Chapter 002 Medical Ethics, Law, and Compliance 

Multiple Choice Questions 1. The standards of conduct that grow out of one's understanding of right and wrong are known as: A. EthicsB. MoralsC. BehaviorD. Common Sense 2. What is considered to be one response to a bioethical issue? A. Appointing a power of attorneyB. Appointing a guardianC. Living WillD. Will 3. What is another name for etiquette? A. Good behaviorB. Good mannersC. Good attitudeD. Good morals 4. Who is called "the father of modern medicine"? A. GalileoB. ZeusC. HippocratesD. Galen 5. The law, as it applies to standards of acceptable care, is known as: A. Medical ethicsB. Medical jurisprudenceC. Medical lawD. Both B and C answers are correct 

6. Medical practice acts __________ users of healthcare services. A. ProtectB. HarmC. ServiceD. Support 7. The registration (permit) issued by the registration branch of the Drug Enforcement Administration (DEA) must be renewed how often? A. Bi-annuallyB. AnnuallyC. Every three yearsD. Every five years 8. The relationship between the physician and the patient starts when the patient: A. Goes to the physician for careB. Receives a billC. Receives a diagnosisD. Selects the physician as a PPO 

9. A contract not expressed in either words or writing is considered to be: A. Not validB. A dealC. ImpliedD. Applied 10. At times a written contract is provided. This is called a(n) __________ contract. A. ImpliedB. ExpressedC. FixedD. Common 

11. A standard written contract will allow a patient to: A. Have one free office visitB. Pay for services at a 10% discountC. Receive free careD. Pay for services over an extended period of time 12. In the physician-patient relationship, the patient _____ certain responsibilities. A. Does haveB. Does not have 13. This type of consent applies to routine treatment only. A. ImpliedB. ExpressedC. DefinedD. Belated 14. This type of consent is important to avoid later lawsuits, or even more seriously, criminal accusations: A. ImpliedB. ExpressedC. DefinedD. Belated 15. This type of consent means that the patient has had an illness or problem explained by the physician in simple, understandable language. A. ExpressB. ImpliedC. InformedD. Oral 

16. This gives someone else, of the patient's choosing, the right to make decisions for the patient: A. DPAB. CPAC. GPAD. KRA 17. How many categories are there of covered entities? A. ThreeB. TwoC. OneD. Four 18. Individually identifiable health information that is transmitted or maintained by electronic media is: A. Patient Health InformationB. Private Health InformationC. Protected Health InformationD. Personal Health Information 19. PHI includes all of the following except: A. Social Security NumberB. Telephone NumberC. Finger PrintsD. Weight 20. The HIPAA law requires identifiers for all of the following except: A. ProvidersB. Health ClaimsC. PatientsD. Health plans 

21. The NPI is a __________ position numeric identifier with a check digit in the last position to help detect keying errors. A. 10B. 8C. 6D. 12 22. The minimum necessary standard ____ to disclosures. A. does not applyB. does apply 23. For use or disclosure of PHI other than for treatment, payment, or operations, the patient must: A. Pay a release of information feeB. Sign an authorization to release informationC. Call and authorize the release of informationD. Visit the physician within 30 days of the release of information 

24. TPO stands for: A. Treatment operations paymentB. Taxation, physician, organizationC. The payment operationD. Treatment, payment, operations 25. An authorization document must be in plain language and include all of the following except: A. Signature of the individualB. Description of the purpose of each disclosureC. Expiration dateD. Charge for release of information 

26. Adherence to rules and regulations is also known as: A. LegalityB. ComplianceC. ComplementsD. Ability 27. This person may be an office manager or a biller: A. Chief Medical OfficerB. Chief of StaffC. Chief Compliance OfficerD. Chief Financial Officer 28. This type of environment makes employees feel encouraged to report mistakes promptly without fear of retribution: A. Open door policyB. Closed door policy 29. An audit should be conducted at least how often by a designated staff member on the outside? A. Once per yearB. Once every two yearsC. Every six monthsD. Once every five years 30. Within how many days should corrective action be taken once a problem is identified? A. 30 daysB. 60 daysC. 90 daysD. 120 days 

31. Accurate data entry speeds the correct payment of claims and lessens the chance of: A. Claims denialB. State finesC. State auditD. Federal audit 

