Governmental Oversight and Civil Rights Violations Quiz
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Questions and Answers

What is the main purpose of the Civil Rights Division (CRD) in the Office for Civil Rights (OCR)?

  • Filing complaints against entities
  • Promoting equal access to health care and human services programs (correct)
  • Focusing on anti-fraud provisions
  • Ensuring privacy under HIPAA

    • Within how many days should a complaint be filed according to the Office of Civil Rights (OCR)?

  • 90 days
  • 1 year
  • 180 days (correct)
  • 30 days

    • Who can file a complaint alleging a violation of the Privacy or Security Rule?

  • Only legal professionals
  • Anyone (correct)
  • Only healthcare providers
  • Government officials

    • Which entity cannot retaliate against you for filing a complaint under HIPAA?

    <p>Private organizations</p> Signup and view all the answers

    Which of the following is not one of the three main purposes of HIPAA as outlined in the text?

    <p>Ensuring data security</p> Signup and view all the answers

    What kind of retaliation is prohibited under HIPAA for filing a complaint?

    <p>Getting fired from a job</p> Signup and view all the answers

    What does HIPAA primarily focus on regarding anti-fraud provisions?

    <p>Private organizations</p> Signup and view all the answers

    What specific aspect is emphasized under Health Insurance Portability in HIPAA?

    <p>Protecting individuals with pre-existing conditions</p> Signup and view all the answers

    What type of organization is typically considered a Covered Entity?

    <p>Academic hospital</p> Signup and view all the answers

    What is the purpose of Vertical Integration in Physician-Hospital Relationships?

    <p>Lowering physician expenses</p> Signup and view all the answers

    Which entity is responsible for providing care to vulnerable populations without health insurance or the ability to pay for services?

    <p>Nation's Safety-net Hospitals</p> Signup and view all the answers

    What was advocated for by the American Hospital Association in the 1990s to improve healthcare system efficiency?

    <p>Integrated Delivery Systems (IDS)</p> Signup and view all the answers

    Which type of information is considered Individually identifying information under PHI?

    <p>Date of birth</p> Signup and view all the answers

    What do Horizontal Integration and Vertical Integration focus on in healthcare systems?

    <p>Efficiency and system accountability</p> Signup and view all the answers

    What does the term 'IDS' stand for in the context of healthcare delivery systems?

    <p>Integrated Delivery Systems</p> Signup and view all the answers

    Which healthcare entity is described as a provider of medical or other health services, and any other person furnishing healthcare services or supplies?

    <p>Healthcare Provider</p> Signup and view all the answers

    What is the core element of regulation emphasized in HIPAA?

    <p>Minimalism</p> Signup and view all the answers

    What is the purpose of a National Provider Identification Number (NPI) in the context of HIPAA?

    <p>To establish unique identifiers for healthcare providers</p> Signup and view all the answers

    Which term refers to any information created or received by a healthcare provider, health plan, employer, or healthcare clearinghouse under HIPAA?

    <p>Individually Identifiable Health Info</p> Signup and view all the answers

    What is the role of a Clearinghouse in the context of HIPAA?

    <p>Serving as a conduit for claim submissions</p> Signup and view all the answers

    Which section of the HIPAA law pertains to preventing healthcare fraud and abuse?

    <p>Preventing Health Care Fraud and Abuse</p> Signup and view all the answers

    What are the Federal 'minimum' standards established by HIPAA intended to achieve?

    <p>Limiting information uses and disclosures to what is necessary for operations</p> Signup and view all the answers

    What type of public or private entity processes nonstandard health information into standard data elements under HIPAA?

    <p>'Clearinghouses'</p> Signup and view all the answers

    What is the main purpose of Case Managers in the healthcare system?

    <p>To assist in navigating the healthcare system</p> Signup and view all the answers

    Why are African Americans less likely to receive institutionalized care according to the text?

    <p>Due to their preference for informal care</p> Signup and view all the answers

    What is the national economic value of informal caregiving mentioned in the text?

    <p>$196B</p> Signup and view all the answers

    How many Americans are estimated to provide informal care to others?

    <p>23%</p> Signup and view all the answers

    What is the main function of Voluntary Agencies mentioned in the text?

    <p>Advocate for policy implementations</p> Signup and view all the answers

    Which type of facility provides supervision to a minimum level of care?

    <p>Assisted Living Facilities</p> Signup and view all the answers

    What determines the appropriate level of formal post-acute care for an individual?

    <p>Their ability to communicate and perform basic activities</p> Signup and view all the answers

    What is the primary role of Home Healthcare as mentioned in the text?

    <p>Delivering short-term medical assistance</p> Signup and view all the answers

    What is the main difference between organization around perceived patient needs and organization around professional disciplines?

    <p>Multidisciplinary approach vs. specialization</p> Signup and view all the answers

    In a Matrix System in hospitals, what does a dual-management structure imply?

    <p>Reporting to different managers or layers based on the situation</p> Signup and view all the answers

    What distinguishes the larger hospitals that are likely tertiary care centers from smaller hospitals?

    <p>Focus on routine procedures vs. specialized services</p> Signup and view all the answers

    Which statement best describes not-for-profit hospitals?

    <p>Primarily serve indigent and poor populations</p> Signup and view all the answers

    What is the main feature of public hospitals according to the text?

    <p>Serving as the primary healthcare provider for specific groups</p> Signup and view all the answers

    In a Hybrid Ownership Structure, what does it mean for a not-for-profit hospital to be sold to a for-profit entity?

    <p>Retaining minority shares by the original owners</p> Signup and view all the answers

    Which type of hospital ownership has tax incentives according to the provided information?

    <p>'Not-for-profit' hospitals</p> Signup and view all the answers

    From an ethical standpoint, what is a common discussion point regarding profitability in healthcare?

    <p>'For-profit' hospitals balancing profits with quality healthcare provision</p> Signup and view all the answers

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