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CBCS Exam 1

Health Care Acts and Laws

TermDefinition
Affordable Care Act (ACA)- OBAMACARE, Signed into law in 2010 The act expanded Medicaid eligibility, created health insurance exchanges, and prevents insurance companies from denying coverage (or charging more) due to preexisting conditions. Spells out how patients can appeal health insurance decisions.
Medicare Catastrophic Coverage Act of 1988 (MCCA) Government bill designed to improve acute care benefits for the elderly and disabled, which was to be phased in from 1989-1993.
American Recovery and Reinvestment Act of 2009 (ARRA) Economic stimulus package enacted by President Obama.
Fair Debt Collection Practice Act (FDCPA) Debt collectors cannot use unfair or abusive practices to collect payment.
False Claims Act Protects the government from being overcharged for services provided or sold, or substandard goods and services.
Health Information Technology for Economic and Clinical Health Act (HITECH) A part of ARRA, which was designed to modernize healthcare by promoting and expanding the adoption of health information technology (HIT), particularly the use of electronic medical records (EMRs).
Administration Simplification Compliance Act (ASCA) Specifically prohibits any payment by Medicare for services or medically necessary supplies that are not submitted electronically.
Stark Law Physicians are not allowed to refer patients to practitioners with whom they have a financial relationship with.
Created by: cattomko
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