CPHQ Review 5 – Corporate Social Responsibility &
Compliance
When a request is made for Emergency Medical Treatment (EMC) the hospital must provide a
medical screening exam or treatment, and stabilize the patient, or transfer the patient. - correct
answer ✔✔EMTALA (Emergency Medical Treatment and Active Labor Act)
Federal protections for personal health information (PHI) and provides patients with rights. -
correct answer ✔✔HIPAA (Health Insurance Portability and Accountability Act)
Established Q standards for all labs to ensure accuracy, reliability, timeliness of patient test
results. - correct answer ✔✔CLIA (Clinical Laboratory Improvement Amendments)
Created new programs and payment models with goals of rewarding value and Q.
**"ObamaCare". In March 2010, the US passed the largest reforms of its health care system
since the enactment of the Medicare program in 1965. The combination of two official acts, the
Patient Protection and Affordable Care Act of 2010 and the Heath Care and Education
Affordability Reconciliation Act of 2010 are considered the PPACA. - correct answer ✔✔PPACA
(Patient Protection and Affordable Care Act)
2015 - Impacts the way providers are reimbursed through Merit-Based Incentive Payment
System and APM's, collectively referred to as the QPP. - correct answer ✔✔MACRA QPP
(Medicare Access and CHIP Reauthorization Act- Quality Payment Program)
Outpatient ambulatory surgery center - correct answer ✔✔ASC
Critical Access Hospital - correct answer ✔✔CAH
, Federal, State & Local - correct answer ✔✔The HQ industry is regulated by ____ levels of
Government
1. OSHA
2. US Department of HHS (Health & Human Services)
-FDA
-CDC
-CMS
-IHS
-NIH
-AHRQ
-SAMHSA (Substance Abuse and mental health servises admin.)
etc. - correct answer ✔✔Federal Regulatory Agencies
Benefits and care provided to those 65 years and older; through providers and suppliers that
participate in the Medicare program
CMS developed Conditions of Participation and Conditions for Coverage that HCO's must meet
to participate in Medicare/Medicaid programs and receive reimbursement.
A program under the U.S. Social Security Administration that reimburses hospitals and
physicians for medical care provided to qualifying people over 65 years old. - correct answer
✔✔Medicare
Patient care institutions (Hospitals, CAHs, Hospices, Nursing homes, Home Health Agencies) -
correct answer ✔✔Providers
Compliance
When a request is made for Emergency Medical Treatment (EMC) the hospital must provide a
medical screening exam or treatment, and stabilize the patient, or transfer the patient. - correct
answer ✔✔EMTALA (Emergency Medical Treatment and Active Labor Act)
Federal protections for personal health information (PHI) and provides patients with rights. -
correct answer ✔✔HIPAA (Health Insurance Portability and Accountability Act)
Established Q standards for all labs to ensure accuracy, reliability, timeliness of patient test
results. - correct answer ✔✔CLIA (Clinical Laboratory Improvement Amendments)
Created new programs and payment models with goals of rewarding value and Q.
**"ObamaCare". In March 2010, the US passed the largest reforms of its health care system
since the enactment of the Medicare program in 1965. The combination of two official acts, the
Patient Protection and Affordable Care Act of 2010 and the Heath Care and Education
Affordability Reconciliation Act of 2010 are considered the PPACA. - correct answer ✔✔PPACA
(Patient Protection and Affordable Care Act)
2015 - Impacts the way providers are reimbursed through Merit-Based Incentive Payment
System and APM's, collectively referred to as the QPP. - correct answer ✔✔MACRA QPP
(Medicare Access and CHIP Reauthorization Act- Quality Payment Program)
Outpatient ambulatory surgery center - correct answer ✔✔ASC
Critical Access Hospital - correct answer ✔✔CAH
, Federal, State & Local - correct answer ✔✔The HQ industry is regulated by ____ levels of
Government
1. OSHA
2. US Department of HHS (Health & Human Services)
-FDA
-CDC
-CMS
-IHS
-NIH
-AHRQ
-SAMHSA (Substance Abuse and mental health servises admin.)
etc. - correct answer ✔✔Federal Regulatory Agencies
Benefits and care provided to those 65 years and older; through providers and suppliers that
participate in the Medicare program
CMS developed Conditions of Participation and Conditions for Coverage that HCO's must meet
to participate in Medicare/Medicaid programs and receive reimbursement.
A program under the U.S. Social Security Administration that reimburses hospitals and
physicians for medical care provided to qualifying people over 65 years old. - correct answer
✔✔Medicare
Patient care institutions (Hospitals, CAHs, Hospices, Nursing homes, Home Health Agencies) -
correct answer ✔✔Providers
