Governmental Oversight and Civil Rights Violations Quiz

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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?

Private organizations 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?

Ensuring data security Signup and view all the answers

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

Getting fired from a job Signup and view all the answers

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

Private organizations Signup and view all the answers

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

Protecting individuals with pre-existing conditions Signup and view all the answers

What type of organization is typically considered a Covered Entity?

Academic hospital Signup and view all the answers

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

Lowering physician expenses 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?

Nation's Safety-net Hospitals Signup and view all the answers

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

Integrated Delivery Systems (IDS) Signup and view all the answers

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

Date of birth Signup and view all the answers

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

Efficiency and system accountability Signup and view all the answers

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

Integrated Delivery Systems 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?

Healthcare Provider Signup and view all the answers

What is the core element of regulation emphasized in HIPAA?

Minimalism Signup and view all the answers

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

To establish unique identifiers for healthcare providers 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?

Individually Identifiable Health Info Signup and view all the answers

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

Serving as a conduit for claim submissions Signup and view all the answers

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

Preventing Health Care Fraud and Abuse Signup and view all the answers

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

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

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

'Clearinghouses' Signup and view all the answers

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

To assist in navigating the healthcare system Signup and view all the answers

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

Due to their preference for informal care Signup and view all the answers

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

$196B Signup and view all the answers

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

23% Signup and view all the answers

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

Advocate for policy implementations Signup and view all the answers

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

Assisted Living Facilities Signup and view all the answers

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

Their ability to communicate and perform basic activities Signup and view all the answers

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

Delivering short-term medical assistance Signup and view all the answers

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

Multidisciplinary approach vs. specialization Signup and view all the answers

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

Reporting to different managers or layers based on the situation Signup and view all the answers

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

Focus on routine procedures vs. specialized services Signup and view all the answers

Which statement best describes not-for-profit hospitals?

Primarily serve indigent and poor populations Signup and view all the answers

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

Serving as the primary healthcare provider for specific groups 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?

Retaining minority shares by the original owners Signup and view all the answers

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

'Not-for-profit' hospitals Signup and view all the answers

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

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