CHAA STUDY QUESTIONS AND ANSWERS SET A+
✔✔What is the primary purpose of the PPACA? - ✔✔To reform healthcare in the U.S.
focusing on affordability, quality, and availability.
✔✔What is one provision of the PPACA regarding pre-existing conditions? - ✔✔It
provides assistance for those with pre-existing conditions.
✔✔What age does the PPACA allow dependent coverage to extend to? - ✔✔Up to age
26
✔✔What does the PPACA require regarding preventive services? - ✔✔It requires
coverage of preventive services and immunizations.
✔✔What is the Emergency Medical Treatment and Labor Act (EMTALA) designed to
protect against? - ✔✔Discrimination in emergency medical care based on a patient's
ability to pay.
✔✔What must hospitals provide under EMTALA when a patient seeks emergency care?
- ✔✔A medical screening exam (MSE) and stabilizing treatment.
✔✔What are the penalties for violating EMTALA? - ✔✔A civil money penalty of up to
$50,000 per violation, or $25,000 for hospitals with fewer than 100 beds.
✔✔What does the Fair Debt Collection Practices Act (FDCPA) prohibit? - ✔✔Unfair,
abusive, or deceptive practices by debt collectors.
✔✔What must debt collectors do according to FDCPA? - ✔✔Identify themselves and
notify consumers that the communication is an attempt to collect a debt.
✔✔What does the Telephone Consumer Protection Act (TCPA) regulate? - ✔✔The use
of prerecorded messages and auto-dialers in telemarketing.
,✔✔What is an advance directive? - ✔✔A legal document outlining a person's wishes for
medical treatment if they become incapacitated.
✔✔What federal agency administers Medicare and Medicaid? - ✔✔The Centers for
Medicare and Medicaid Services (CMS).
✔✔What was the original focus of HIPAA? - ✔✔Regulations related to health insurance
portability.
✔✔What is the role of the Office of Civil Rights (OCR) in relation to HIPAA? -
✔✔Responsible for enforcing HIPAA regulations.
✔✔What does the PPACA aim to increase? - ✔✔The number of Americans who have
access to affordable healthcare.
✔✔What is the 'donut hole' in Medicare Part D? - ✔✔A coverage gap in prescription
drug benefits that the PPACA aims to reduce.
✔✔What are the different plan options available in health insurance marketplaces
established by the PPACA? - ✔✔Platinum, Gold, Silver, and Bronze plans.
✔✔What is the significance of the National Do Not Call (DNC) Registry under TCPA? -
✔✔It protects consumers from unwanted telemarketing calls.
✔✔What is a durable power of attorney in the context of advance directives? - ✔✔A
document that authorizes a specific person to make decisions on behalf of someone
who is incapacitated.
✔✔What does the PPACA provide for low-income Americans? - ✔✔Tax credits to help
pay for health insurance.
✔✔What is the purpose of internet portals established by the PPACA? - ✔✔To assist
individuals in identifying health insurance coverage options.
✔✔What happens if a hospital's provider agreement with CMS is revoked? - ✔✔The
hospital can no longer bill for Medicare, Medicaid, or military services.
✔✔What is the main goal of EMTALA? - ✔✔To ensure all emergency patients receive
care regardless of their socioeconomic status.
✔✔What does the PPACA eliminate regarding health insurance benefits? - ✔✔Lifetime
limits on benefits.
, ✔✔What is a medical screening exam (MSE)? - ✔✔An examination required under
EMTALA to assess a patient's emergency medical condition.
✔✔What is the purpose of the Administrative Simplification provisions of HIPAA? -
✔✔To reduce costs and administrative burdens of healthcare through the
standardization of electronic administrative and financial transactions.
✔✔What must be protected when dealing with electronic health information? -
✔✔Protected Health Information (PHI) that is collected, stored, or transmitted
electronically.
✔✔What are the key components of the Administrative Simplification provisions? -
✔✔Standards for Privacy, National Provider Identification (NPI), Transaction and Code
Sets, Employer Identification (EID), Security and Electronic Signature Standards.
✔✔What is the major goal of the HIPAA Privacy Rule? - ✔✔To assure that individuals'
health information is properly protected.
✔✔What rights do individuals have regarding their health information under HIPAA? -
✔✔Individuals have the right to understand and control how their health information is
being used.
✔✔Who do the HIPAA rules apply to? - ✔✔Health plans, healthcare clearinghouses,
and all healthcare providers who hold individually identifiable health information or
transmit information electronically.
✔✔When is the use and disclosure of PHI permitted without the individual's permission?
- ✔✔For Treatment, Payment, and Healthcare Operations (TPO).
✔✔What is the Minimum Necessary Standard? - ✔✔People should only access, use, or
disclose the health information that is minimally necessary to accomplish a given task or
purpose.
✔✔What types of information are considered PHI? - ✔✔Patient names, addresses,
Social Security numbers, medical record numbers, and other personally identifiable
information.
✔✔What is Electronic Protected Health Information (ePHI)? - ✔✔Sensitive health
information maintained by healthcare providers and health plans that requires strong
data security safeguards.
✔✔What constitutes a HIPAA breach? - ✔✔The use of or disclosure that compromises
the security or privacy of a patient's protected health information (PHI).
