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CRCS Chapter 2

Federal Regulations & Governing Bodies

TermDefinition
The US government's principal agency for protecting the health of all Americans and providing essential human services. DHHS
Name some of the DHHS programs Medicare, Medicaid, Financial Assistance, Maternal and infant health, Medical and social science research, Prevention of infectious diseases, Drug and food safety, Services for elderly Americans, Child support enforcement
Name some of the operating DHHS divisions NIH, FDA, CDC, ATSDR, IHS, HRSA, SAMHSA, AHRQ, CMS, ACF, & ACL
The two programs CMS oversees Medicare (Title XVIII) & Medicaid (Title XIV)
"To ensure effective, up-to-date healthcare coverage and to promote quality care for beneficiaries" The CMS mission
Developed by the AMA in 1975 to guarantee rights to: receive courteous, considerate, respectful treatment in a clean/safe environment, appropriate healthcare, privacy, confidentiality, etc... The Patient Bill of Rights
What are the 2 types of advance directives? Living Will & Healthcare Power of Attorney (or Durable Power of Attorney)
Congress passed this in 1990 to ensure that patients understood their right to participate in decisions about their own healthcare. Patient Self-Determination Act (PDSA)
Obamacare is officially known as this Patient Protection and Affordable Care Act (PPACA)
This prohibits making a false record or statement to get a false/fraudulent claim paid by the government. False Claims Act
The two types of exclusions by the OIG Mandatory & Permissive
Title I of the Consumer Credit Protection Act Truth in Lending Act (Regulation Z)
According to the Fair Credit Billing Act a patient must notify the hospital of any error within how many days after a statement is mailed? 60 days
Title VI of the Consumer Credit Protection Act Fair Credit Reporting Act
Title VIII of the Consumer Credit Protection Act Fair Debt Collection Practices Act
Prohibits credit discrimination on the basis of race, color, religion, national origin, sex, marital status, age, or because someone receives public assisstance. Equal Credit Opportunity Act (ECOA)
Which 2 states are exempt from CLIA? New York and Washignton
Protects consumers from inaccurate or unfair practices by issuers of open-ended credit. Fair Credit Billing Act
Requires providers to make available information on advance directives. Patient Self Determination Act.
Deals with disclosure of information before credit is extended. Truth in Lending Act (Regulation Z)
The Federal government's largest grant-making agency. DHHS
Establishes enforcement responsibility of states and Secretary of DHHS. HIPAA
ACL Administration for Community Living
Created by: pwharton