Federal Healthcare Regulations: A Comprehensive Guide for Healthcare Management

Question 1

Which service is NOT included in Medicare Part A coverage?

Accepted Answer

Prescription medications

Answer

Hospitalization

Answer

Skilled nursing facility care

Answer

Home healthcare

Question 2

What is the primary objective of the Medicare program?

Accepted Answer

To provide health insurance coverage for elderly and disabled Americans

Answer

To regulate the pharmaceutical industry

Answer

To fund medical research

Question 3

Which among the following is NOT a qualifying requirement for Medicaid eligibility?

Accepted Answer

Income above the Federal Poverty Level (FPL)

Answer

Low income

Answer

Disability or being a child under the age of 19

Answer

U.S. citizenship or legal residency

Question 4

What is the primary goal of the Health Insurance Portability and Accountability Act (HIPAA)?

Accepted Answer

To safeguard the privacy of health information

Answer

To support health research initiatives

Answer

To regulate the insurance industry

Question 5

Which of the following is a key objective of the Patient Protection and Affordable Care Act (PPACA)?

Accepted Answer

To reduce the number of uninsured Americans

Answer

To repeal the Medicare program

Answer

To eliminate private health insurance

Answer

To increase healthcare costs

Question 6

Which principle forms the basis of healthcare regulation in the United States?

Accepted Answer

Federalism

Answer

Unitarism

Answer

Decentralization

Answer

Centralization

Question 7

What is the primary responsibility of the Food and Drug Administration (FDA)?

Accepted Answer

To regulate food, drugs, and medical devices

Answer

To provide healthcare to uninsured Americans

Answer

To administer the Medicare program

Answer

To protect the privacy of health information

Question 8

What is the perceived impact of federal healthcare regulations on the healthcare industry?

Accepted Answer

Increased costs, but also potential improvements in quality and access to care

Answer

Decreased costs and improved quality of care

Answer

Increased costs and diminished access to care

Question 9

Under the Affordable Care Act (ACA), which of the following is required for employers with 50 or more full-time equivalent (FTE) employees?

Accepted Answer

Offer health insurance coverage to their employees

Answer

Contribute to employee health savings accounts (HSAs)

Answer

Match employee contributions to retirement plans

Answer

Provide paid sick leave to their employees

Question 10

The primary purpose of the Medicare Act is to:

Accepted Answer

Provide health insurance to elderly and disabled Americans

Answer

Regulate the healthcare industry

Answer

Provide health insurance to low-income Americans

Answer

Fund research on new medical treatments

Question 11

Which of the following is NOT a benefit typically provided by Medicaid?

Accepted Answer

Vision care

Answer

Home health services

Answer

Nursing home care

Answer

Hospital care

Question 12

What is the primary goal of the Health Insurance Portability and Accountability Act (HIPAA)?

Accepted Answer

Protect the privacy and security of patient health information

Answer

Reduce healthcare costs

Answer

Increase access to healthcare

Answer

Improve the quality of healthcare

Question 13

According to the Affordable Care Act, what is the penalty for individuals who do not have health insurance?

Accepted Answer

A tax penalty

Answer

Jail time

Answer

No penalty

Answer

A fine

Question 14

Which of the following is a key provision of the Medicare Modernization Act of 2003?

Accepted Answer

Creation of Part D prescription drug coverage

Answer

Repeal of the Medicare Advantage program

Answer

Expansion of Medicaid eligibility

Answer

Establishment of the Affordable Care Act

Question 15

What is the primary purpose of The Joint Commission?

Accepted Answer

To accredit healthcare organizations to ensure quality of care and patient safety

Answer

To set reimbursement rates for Medicare and Medicaid

Answer

To enforce federal healthcare laws

Answer

To license healthcare professionals

Question 16

Which of the following is NOT a potential consequence of noncompliance with federal healthcare regulations?

Accepted Answer

Increased patient satisfaction

Answer

Legal liability

Answer

Loss of accreditation

Answer

Financial penalties

Question 17

What is the most effective way for healthcare organizations to ensure compliance with federal healthcare regulations?

Accepted Answer

Develop and implement a comprehensive compliance program

Answer

Attend industry conferences on compliance

Answer

Purchase compliance software

Answer

Hire a compliance officer

Question 18

Which federal healthcare regulation mandates coverage for pre-existing conditions without imposing waiting periods?

Accepted Answer

Affordable Care Act

Answer

Health Insurance Portability and Accountability Act

Answer

Patient Protection and Affordable Care Act

Answer

Medicare Act

Question 19

What is the primary source of funding for the Medicare program in the United States?

Accepted Answer

Medicare payroll tax

Answer

General tax revenue

Answer

Employer contributions

Answer

Patient premiums

Question 20

Which of the following services is NOT covered under the Medicaid program?

Accepted Answer

Dental care for adults (except in limited circumstances)

Answer

Hospital care

Answer

Physician services

Answer

Prescription drug coverage

Question 21

What is the overarching objective of the Health Insurance Portability and Accountability Act (HIPAA)?

Accepted Answer

To protect the privacy and security of patient health information

Answer

To expand access to healthcare coverage

Answer

To improve the quality of healthcare

Answer

To reduce healthcare costs

Question 22

Which federal agency has the primary responsibility for administering and enforcing the Medicare program?

Accepted Answer

Centers for Medicare & Medicaid Services (CMS)

Answer

Food and Drug Administration (FDA)

Answer

Occupational Safety and Health Administration (OSHA)

Answer

National Institutes of Health (NIH)

Question 23

What is the primary purpose of the False Claims Act in the context of healthcare?

Accepted Answer

To impose penalties on healthcare providers who knowingly submit false or fraudulent claims for payment

Answer

To ensure compliance with healthcare regulations

Answer

To protect patients from medical malpractice

Question 24

Which provision of the Patient Protection and Affordable Care Act (ACA) established health insurance exchanges known as Marketplaces?

Accepted Answer

Establishment of health insurance exchanges

Answer

Elimination of employer-sponsored health insurance

Answer

Repeal of the Medicare program

Answer

Expansion of Medicaid eligibility

Question 25

What is the primary goal of the Emergency Medical Treatment and Labor Act (EMTALA)?

Accepted Answer

To ensure that all individuals have access to emergency medical care regardless of their ability to pay

Answer

To protect healthcare professionals from violence

Answer

To regulate the use of antibiotics

Question 26

Which federal agency is responsible for investigating and enforcing complaints of HIPAA violations?

Accepted Answer

Office for Civil Rights (OCR) of the U.S. Department of Health and Human Services

Answer

Providing technical assistance on HIPAA compliance

Answer

Developing HIPAA policies and guidelines