32. Accurate documentation contributes to improved: A. Patient satisfactionB. Patient complianceC. Patient careD. Patient payment 33. Assistants who maintain good __________ relationships with patients and other staff members help reduce the likelihood of litigation. A. PersonalB. ExtracurricularC. WorkingD. Interpersonal 34. Documentation of all __________ should be placed in the compliance manual. A. HiringB. TrainingC. FiringD. Auditing 35. Many practices accept requests for information only when they are: A. Requested in writingB. Requested in personC. Requested by an attorneyD. Both written and notarized 

36. Which is not a standard of the HIPAA Administrative Simplification Provisions? A. HIPAA Security RequirementsB. HIPAA Electronic Transaction and CodeC. HIPAA Privacy RequirementsD. HIPAA Release of Information 37. At the physician's office, blood must be drawn from a patient to check cholesterol levels and possible reasons for consistently elevated blood pressure. The patient arrives, agrees to have her blood drawn, and blood is drawn. Please choose which kind of consent the patient has given. A. Expressed consentB. Implied consentC. No consentD. Written consent 38. During a recent political campaign, the candidates stated varying positions on stem cell research. Choose the category under which this topic falls. A. EthicsB. EtiquetteC. ComplianceD. Bioethics 

39. When Patricia was diagnosed with Alzheimer's disease, she decided she might need another individual to make informed medical decisions, should she not be able to make them for herself. Select the document that she would need to complete. A. Medical durable power of attorneyB. Expressed consent formC. Certificate of depositD. Deposition 

40. The following information was placed on the computer screen containing electronic health information data: Susan Durbin, Social Security number 123-45-6789, DOB 12-3-1975. Upon checkout, Susan's neighbor saw the data on the screen and later called Susan to ask why she was seeing an OB/GYN. Point out why this is a breech of confidentiality. A. Protected health information was disclosed without permissionB. Health information was disclosedC. The phone number was incorrectD. The blood type was not listed 41. Lisa is asked to develop and implement policies and procedures to protect medical data. Before beginning, select what would be the next step. A. Assign a security officerB. Assign passwords to individuals who need accessC. Identify areas of vulnerabilityD. Conduct staff training  

Fill in the Blank Questions 42. HIPAA stands for ____________________. ________________________________________ 43. A general written consent for the sharing of information for the purpose of carrying out treatment or submitting insurance claims is a(n) ____________________________________. ________________________________________ 44. A patient's refusal to have tests, x-rays, or vaccinations can be defined as ______________. ________________________________________ 

45. _____________ is an intentionally dishonest practice that deprives others of their rights. ________________________________________ 46. A law set to limit the time for initiating litigation is known as ________________________. ________________________________________ 47. A clear threat of injury to another is ______________. ________________________________________ 48. _______________ is any bodily contact without permission. ________________________________________ 

49. When a physician orders additional tests and follow-up visits to confirm a diagnosis or treatment, this kind of medicine is known as _______________________. ________________________________________ 50. Behaviors and customs that are standards for what is considered good manners is ________. ________________________________________ 51. A(n) __________________________ gives someone else, of the patient's choosing, the right to make decisions for the patient. ________________________________________ 52. In order to prescribe controlled substances, the physician must be registered with the ________________________________. ________________________________________ 53. _____________ deals with the ethics of medical treatment, technology, and procedures. ________________________________________ 54. A(n) _________________ provides a license to practice medicine. ________________________________________ 55. __________________________________ are companies that "translate" or "facilitate" translation of electronic transactions between the providers of health care and the health care plans. ________________________________________  

Multiple Choice Questions

Answers 1. (p. 36) The standards of conduct that grow out of one's understanding of right and wrong are known as: A. EthicsB. MoralsC. BehaviorD. Common SenseThe standards of conduct that grow out of one's understanding of right and wrong are known as ethics. 2. (p. 38) What is considered to be one response to a bioethical issue? A. Appointing a power of attorneyB. Appointing a guardianC. Living WillD. WillA living will is considered to be one response to a bioethical issue. 

3. (p. 38) What is another name for etiquette? A. Good behaviorB. Good mannersC. Good attitudeD. Good moralsGood manners are another name for etiquette.  4. (p. 38) Who is called "the father of modern medicine"? A. GalileoB. ZeusC. HippocratesD. GalenHippocrates is called the father of modern medicine.5. (p. 39) The law, as it applies to standards of acceptable care, is known as: A. Medical ethicsB. Medical jurisprudenceC. Medical lawD. Both B and C answers are correctThe law, as it applies to standards of acceptable care, is known as medical jurisprudence and medical law. 

