Term
| True or False. DHHS and CMS are two of the primary governing bodies effecting healthcare change. |
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Definition
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Term
| True or False. The OIG is responsible for developing rules and regulations that govern Medicare and Medicaid. |
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Definition
| False, CMS is responsible for developing rules and regulations that govern Medicare and Medicaid; the OIG's mission is to protect the health & welfare if the beneficiaries of those programs.) |
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Term
| The AHA's Patient's Bill of Rights has been replaced with the Patient Care Partnership brochure.True or False |
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Definition
| True - According to the brochure during a hospital stay a patient can expect: High quality hospital care, A clean and safe environment, Involvement in your care, Protection of your privacy, Help when leaving the hospital, Help with your billing claims |
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Term
| Under HIPAA, individually identifiable patient information is called PHI for Private Health Information. True or False |
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Definition
| False, (PHI - Protected Health Information) |
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Term
| PHI cannot be shared with law enforcement agencies without consent, except under court order. True or False |
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Definition
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Term
| True or False. Under the Patient Self Determination Act, a living will designates a surrogate, agent or healthcare proxy to make decisions on the patient's behalf if he or she is unable to do so. |
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Definition
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Term
| True or False. A living will specifies what treatments a patient does and does not wish to receive |
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Definition
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Term
| True or False. A Healthcare Power of Attorney or Durable Power of Attorney for Healthcare designates someone else to make decisions on the patient's behalf. |
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Definition
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Term
| True or False. Under EMTALA, a patient can request a transfer only at the suggestions of the hospital. |
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Definition
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Term
True or False
"Abuse" describes a deception or misrepresentation known to potentially result in some unauthorized benefit. |
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Definition
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Term
True or False
"Fraud" describes incidents or practices that are not usually considered fraudulent, but are inconsistent with accepted medical, business, or fiscal practices and result in unnecessary costs and/or improper reimbursement. |
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Definition
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Term
True or False
"Abuse" describes incidents or practices that are not usually considered fraudulent, but are inconsistent with accepted medical, business, or fiscal practices and result in unnecessary costs and/or improper reimbursement.
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Definition
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Term
True or False
"Fraud" describes a deception or misrepresentation known to potentially result in some unauthorized benefit. |
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Definition
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Term
True or False
Under the Anti-Kickback Statue and False Claims Act, hospitals and physicians should be very careful about offering "professional couresty" discounts or write offs to other physicians. |
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Definition
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