✔✔What is the primary purpose of the PPACA? - ✔✔To reform healthcare in the U.S.
focusing on affordability, quality, and availability.
✔✔What is one provision of the PPACA regarding pre-existing conditions? - ✔✔It
provides assistance for those with pre-existing conditions.
✔✔What age does the PPACA allow dependent coverage to extend to? - ✔✔Up to age
26
✔✔What does the PPACA require regarding preventive services? - ✔✔It requires
coverage of preventive services and immunizations.
✔✔What is the Emergency Medical Treatment and Labor Act (EMTALA) designed to
protect against? - ✔✔Discrimination in emergency medical care based on a patient's
ability to pay.
✔✔What must hospitals provide under EMTALA when a patient seeks emergency care?
- ✔✔A medical screening exam (MSE) and stabilizing treatment.
✔✔What are the penalties for violating EMTALA? - ✔✔A civil money penalty of up to
$50,000 per violation, or $25,000 for hospitals with fewer than 100 beds.
✔✔What does the Fair Debt Collection Practices Act (FDCPA) prohibit? - ✔✔Unfair,
abusive, or deceptive practices by debt collectors.
✔✔What must debt collectors do according to FDCPA? - ✔✔Identify themselves and
notify consumers that the communication is an attempt to collect a debt.
✔✔What does the Telephone Consumer Protection Act (TCPA) regulate? - ✔✔The use
of prerecorded messages and auto-dialers in telemarketing.
,✔✔What is an advance directive? - ✔✔A legal document outlining a person's wishes for
medical treatment if they become incapacitated.
✔✔What federal agency administers Medicare and Medicaid? - ✔✔The Centers for
Medicare and Medicaid Services (CMS).
✔✔What was the original focus of HIPAA? - ✔✔Regulations related to health insurance
portability.
✔✔What is the role of the Office of Civil Rights (OCR) in relation to HIPAA? -
✔✔Responsible for enforcing HIPAA regulations.
✔✔What does the PPACA aim to increase? - ✔✔The number of Americans who have
access to affordable healthcare.
✔✔What is the 'donut hole' in Medicare Part D? - ✔✔A coverage gap in prescription
drug benefits that the PPACA aims to reduce.
✔✔What are the different plan options available in health insurance marketplaces
established by the PPACA? - ✔✔Platinum, Gold, Silver, and Bronze plans.
✔✔What is the significance of the National Do Not Call (DNC) Registry under TCPA? -
✔✔It protects consumers from unwanted telemarketing calls.
✔✔What is a durable power of attorney in the context of advance directives? - ✔✔A
document that authorizes a specific person to make decisions on behalf of someone
who is incapacitated.
✔✔What does the PPACA provide for low-income Americans? - ✔✔Tax credits to help
pay for health insurance.
✔✔What is the purpose of internet portals established by the PPACA? - ✔✔To assist
individuals in identifying health insurance coverage options.
✔✔What happens if a hospital's provider agreement with CMS is revoked? - ✔✔The
hospital can no longer bill for Medicare, Medicaid, or military services.
✔✔What is the main goal of EMTALA? - ✔✔To ensure all emergency patients receive
care regardless of their socioeconomic status.
✔✔What does the PPACA eliminate regarding health insurance benefits? - ✔✔Lifetime
limits on benefits.
, ✔✔What is a medical screening exam (MSE)? - ✔✔An examination required under
EMTALA to assess a patient's emergency medical condition.
✔✔What is the purpose of the Administrative Simplification provisions of HIPAA? -
✔✔To reduce costs and administrative burdens of healthcare through the
standardization of electronic administrative and financial transactions.
✔✔What must be protected when dealing with electronic health information? -
✔✔Protected Health Information (PHI) that is collected, stored, or transmitted
electronically.
✔✔What are the key components of the Administrative Simplification provisions? -
✔✔Standards for Privacy, National Provider Identification (NPI), Transaction and Code
Sets, Employer Identification (EID), Security and Electronic Signature Standards.
✔✔What is the major goal of the HIPAA Privacy Rule? - ✔✔To assure that individuals'
health information is properly protected.
✔✔What rights do individuals have regarding their health information under HIPAA? -
✔✔Individuals have the right to understand and control how their health information is
being used.
✔✔Who do the HIPAA rules apply to? - ✔✔Health plans, healthcare clearinghouses,
and all healthcare providers who hold individually identifiable health information or
transmit information electronically.
✔✔When is the use and disclosure of PHI permitted without the individual's permission?
- ✔✔For Treatment, Payment, and Healthcare Operations (TPO).
✔✔What is the Minimum Necessary Standard? - ✔✔People should only access, use, or
disclose the health information that is minimally necessary to accomplish a given task or
purpose.
✔✔What types of information are considered PHI? - ✔✔Patient names, addresses,
Social Security numbers, medical record numbers, and other personally identifiable
information.
✔✔What is Electronic Protected Health Information (ePHI)? - ✔✔Sensitive health
information maintained by healthcare providers and health plans that requires strong
data security safeguards.
✔✔What constitutes a HIPAA breach? - ✔✔The use of or disclosure that compromises
the security or privacy of a patient's protected health information (PHI).
