Health Policy And Regulation Chapter 12 Test Bank Answers

CHAPTER 12: Health Policy and Regulation

MULTIPLE CHOICE

1. ____ is the governmental oversight of the private marketplace.

PTS: 1

2. An example of an agency within the Department of Health and Human Services is the ____.

PTS: 1

3. One challenge that the Food and Drug Administration (FDA) faces is to balance the public demand for speedy access to newly developed drugs against the ____ that might accompany an accelerated approval process.

PTS: 1

4. A ____ is used by the IRS for assessing whether hospitals are operated to serve a charitable purpose.

PTS: 1

5. The ____ (HIPAA) limits the ability of new employers to exclude coverage for preexisting conditions.

PTS: 1

6. The ____ of 1986 is designed to prevent institutions from denying care to anyone seeking emergency medical treatment, regardless of citizenship, insurance status, or ability to pay.

PTS: 1

7. The ____ stores information regarding physicians’ and dentists’ professional competence and conduct.

PTS: 1

8. In many states, a health care facility cannot be constructed, renovated, or expanded without obtaining a ____.

PTS: 1

9. The 1999 report by the Institute of Medicine, To Err Is Human: Building a Safer Health System, stated that between ____ deaths could be attributed to preventable medical errors.

PTS: 1

10. An emerging cost containment strategy is to encourage comparative ____ research.

PTS: 1

COMPLETION

1. With the increasing intersection between health care delivery and the law, health care executives must confront a wide range of regulatory ____________________ issues that affect how health care institutions operate.

PTS: 1

2. ____________________, created by a 1965 statute, is the federal health insurance program for the elderly and disabled.

PTS: 1

3. “____________________” authority allows the Centers for Medicare and Medicaid Services (CMS) to state that a health care organization meets CMS certification requirements.

PTS: 1

4. The purpose of the ___________________ laws is to promote competition based on the conviction that competitive markets bring benefits of relatively lower consumer prices, higher output, and greater innovation.

PTS: 1

5. The U.S. health care industry comprises a relatively large number of organizations that are ____________________ from paying most if not all taxes including income, property, and sales taxes.

PTS: 1

6. The Department of Health and Human Services (HHS) ____________________, with the cooperation of the Department of Justice, dedicates considerable resources to enforcing federal fraud and abuse laws.

PTS: 1

7. One concern that the Health Care Quality Improvement Act (HCQIA) addressed was the weaknesses in existing peer ____________________ processes.

PTS: 1

8. ____________________ serves as a primary mechanism by which states regulate the quality of care provided by health care organizations.

PTS: 1

9. ____________________ principles affect the interaction between federal and state laws, stating that if federal and state laws directly conflict, the federal law applies.

PTS: 1

10. To successfully navigate through the complex regulatory environment, health care organizations (HCOs) often appoint a regulatory ____________________.

PTS: 1

MATCHING

Match each item with a statement below:

1. Prohibits knowingly submitting or causing to be submitted a false claim to the government

2. Combined federal and state program that provides medical assistance to low-income individuals and families

3. Determines the process of promulgating regulations

4. Principal federal government agency for health care

5. Fixed payment system for inpatient services based on a patient’s specific diagnosis within Medicare system

6. Prohibits physicians from referring patients to certain health services providers with which the physicians have a financial relationship

7. Prohibits mergers, acquisitions, and joint ventures that threaten to substantially lessen competition or are likely to create a monopoly

8. Exercises influence through regulatory efforts to ensure the safety and efficacy of drugs and medical devices

9. Prohibits contracts and other agreements that unreasonably restrain trade

10. Prohibits the knowing and willful solicitation or receipt of remuneration by any person in connection with items or services for which payment could be made by Medicare or Medicaid