Question 1

Under the Federal False Claims Act, a citizen may:

Accepted Answer

A)   file a claim on behalf of the federal government for false claims made for payment of health services
B)   pay someone else's medical bill
C)   file criminal charges against someone who has filed false claims
D)   repay claims made erroneously
E)   file a claim alleging violations of privacyF) B) and D)
G) A) and D)

Question 2

The use of the EHR to improve quality, engage patients, improve care coordination and maintain privacy and security is known as:

Accepted Answer

A)   disaster planning
B)   complex medical decision making
C)   meaningful firewalls
D)   meaningful use
E)   meaningful codingF) B) and E)
G) A) and D)

Question 3

What is the Criminal Health Care Fraud Statute?

Accepted Answer

The Criminal Health Care Fraud...

Question 4

The first federal law to specifically deal with the privacy of health care records was:

Accepted Answer

A)   Electronic Communication Privacy Act
B)   Gramm-Leach-Bliley Act
C)   Health Insurance Portability and Accountability Act
D)   Computer Abuse Amendments Act
E)   Patient Safety and Quality Improvement ActF) A) and C)
G) C) and D)

Question 5

Which HIPAA standard requires that all providers secure a national provider number?

Accepted Answer

A)   Standard 1
B)   Standard 2
C)   Standard 3
D)   Standard 4
E)   Standard 5F) A) and B)
G) A) and C)

Question 6

Which HIPAA standard requires providers to use specific code sets?

Accepted Answer

A)   Standard 1
B)   Standard 2
C)   Standard 3
D)   Standard 4
E)   Standard 5F) A) and B)
G) A) and C)

Question 7

Which of the following statements is true about the Patients' Bill of Rights?

Accepted Answer

A)   The Patients' Bill of Rights is the fifteenth amendment to the U.S. Constitution.
B)   The Patients' Bill of Rights is part of HITECH.
C)   No one universal government statute exists.
D)   The American Hospital Association has a Patients' Bill of Rights that became federal law.
E)   The Bipartisan Patient Protection Act of 2001 was passed as a Patients' Bill of Rights.F) B) and C)
G) B) and D) C

Question 8

What was the first federal law that covered privacy and security for health care information?

Accepted Answer

The Health Insurance Portability and Acc...

Question 9

HIPAA allows a state preemption. What does that mean?

Accepted Answer

If a state's privacy...

Question 10

An orthopedic surgeon refers his patients to a radiology facility owned by his brother. What law is potentially being violated?

Accepted Answer

A)   Federal Anti-Kickback law
B)   Stark Law
C)   Federal False Claims Act
D)   HIPAA
E)   HITECHF) B) and E)
G) All of the above B

Question 11

Which HIPAA standard requires providers to protect electronically transmitted and otherwise stored personal health information?

Accepted Answer

A)   Standard 1
B)   Standard 2
C)   Standard 3
D)   Standard 4
E)   Standard 5F) All of the above
G) D) and E)

Question 12

Describe patients' rights to be provided by insurance companies as defined by the Patient Protection and Affordable Care Act.

Accepted Answer

Under the PPACA, insurance companies mus...

Question 13

Under the Patient Protection and Affordable Care Act of 2010, insurance companies must do all of the following except:

Accepted Answer

A)   phase out annual and lifetime limits to coverage
B)   no longer limit or deny coverage to patients under 19 with preexisting conditions
C)   phase out arbitrary withdrawals of insurance coverage
D)   remove insurance company barriers to emergency service
E)   cover children up to age 30 on their parents' health insurance policyF) A) and B)
G) C) and D)

Question 14

Identify the major ways that breaches of information happen.

Accepted Answer

ProPublica, a not-for-profit news and re...

Question 15

According to the GAO, the amount of improper payments to providers from Medicare fee-for-service plans in 2011 was:

Accepted Answer

A)   $2.4 billion
B)   $8.6 billion
C)   $18.2 billion
D)   $22.5 billion
E)   $28.8 billionF) B) and D)
G) D) and E)

Question 16

Describe the Patients' Bill of Rights as adopted by Congress.

Accepted Answer

There is no federal legislation that is ...

