HSA 400 Ch. 4 Exam Questions with Correct Answers Latest Update 2025/2026
-Designed to address long-standing problems with availability & affordability of health insurance.
-The ACA sets the stage for systemic changes in how healthcare is delivered by moving away
from a fee-for-service payment to a model that rewards providers who can achieve superior
outcomes for patients. - Answers Describe how legal & regulatory issues shape & define good
financial management of a healthcare organization.
-Internal Control.
-Control environment.
-Risk assessment.
-Control activities.
-Information and communication
-Monitoring. - Answers Identify the major components of a corporate compliance plan, including
the establishment of internal controls relating to the finances of an organization.
-1) Medicare Reimbursement: Parts A-D; payment to providers & certification of providers.
-2) Medicaid Reimbursement
-3) Beneficiary appeal rights & process.
-4) Fraud & Abuse. - Answers What are the primary regulatory issues in healthcare?
-Purpose of laws: promote a competitive free marketplace.
-Sherman Act: agrees that unreasonably restrain trade.
-Price fixing (IPAs *PHOs).
-Per Se Violations
-Reviews of mergers, acquisitions, & joint venture agreements. - Answers Describe Anti-trust
Issues.
-Prohibits mergers & acquisitions that may substantially lessen competition.
-Analytical methodology provided. - Answers Describe the Clayton Act.
-Prohibits hospitals from transferring an emergency patient because of inability to pay. -
Answers Describe the Emergency Medical Transfer & Active Labor Act (EMTALA).
-true. - Answers True or False: Proper planning, implementation, execution, documentation &
-Designed to address long-standing problems with availability & affordability of health insurance.
-The ACA sets the stage for systemic changes in how healthcare is delivered by moving away
from a fee-for-service payment to a model that rewards providers who can achieve superior
outcomes for patients. - Answers Describe how legal & regulatory issues shape & define good
financial management of a healthcare organization.
-Internal Control.
-Control environment.
-Risk assessment.
-Control activities.
-Information and communication
-Monitoring. - Answers Identify the major components of a corporate compliance plan, including
the establishment of internal controls relating to the finances of an organization.
-1) Medicare Reimbursement: Parts A-D; payment to providers & certification of providers.
-2) Medicaid Reimbursement
-3) Beneficiary appeal rights & process.
-4) Fraud & Abuse. - Answers What are the primary regulatory issues in healthcare?
-Purpose of laws: promote a competitive free marketplace.
-Sherman Act: agrees that unreasonably restrain trade.
-Price fixing (IPAs *PHOs).
-Per Se Violations
-Reviews of mergers, acquisitions, & joint venture agreements. - Answers Describe Anti-trust
Issues.
-Prohibits mergers & acquisitions that may substantially lessen competition.
-Analytical methodology provided. - Answers Describe the Clayton Act.
-Prohibits hospitals from transferring an emergency patient because of inability to pay. -
Answers Describe the Emergency Medical Transfer & Active Labor Act (EMTALA).
-true. - Answers True or False: Proper planning, implementation, execution, documentation &
