1|Page
Module 3 CMAA Questions and Answers with
Solutions UPDATED!!!
While federal laws are mandated, accrediting organizations are
a framework of health care standards that regulate patient
safety standards, such as the - ANSWER National Patient Safety
Goals (NPSG) and The Joint Commission (TJC).
Health Insurance Portability and Accountability Act (HIPAA) -
ANSWER Federal law that ensures confidentiality of protected
health information and sets the standards for health care code
sets and billing.
informed consent - ANSWER An oral or written agreement of
mutual communication that ensures the patient has been
notified about their health care choices before making them.
abuse - ANSWER Any practice that may result in unnecessary
costs to Medicare.
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Its important for a CMAA to inform the patient of : - ANSWER
notice of privacy practices, pts rights, authorization to release
medical records.
Providing health care to patients includes protecting their
private health information and demographic details from
anyone who does not need access to it. What are some of the
ways this is accomplished? - ANSWER Patients' protected health
information is kept secure by an organizational policy that
considers the nature of their providers and patients—along
with other regulatory entities and state and federal laws.
Medical law, ethics, and compliance are the framework for
safeguarding patient information.
Laws - ANSWER are an obligation imposed by the authority to
protect patients, providers, and property, and non-compliance
may lead to punishment. For example, the Food and Drug
Administration (FDA) is a federal regulatory agency that
protects people and animals from food, drugs, medical devices,
and other products.
Regulations - ANSWER are rules or orders issued by an
executive authority or regulatory agency of a government with
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the force of law. An example of health care regulation is the
Healthcare Quality Improvement Act (HCQIA), which gives
immunity to medical providers who do peer reviews to
investigate potential fraud or abuse.
Guidelines - ANSWER are written recommendations of policy.
For example, the official medical coding guidelines provide rules
and conventions that support correct code assignment.
Policies - ANSWER are written documents that specify
responsibilities among boards, management, and medical staff.
Health care organizations use health and safety policies to
define how health care services are provided to their patients.
Standards - ANSWER are criteria and practices established by
authority as rules for measuring value, extent, or quality. Ethical
standards are an expectation of health care organizations and
medical professionals.
Occupational Safety and Health Administration (OSHA) -
ANSWER Enforces safety, a healthy workplace, and training.
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The Joint Commission (TJC) - ANSWER Seeks to improve health
care for the public, in collaboration with stakeholders, by
evaluating health care organizations.
National Patient Safety Goals (NPSG) - ANSWER Aims to
improve patient safety.
Centers for Medicare and Medicaid Serves (CMS) - ANSWER
Ensures standards in federally funded medical programs are
followed.
Office of the Inspector General (OIG) - ANSWER Investigates all
fraud and abuse cases suspected or reported for federally
funded medical programs.
Americans with Disabilities Act Amendments Act (ADAAA) -
ANSWER Ensures policies and practices that define disability,
with the aim of protecting people who have disabilities from
discrimination.
Compliance - ANSWER Following mandated laws, policies,
standards, and guidelines.
Module 3 CMAA Questions and Answers with
Solutions UPDATED!!!
While federal laws are mandated, accrediting organizations are
a framework of health care standards that regulate patient
safety standards, such as the - ANSWER National Patient Safety
Goals (NPSG) and The Joint Commission (TJC).
Health Insurance Portability and Accountability Act (HIPAA) -
ANSWER Federal law that ensures confidentiality of protected
health information and sets the standards for health care code
sets and billing.
informed consent - ANSWER An oral or written agreement of
mutual communication that ensures the patient has been
notified about their health care choices before making them.
abuse - ANSWER Any practice that may result in unnecessary
costs to Medicare.
,2|Page
Its important for a CMAA to inform the patient of : - ANSWER
notice of privacy practices, pts rights, authorization to release
medical records.
Providing health care to patients includes protecting their
private health information and demographic details from
anyone who does not need access to it. What are some of the
ways this is accomplished? - ANSWER Patients' protected health
information is kept secure by an organizational policy that
considers the nature of their providers and patients—along
with other regulatory entities and state and federal laws.
Medical law, ethics, and compliance are the framework for
safeguarding patient information.
Laws - ANSWER are an obligation imposed by the authority to
protect patients, providers, and property, and non-compliance
may lead to punishment. For example, the Food and Drug
Administration (FDA) is a federal regulatory agency that
protects people and animals from food, drugs, medical devices,
and other products.
Regulations - ANSWER are rules or orders issued by an
executive authority or regulatory agency of a government with
,3|Page
the force of law. An example of health care regulation is the
Healthcare Quality Improvement Act (HCQIA), which gives
immunity to medical providers who do peer reviews to
investigate potential fraud or abuse.
Guidelines - ANSWER are written recommendations of policy.
For example, the official medical coding guidelines provide rules
and conventions that support correct code assignment.
Policies - ANSWER are written documents that specify
responsibilities among boards, management, and medical staff.
Health care organizations use health and safety policies to
define how health care services are provided to their patients.
Standards - ANSWER are criteria and practices established by
authority as rules for measuring value, extent, or quality. Ethical
standards are an expectation of health care organizations and
medical professionals.
Occupational Safety and Health Administration (OSHA) -
ANSWER Enforces safety, a healthy workplace, and training.
, 4|Page
The Joint Commission (TJC) - ANSWER Seeks to improve health
care for the public, in collaboration with stakeholders, by
evaluating health care organizations.
National Patient Safety Goals (NPSG) - ANSWER Aims to
improve patient safety.
Centers for Medicare and Medicaid Serves (CMS) - ANSWER
Ensures standards in federally funded medical programs are
followed.
Office of the Inspector General (OIG) - ANSWER Investigates all
fraud and abuse cases suspected or reported for federally
funded medical programs.
Americans with Disabilities Act Amendments Act (ADAAA) -
ANSWER Ensures policies and practices that define disability,
with the aim of protecting people who have disabilities from
discrimination.
Compliance - ANSWER Following mandated laws, policies,
standards, and guidelines.