Question 17

The federal agency charged with fighting waste, fraud, and abuse in Medicare, Medicaid, and 300 other Health and Human Services programs is the:

Accepted Answer

A)   Department of Justice
B)   Office of the HHS Secretary
C)   Office of the Inspector General
D)   Office of Civil Rights
E)   Office of the Attorney GeneralF) A) and B)
G) A) and C) C

Question 18

A breach under HIPAA:

Accepted Answer

A)   is an unauthorized acquisition, access, use, or disclosure of personal health information
B)   is a use of a firewall
C)   is the transfer of records by email
D)   is an unauthorized use of the medical record that is not disclosed
E)   is similar to meaningful useF) A) and E)
G) C) and D)

Question 19

Which of the following is the term used to describe the protection that should be in place to protect the electronic health or medical record from outside intrusion?

Accepted Answer

A)   encoding
B)   service provider
C)   hardware
D)   software
E)   firewallF) A) and B)
G) A) and C)

Question 20

From October 2009 through November 2013, how many complaints about security breaches were filed with the Office of Civil Rights?

Accepted Answer

A)   569
B)   768
C)   867
D)   985
E)   over 1,000F) C) and E)
G) D) and E)

Exam 8: Privacy, Security, and Fraud

Under the Federal False Claims Act, a citizen may:

Correct AnswerverifiedShow Answer

The use of the EHR to improve quality, engage patients, improve care coordination and maintain privacy and security is known as:

Correct AnswerverifiedShow Answer

What is the Criminal Health Care Fraud Statute?

Correct AnswerverifiedThe Criminal Health Care Fraud...View AnswerShow Answer

The first federal law to specifically deal with the privacy of health care records was:

Correct AnswerverifiedShow Answer

Which HIPAA standard requires that all providers secure a national provider number?

Correct AnswerverifiedShow Answer

Which HIPAA standard requires providers to use specific code sets?

Correct AnswerverifiedShow Answer

Which of the following statements is true about the Patients' Bill of Rights?

Correct AnswerverifiedC

What was the first federal law that covered privacy and security for health care information?

Correct AnswerverifiedThe Health Insurance Portability and Acc...View AnswerShow Answer

HIPAA allows a state preemption. What does that mean?

Correct AnswerverifiedIf a state's privacy...View AnswerShow Answer

An orthopedic surgeon refers his patients to a radiology facility owned by his brother. What law is potentially being violated?

Correct AnswerverifiedB

Which HIPAA standard requires providers to protect electronically transmitted and otherwise stored personal health information?

Correct AnswerverifiedShow Answer

Describe patients' rights to be provided by insurance companies as defined by the Patient Protection and Affordable Care Act.

Correct AnswerverifiedUnder the PPACA, insurance companies mus...View AnswerShow Answer

Under the Patient Protection and Affordable Care Act of 2010, insurance companies must do all of the following except:

Correct AnswerverifiedShow Answer

Identify the major ways that breaches of information happen.

Correct AnswerverifiedProPublica, a not-for-profit news and re...View AnswerShow Answer

According to the GAO, the amount of improper payments to providers from Medicare fee-for-service plans in 2011 was:

Correct AnswerverifiedShow Answer

Describe the Patients' Bill of Rights as adopted by Congress.

Correct AnswerverifiedThere is no federal legislation that is ...View AnswerShow Answer

The federal agency charged with fighting waste, fraud, and abuse in Medicare, Medicaid, and 300 other Health and Human Services programs is the:

Correct AnswerverifiedC

A breach under HIPAA:

Correct AnswerverifiedShow Answer

Which of the following is the term used to describe the protection that should be in place to protect the electronic health or medical record from outside intrusion?

Correct AnswerverifiedShow Answer

From October 2009 through November 2013, how many complaints about security breaches were filed with the Office of Civil Rights?

Correct AnswerverifiedShow Answer

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The Criminal Health Care Fraud...
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C

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The Health Insurance Portability and Acc...
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If a state's privacy...
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B

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Under the PPACA, insurance companies mus...
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ProPublica, a not-for-profit news and re...
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There is no federal legislation that is ...
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C

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