CHE Healthcare Law and Ethics 2 — Questions and Answers
Question 1: The Anti-Kickback Statute prohibits offering, paying, soliciting, or receiving anything of value to:
- Induce or reward referrals of federal healthcare program business (Correct answer)
- Hire unqualified medical staff
- Deny care to uninsured patients
- Overcharge Medicare patients
Correct answer: Induce or reward referrals of federal healthcare program business
The Anti-Kickback Statute makes it illegal to exchange anything of value to induce or reward patient referrals or generate federal healthcare program business.
Question 2: What is the primary purpose of an Institutional Review Board (IRB)?
- Manage hospital finances
- Protect the rights and welfare of human research subjects (Correct answer)
- Credential medical staff
- Review malpractice claims
Correct answer: Protect the rights and welfare of human research subjects
An IRB reviews and monitors biomedical and behavioral research involving human subjects to protect their rights, welfare, and well-being.
Question 3: Which concept requires that similar cases be treated similarly in resource allocation decisions?
- Non-maleficence
- Formal justice (Correct answer)
- Autonomy
- Fidelity
Correct answer: Formal justice
Formal justice holds that equals should be treated equally and that allocation decisions should be made on consistent, relevant criteria.
Question 4: A healthcare executive discovers a billing compliance violation. The FIRST step should be to:
- Fire the employee responsible
- Report immediately to the OIG
- Conduct an internal investigation and document findings (Correct answer)
- Ignore it if the amount is small
Correct answer: Conduct an internal investigation and document findings
The appropriate first step upon discovering a potential compliance violation is to conduct a thorough internal investigation and document all findings before taking further action.
Question 5: Informed consent in healthcare requires that patients receive:
- Only the diagnosis and treatment plan
- Information about diagnosis, treatment options, risks, benefits, and alternatives (Correct answer)
- A signed waiver of liability
- Approval from their insurance company
Correct answer: Information about diagnosis, treatment options, risks, benefits, and alternatives
Valid informed consent requires disclosure of diagnosis, proposed treatment, material risks and benefits, alternatives, and the right to refuse.
Question 6: The OIG's Corporate Integrity Agreements (CIAs) are typically entered into as a result of:
- Routine accreditation reviews
- Settlements of federal healthcare fraud and abuse investigations (Correct answer)
- State licensing violations
- Joint Commission inspections
Correct answer: Settlements of federal healthcare fraud and abuse investigations
CIAs are compliance agreements between the OIG and healthcare providers settling investigations of federal healthcare fraud or abuse.
CHE Healthcare Law and Ethics 2
The Anti-Kickback Statute prohibits offering, paying, soliciting, or receiving anything of value to: