ch5 Flashcards
Jim Black has filed a qui tam lawsuit against a medical device maker. That means Mr Black
is trying to enforce the federal False Claims Act.
Payment of something of value with the intent of inducing referrals is a violation of which of the following statutes?
Antikickback statute.
The purpose of the Ethics in Patient Referrals Act is removal of conflicts of interest from decision-making by ________.
physicians
When a sole proprietor dies, what happens to their business?
it ends because no one else can keep it open
Where are the powers of a corporation found?
State law and corporate articles/bylaws
The term used to describe a court’s decision to disregard the corporate nature of a business and impose liability directly on its owners is which of the following?
Piercing the corporate veil
The federal program that provides payment for hospital care is known as __________.
Medicare Part A
Accountable care organizations consist of which of the following?
Groups of providers of services and suppliers who meet certain criteria
Under the False Claims Act, a person is liable for penalties if he or she does any of the following except:
knowingly pays any remuneration directly in ah to induce referral of an individual for the furnishing of services for which payment may be made under a Federal health care program
All of the following arrangements are not considered remuneration under the ACA, except:
Reduced rent for physician office located on a hospital campus in exchange for a minimum number of admissions to the same hospital
The elements needed to prove a Stark violation include all of the following except:
Intent for overpayment
Elements of the Antikickback Statute include the following except
Referral from physician
Safe harbors of the Antikickback Statute include all of the following except:
Payments for referral services tied to payment for those referrals
Which of the following would not be considered a violation of the False Claims Act?
Billing one charge for a battery of tests performed as a single lab procedure
What is the key consideration when determining physician compensation for compliance with Stark and antikickback laws?
fair market value
