is the federal agency responsible for administering Medicare, Medicaid, CHIP, and implementing ACA insurance market rules.

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

The FCA imposes liability on individuals and companies that submit fraudulent claims for payment to federal healthcare programs like Medicare and Medicaid.

(HAC) Healthcare Analyst Certification Practice Test

(HAC) Healthcare Analyst Certification Practice Test

HAC Healthcare Policy & Legislation 1