PMR 12 - legal and ethics Flashcards
Which of the following is a federal program providing health insurance for people older than 65 years?
a. Medicare
b. Americans with Disabilities Act
c. Medicaid
d. Welfare
A) Medicare insurance provides coverage for people older than 65 years.
Which of the following generally provides health insurance coverage for low-income patients and individuals with disabilities?
a. Medicare
b. Americans with Disabilities Act
c. Medicaid
d. Welfare
C) Medicaid provides insurance coverage for low-income patients and individuals with disabilities.
Medicaid is primarily funded by which of the following?
a. Federal government
b. State government
c. Private companies
d. Split between Federal and State governments
D) Medicaid is jointly funded by the Federal and State governments.
Medicare Part A primarily covers which of the following?
a. Outpatient physician visits
b. Yearly physicals
c. Inpatient hospitalizations
d. Outpatient surgical procedures
C) Medicare Part A primarily covers the cost of inpatient hospitalization.
Medicare Part D primarily covers which of the following?
a. Inpatient hospitalization
b. Outpatient imaging studies
c. Outpatient physician visits
d. Prescription drugs
D) Medicare Part D primarily covers prescription drugs.
Medicare pays for inpatient rehabilitation using which of the following payment systems?
a. Pay for fee service
b. Medicare does not pay for inpatient rehabilitation
c. Pay by outcome system
d. Prospective payment system (PPS)
Medicare pays for inpatient rehabilitation by using a PPS. A fixed amount of money is paid to the facility regardless of duration of hospitalization.
Which of the following best describes autonomy?
a. Automatically making a decision for a patient
b. The right of an individual to make his or her own informed decision
c. Taking action that serves the best interest of the patient
d. Do not harm the patient
B) Autonomy is the right of an individual or patient to make his or her own informed decision.
Which of the following best describes beneficence?
a. Automatically making a decision for a patient
b. The right of an individual to make his or her own informed decision
c. Taking action that serves the best interest of the patient
d. Do not harm the patient
C) Beneficence is taking action that serves the best interest of the patient.
Which act allows eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave?
a. Americans with Disabilities Act
b. Family Medical Leave Act (FMLA)
c. Maternity Leave Act
d. Stark Law
B) The FMLA protects eligible employees and allows them to take job protected leave while keeping group health insurance.
Which act is best defined as a wide-ranging civil rights law that prohibits, under certain circumstances, discrimination based on disabilitv?
a. Americans with Disabilities Act (ADA)
b. Family Medical Leave Act
c. Maternity Leave Act
d. Stark Law
A) The ADA prohibits discrimination based on disability. It was signed into law in 1990.
Which of the following governs physician self-referral for Medicare and Medicaid patients?
a. Americans with Disabilities Act
b. Family Medical Leave Act
c. Maternity Leave Act
d. Stark Law
D) The Stark Law governs physician self-, referral for Medicare and Medicaid patients. It limits the conditions under which a physician can refer to an entity in which he or she has a financial interest.
Which of the following is best defined as
“a branch of philosophy dealing with values pertaining to human conduct, considering the rightness and wrongness of actions and the goodness or badness of the motives and ends of such actions.”?
a. Ethics
b. Tort
c. Stark
d. Hippocratic oath
A) Ethics is best defined as a branch of philosophy dealing with values pertaining to human conduct, considering the rightness and wrongness of actions and the goodness or badness of the motives and ends of such actions.
What does HIPAA stand for?
a. Human Interference Protection and
Privacy Act
b. Health Insurance Portability and
Accountability Act
c. Home Insurance Portability and
Accountability Act
d. Health Income Potential and
Protection Act
B) HIPAA stands for Health Insurance
Portability and Accountability Act.
Which of the following is best described as protection for the physician from civil punishment in an emergency?
a. Abandonment
b. Good Samaritan Law.
c. Health Insurance Portability and
Accountability Act (HIPAA)
d. Compliance
B) The Good Samaritan Law protects physicians from civil punishment when acting in an emergency situation. Emergency situations are defined differently by each respective state.
Which of the following describes ending a physician-patient relationship when a patient is in need of treatment, without making certain they have continuing care?
a. Abandonment”
b. Good Samaritan Law
c. Health Insurance Portability and
Accountability Act (HIPAA)
d. Compliance)
A) Abandonment is best described by ending a physician-patient relationship when a patient is in need of treatment, without making certain they have continuing care.
The degree to which a patient follows medical advice is best described as?
a. Abandonment
b. Good Samaritan Law
c. Health Insurance Portability and
Accountability Act (HIPAA)
d. Compliance
D) Compliance is the degree to which a patient follows medical advice.
Which of the following is a unique 10-digit identification number issued to health care providers by centers for Medicare and Medicaid Services (CMS)?
a. Social security number
b. Drug Enforcement Agency (DEA) number
c. National Provider Identification
(NPI) number
d. State License number
C) NPI number is a unique 10-digit identification number issued to health care providers by CMS.
Which of the following best describes informed consent according to the American Medical Association (AMA)?
a. Informing the patient you are going to perform a procedure
b. Informing the patient you made a mistake
c. Informing the parent of a minor
d. Informed consent is a process of communication between a patient and a physician that results in the patient’s authorization or agreement to undergo a specifi c medical intervention
D) Informed consent is a process of communication between a patient and a physician that results in the patient’s authorization or agreement to undergo a specific medical intervention.
Which of the following best describes breach of confidentiality according to the American Medical Association (AMA)?
a. Not disclosing a breached fetal position to an expecting mother
b. Informing a patient of his or her test results
c. Disclosure of information to a third party without patient permission
d. Explaining risks and benefits of a procedure
C) A breach of confidentiality is a disclosure to a third party, without patient consent or court order, of private information that the physician has learned within the patient- physician relationship.
Which of the following is/are appropriate step(s) that should be taken when ending a physician-patient relationship?
a. Providing the patient a written notice
b. Providing the patient an explanation
c. Providing resources to help find another physician
d. All of the above
D) According to American Medical Association (AMA) guidelines, appropriate steps to terminate a patient-physician relationship typically include giving the patient written notice, preferably by certified mail, return receipt requested; providing the patient with a brief explanation for terminating the relationship (this should be a valid reason, for instance, noncompliance, failure to keep appointments.); agreeing to continue to provide treatment and access to services for a L/reasonable period, such as 30 days, to allow a patient to secure care from another person (a physician mav want to extend the period for emergency services); providing resources and/or recommendations to help a patient locate another physician of like specialty; and offering to transfer records to a newly designated physician upon signed patient authorization to do so.
Which of the following does not qualify for the Medicare 60% inpatient rule?
a. Stroke
b. Hip fracture
c. Knee replacement
d. Burns
C) The 60% rule (formerly the 75% rule) is a Medicare regulation stipulating that in order to be eligible for payments, 60% of an inpatient rehabilitation facility’s patients must fall within a specific list of qualifying conditions. Knee replacement does not qualify as part of the 60% rule. In order for a joint replacement to qualify, they must have other comorbidities (obesity, bilateral joint replacement, or older than 85 years).
Medicare is funded by which of the following?
a. Federal government
b. State government
c. Private companies
d. Split between Federal and State governments
A) Medicare is funded by the Federal government. Medicaid is jointly funded by state and federal funds.
Which best describes a legal document that allows you to convey your decisions about end-of-life care ahead of time?
a. Advanced directives
b. Health care proxy
c. Power of attorney
d. Palliative care
A) Advanced directives allow you to convey your decisions about end-of-life care ahead of time.