Legal Acts

Question 1

describe PATIENT SELF-DETERMINATION

Answer 1

requires provider accepting Medicare/Medicaid to inform pt of right to accept/refuse treatment, rights about advance directive under state, any hospital/provider regarding life support, requires provider to ask about advance

Question 2

list 2 advance directives

Answer 2

• power of attorney
• living will

Question 3

what does the AFFORDABLE CARE ACT (ACA) cover?

Answer 3

• insurers can’t deny coverage bc of pre-existing conditions
• coverage for women’s preventive care & screening
• coverage for copay for certain care & screening
• state has to ensure coverage for kids not covered

Question 4

What is covered in Title I of the HIPAA

Answer 4

continue coverage for ppl & families when changing/lose job

Question 5

what is another name for Title I of HIPAA

Answer 5

Security Rule

Question 6

What is covered under Title II of HIPAA

Answer 6

• requires creation of national ID for providers, insurance, & employers
• establish national standards for data exchange
• improve administration & encourage electronic exchange
• covered entities to privacy rule

Question 7

what covered entities under privacy rule?

Answer 7

insurance, providers, business associates

Question 8

What counts as PHI

Answer 8

• Pt’s physical/mental health past & present
• payment for services associated w/past or present conditions
• treatment/care
• any info that would identify individual

Question 9

list the conditions of the GOOD SAMARITAN ACT

Answer 9

• stop & give reasonable aid in emergency
• won’t apply if volunteer gets reward
• have no prior clinical relationship w/victim

Question 10

what was the purpose of the Americans w/Disabilities Act Amendments Act?

Answer 10

broadens definition of disability for maximum coverage

Question 11

describe the components of the UNIFORM ANATOMICAL GIFT ACT

Answer 11

• organ transplants & giving body up for science
• prohibits organ trafficking & profiteering from donations for transplant/therapy
• donations can be made via for or gift from surviving family

Question 12

define GENETIC INFO NONDISCRIMINATION ACT OF 2008

Answer 12

prohibits discrimination in group health plan because of genetic info

Question 13

what are the components of the genetic information nondiscrimination act of 2008

Answer 13

• builds on HIPAA
• gives additional underwriting protections
• prohibit requiring genetic testing
• restrict collecting genetic info
• individual insurance

Question 14

define STARK LAW

Answer 14

governs physician self-referral for Medicare & Medicaid pts

Question 15

define PHYSICIAN SELF-REFERRAL

Answer 15

physician referring pt to facility they have financial interest