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CRCS Chapter 2
Federal Regulations & Governing Bodies
| Term | Definition |
|---|---|
| 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
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