MODULE 3 CMAA EXAM QUESTIONS
& DETAILED CORRECT ANSWERS
PASSED 100%
While federal laws are mandated, accrediting organizations are a framework of health
care standards that regulate patient safety standards, such as the - CORRECT
ANSWER National Patient Safety Goals (NPSG) and The Joint Commission (TJC).
Health Insurance Portability and Accountability Act (HIPAA) - CORRECT ANSWER
Federal law that ensures confidentiality of protected health information and sets the
standards for health care code sets and billing.
informed consent - CORRECT ANSWER An oral or written agreement of mutual
communication that ensures the patient has been notified about their health care
choices before making them.
abuse - CORRECT ANSWER Any practice that may result in unnecessary costs to
Medicare.
Its important for a CMAA to inform the patient of : - CORRECT ANSWER notice of
privacy practices, pts rights, authorization to release medical records.
Providing health care to patients includes protecting their private health information and
demographic details from anyone who does not need access to it. What are some of the
ways this is accomplished? - CORRECT ANSWER Patients' protected health
information is kept secure by an organizational policy that considers the nature of their
providers and patients—along with other regulatory entities and state and federal laws.
Medical law, ethics, and compliance are the framework for safeguarding patient
information.
Laws - CORRECT ANSWER are an obligation imposed by the authority to protect
patients, providers, and property, and non-compliance may lead to punishment. For
example, the Food and Drug Administration (FDA) is a federal regulatory agency that
protects people and animals from food, drugs, medical devices, and other products.
Regulations - CORRECT ANSWER are rules or orders issued by an executive
authority or regulatory agency of a government with the force of law. An example of
health care regulation is the Healthcare Quality Improvement Act (HCQIA), which gives
immunity to medical providers who do peer reviews to investigate potential fraud or
abuse.
, Guidelines - CORRECT ANSWER are written recommendations of policy. For
example, the official medical coding guidelines provide rules and conventions that
support correct code assignment.
Policies - CORRECT ANSWER are written documents that specify responsibilities
among boards, management, and medical staff. Health care organizations use health
and safety policies to define how health care services are provided to their patients.
Standards - CORRECT ANSWER are criteria and practices established by authority as
rules for measuring value, extent, or quality. Ethical standards are an expectation of
health care organizations and medical professionals.
Occupational Safety and Health Administration (OSHA) - CORRECT ANSWER
Enforces safety, a healthy workplace, and training.
The Joint Commission (TJC) - CORRECT ANSWER Seeks to improve health care for
the public, in collaboration with stakeholders, by evaluating health care organizations.
National Patient Safety Goals (NPSG) - CORRECT ANSWER Aims to improve patient
safety.
Centers for Medicare and Medicaid Serves (CMS) - CORRECT ANSWER Ensures
standards in federally funded medical programs are followed.
Office of the Inspector General (OIG) - CORRECT ANSWER Investigates all fraud and
abuse cases suspected or reported for federally funded medical programs.
Americans with Disabilities Act Amendments Act (ADAAA) - CORRECT ANSWER
Ensures policies and practices that define disability, with the aim of protecting people
who have disabilities from discrimination.
Compliance - CORRECT ANSWER Following mandated laws, policies, standards, and
guidelines.
Medical Law - CORRECT ANSWER explains the rights and responsibilities of medical
providers and patients. There are many components to the medical-legal relationship of
patient care, and understanding concepts of medical law is the responsibility of
everyone on the health care team. Medical laws protect patient and provider rights and
set a precedence of expectations between the patient and the providers through various
forms of contracts.
Contracts - CORRECT ANSWER are legally binding agreements, such as a managed
care organization contract between a provider and a third-party payer.
Medical laws are created to - CORRECT ANSWER protect patients from harm and
malpractice.
& DETAILED CORRECT ANSWERS
PASSED 100%
While federal laws are mandated, accrediting organizations are a framework of health
care standards that regulate patient safety standards, such as the - CORRECT
ANSWER National Patient Safety Goals (NPSG) and The Joint Commission (TJC).
Health Insurance Portability and Accountability Act (HIPAA) - CORRECT ANSWER
Federal law that ensures confidentiality of protected health information and sets the
standards for health care code sets and billing.
informed consent - CORRECT ANSWER An oral or written agreement of mutual
communication that ensures the patient has been notified about their health care
choices before making them.
abuse - CORRECT ANSWER Any practice that may result in unnecessary costs to
Medicare.
Its important for a CMAA to inform the patient of : - CORRECT ANSWER notice of
privacy practices, pts rights, authorization to release medical records.
Providing health care to patients includes protecting their private health information and
demographic details from anyone who does not need access to it. What are some of the
ways this is accomplished? - CORRECT ANSWER Patients' protected health
information is kept secure by an organizational policy that considers the nature of their
providers and patients—along with other regulatory entities and state and federal laws.
Medical law, ethics, and compliance are the framework for safeguarding patient
information.
Laws - CORRECT ANSWER are an obligation imposed by the authority to protect
patients, providers, and property, and non-compliance may lead to punishment. For
example, the Food and Drug Administration (FDA) is a federal regulatory agency that
protects people and animals from food, drugs, medical devices, and other products.
Regulations - CORRECT ANSWER are rules or orders issued by an executive
authority or regulatory agency of a government with the force of law. An example of
health care regulation is the Healthcare Quality Improvement Act (HCQIA), which gives
immunity to medical providers who do peer reviews to investigate potential fraud or
abuse.
, Guidelines - CORRECT ANSWER are written recommendations of policy. For
example, the official medical coding guidelines provide rules and conventions that
support correct code assignment.
Policies - CORRECT ANSWER are written documents that specify responsibilities
among boards, management, and medical staff. Health care organizations use health
and safety policies to define how health care services are provided to their patients.
Standards - CORRECT ANSWER are criteria and practices established by authority as
rules for measuring value, extent, or quality. Ethical standards are an expectation of
health care organizations and medical professionals.
Occupational Safety and Health Administration (OSHA) - CORRECT ANSWER
Enforces safety, a healthy workplace, and training.
The Joint Commission (TJC) - CORRECT ANSWER Seeks to improve health care for
the public, in collaboration with stakeholders, by evaluating health care organizations.
National Patient Safety Goals (NPSG) - CORRECT ANSWER Aims to improve patient
safety.
Centers for Medicare and Medicaid Serves (CMS) - CORRECT ANSWER Ensures
standards in federally funded medical programs are followed.
Office of the Inspector General (OIG) - CORRECT ANSWER Investigates all fraud and
abuse cases suspected or reported for federally funded medical programs.
Americans with Disabilities Act Amendments Act (ADAAA) - CORRECT ANSWER
Ensures policies and practices that define disability, with the aim of protecting people
who have disabilities from discrimination.
Compliance - CORRECT ANSWER Following mandated laws, policies, standards, and
guidelines.
Medical Law - CORRECT ANSWER explains the rights and responsibilities of medical
providers and patients. There are many components to the medical-legal relationship of
patient care, and understanding concepts of medical law is the responsibility of
everyone on the health care team. Medical laws protect patient and provider rights and
set a precedence of expectations between the patient and the providers through various
forms of contracts.
Contracts - CORRECT ANSWER are legally binding agreements, such as a managed
care organization contract between a provider and a third-party payer.
Medical laws are created to - CORRECT ANSWER protect patients from harm and
malpractice.
