SMQT- SURVEY & CERTIFICATION BACKGROUND LATEST
ACTUAL EXAM WITH VERIFIED QUESTIONS & CORRECT
ANSWERS
Question 1.
Social Security Act of 1965
ANSWER
It was signed into law by President Johnson on July 30, 1965. The law established both
Medicare, the health insurance program for Americans over 65 and Medicaid, the health
insurance program for low-income Americans.
Question 2.
Health Care Financing Administration (HCFA)
ANSWER
Created in 1977 to combine, under one administration, the oversight of Medicare and
Medicaid under the HCFA (the predecessor of CMS).
,Question 3.
Medicare
ANSWER
Signed into law in 1965, Medicare is a Health Insurance Program for the following groups:
- People age 65 or older
- People under age 65 with certain disabilities
- People of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis
or a kidney transplant)
Question 4.
Medicaid
ANSWER
Medicaid is a medical assistance program jointly financed by State and Federal governments
for eligible low-income individuals. The program covers a variety of groups, including the
following:
- The needy elderly
- Blind
- Disabled individuals receiving cash assistance under the Supplemental Security Income
Program
- Certain infants and low-income pregnant women
- At the option of the State, other low-income individuals with medical bills that qualify them
as categorically or medically needy.
Medicaid is a state program that provides medical services to clients of the state public
assistance program and, at the State's option, other needy individuals.
Medicaid also augments the hospital and nursing facility (NF) services mandated under
Medicaid.
States may decide on the amount, duration, and scope of additional services, except that care
in institutions primarily for the care and treatment of mental health issues, may not be
included for persons over age 21 and under age 65.
Question 5.
Clinical Laboratory Improvement Amendments (CLIA)
ANSWER
, Signed into law in 1988, CLIA regulations include federal standards applicable to all U.S.
laboratory facilities or sites that test human specimens for health assessment or to diagnose,
prevent, or treat disease. The CDC, in partnership with the CMS and FDA, supports the CLIA
program and clinical laboratory quality.
- The Centers for Disease Control & Prevention is responsible for the CLIA studies, convening
the Clinical Laboratory Improvement Amendments Committee (CLIAC) & provides
scientific & technical support to CMS.
- A laboratory is defined as any facility that performs laboratory testing on specimens derived
from humans for the purpose of providing information for the diagnosis, prevention,
treatment of disease, or impairment of, or assessment of health.
- CLIA covers approximately 175,000 laboratory entities.
- The Food & Drug Administration (FDA) is responsible for test categorization.
- The Division of Laboratory Services, within the Survey & Certification Group, under the
Center for Medicaid, CHIP and Survey & Certification have the responsibility for
implementing the CLIA Program.
- CMS is charged with the implementation of CLIA, including laboratory registration, fee
collection, certificate generation, surveys, surveyor guidelines development & training,
enforcement, financial management, & finally, approvals of proficiency testing providers,
accrediting organizations & exempt states.
Question 6.
Title XVIII of the Social Security Act
ANSWER
Title XVIII (18) established regulations for the Medicare program. The Chapter also provides
insurance coverage for hospital, post-hospital, home health services, and hospice care for the
aged and disabled. regardless of income or health status.
Question 7.
Title XIX (Medicaid) of the Act
ACTUAL EXAM WITH VERIFIED QUESTIONS & CORRECT
ANSWERS
Question 1.
Social Security Act of 1965
ANSWER
It was signed into law by President Johnson on July 30, 1965. The law established both
Medicare, the health insurance program for Americans over 65 and Medicaid, the health
insurance program for low-income Americans.
Question 2.
Health Care Financing Administration (HCFA)
ANSWER
Created in 1977 to combine, under one administration, the oversight of Medicare and
Medicaid under the HCFA (the predecessor of CMS).
,Question 3.
Medicare
ANSWER
Signed into law in 1965, Medicare is a Health Insurance Program for the following groups:
- People age 65 or older
- People under age 65 with certain disabilities
- People of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis
or a kidney transplant)
Question 4.
Medicaid
ANSWER
Medicaid is a medical assistance program jointly financed by State and Federal governments
for eligible low-income individuals. The program covers a variety of groups, including the
following:
- The needy elderly
- Blind
- Disabled individuals receiving cash assistance under the Supplemental Security Income
Program
- Certain infants and low-income pregnant women
- At the option of the State, other low-income individuals with medical bills that qualify them
as categorically or medically needy.
Medicaid is a state program that provides medical services to clients of the state public
assistance program and, at the State's option, other needy individuals.
Medicaid also augments the hospital and nursing facility (NF) services mandated under
Medicaid.
States may decide on the amount, duration, and scope of additional services, except that care
in institutions primarily for the care and treatment of mental health issues, may not be
included for persons over age 21 and under age 65.
Question 5.
Clinical Laboratory Improvement Amendments (CLIA)
ANSWER
, Signed into law in 1988, CLIA regulations include federal standards applicable to all U.S.
laboratory facilities or sites that test human specimens for health assessment or to diagnose,
prevent, or treat disease. The CDC, in partnership with the CMS and FDA, supports the CLIA
program and clinical laboratory quality.
- The Centers for Disease Control & Prevention is responsible for the CLIA studies, convening
the Clinical Laboratory Improvement Amendments Committee (CLIAC) & provides
scientific & technical support to CMS.
- A laboratory is defined as any facility that performs laboratory testing on specimens derived
from humans for the purpose of providing information for the diagnosis, prevention,
treatment of disease, or impairment of, or assessment of health.
- CLIA covers approximately 175,000 laboratory entities.
- The Food & Drug Administration (FDA) is responsible for test categorization.
- The Division of Laboratory Services, within the Survey & Certification Group, under the
Center for Medicaid, CHIP and Survey & Certification have the responsibility for
implementing the CLIA Program.
- CMS is charged with the implementation of CLIA, including laboratory registration, fee
collection, certificate generation, surveys, surveyor guidelines development & training,
enforcement, financial management, & finally, approvals of proficiency testing providers,
accrediting organizations & exempt states.
Question 6.
Title XVIII of the Social Security Act
ANSWER
Title XVIII (18) established regulations for the Medicare program. The Chapter also provides
insurance coverage for hospital, post-hospital, home health services, and hospice care for the
aged and disabled. regardless of income or health status.
Question 7.
Title XIX (Medicaid) of the Act