6. (p. 39) Medical practice acts __________ users of healthcare services. A. ProtectB. HarmC. ServiceD. SupportMedical practice acts protect users of healthcare services. 7. (p. 40) The registration (permit) issued by the registration branch of the Drug Enforcement Administration (DEA) must be renewed how often? A. Bi-annuallyB. AnnuallyC. Every three yearsD. Every five yearsThe registration (permit) issued by the registration branch of the Drug Enforcement Administration (DEA) must be renewed annually. 

8. (p. 40) The relationship between the physician and the patient starts when the patient: A. Goes to the physician for careB. Receives a billC. Receives a diagnosisD. Selects the physician as a PPOThe relationship between the physician and the patient starts when the patient goes to the physician for care. 9. (p. 40) A contract not expressed in either words or writing is considered to be: A. Not validB. A dealC. ImpliedD. AppliedA contract not expressed in either words or writing is considered to be implied. 

10. (p. 40) At times a written contract is provided. This is called a(n) __________ contract. A. ImpliedB. ExpressedC. FixedD. CommonAt times a written contract is provided. This is called an expressed contract. 

11. (p. 41) A standard written contract will allow a patient to: A. Have one free office visitB. Pay for services at a 10% discountC. Receive free careD. Pay for services over an extended period of timeA standard written contract will allow a patient to pay for services over an extended period of time. 

12. (p. 41) In the physician-patient relationship, the patient _____ certain responsibilities. A. Does haveB. Does not haveIn the physician-patient relationship the patient has certain responsibilities. 13. (p. 41) This type of consent applies to routine treatment only. A. ImpliedB. ExpressedC. DefinedD. BelatedAn implied consent applies to routine treatment only. 

14. (p. 41) This type of consent is important to avoid later lawsuits, or even more seriously, criminal accusations: A. ImpliedB. ExpressedC. DefinedD. BelatedAn expressed consent is important to avoid later lawsuits, or even more seriously, criminal accusations. 15. (p. 41) This type of consent means that the patient has had an illness or problem explained by the physician in simple, understandable language. A. ExpressB. ImpliedC. InformedD. OralInformed consent means that the patient has had an illness or problem explained by the physician in simple, understandable language. 

16. (p. 41) This gives someone else, of the patient's choosing, the right to make decisions for the patient: A. DPAB. CPAC. GPAD. KRAA durable power of attorney gives someone else of the patient's choosing, the right to make decisions for the patient. 17. (p. 50) How many categories are there of covered entities? A. ThreeB. TwoC. OneD. FourThere are three categories of covered entities; healthcare providers, health plans, and healthcare clearing houses.

 

18. (p. 53) Individually identifiable health information that is transmitted or maintained by electronic media is: A. Patient Health InformationB. Private Health InformationC. Protected Health InformationD. Personal Health InformationIndividually identifiable health information that is transmitted or maintained by electronic media is called protected health information.

19. (p. 53) PHI includes all of the following except: A. Social Security NumberB. Telephone NumberC. Finger PrintsD. WeightPHI includes a social security number, telephone number and finger prints. 

20. (p. 54) The HIPAA law requires identifiers for all of the following except: A. ProvidersB. Health ClaimsC. PatientsD. Health plansThe HIPAA law requires identifiers for providers, patients, and health plans. 21. (p. 57) The NPI is a __________ position numeric identifier with a check digit in the last position to help detect keying errors. A. 10B. 8C. 6D. 12The NPI is a 10 position numeric identifier with a check digit in the last position to help detect keying errors. 

22. (p. 54) The minimum necessary standard ____ to disclosures. A. does not applyB. does applyThe minimum necessary standard does not apply to disclosures. 23. (p. 54) For use or disclosure of PHI other than for treatment, payment, or operations, the patient must: A. Pay a release of information feeB. Sign an authorization to release informationC. Call and authorize the release of informationD. Visit the physician within 30 days of the release of informationFor use or disclosure of PHI other than for treatment, payment, or operations, the patient must sign an authorization to release information. 24. (p. 55) TPO stands for: A. Treatment operations paymentB. Taxation, physician, organizationC. The payment operationD. Treatment, payment, operationsTPO stands for treatment, payment, operations.

 

25. (p. 56) An authorization document must be in plain language and include all of the following except: A. Signature of the individualB. Description of the purpose of each disclosureC. Expiration dateD. Charge for release of informationAn authorization document must be in plain language and include a signature of the individual, description of the purpose of each disclosure, and an expiration date. 

26. (p. 57) Adherence to rules and regulations is also known as: A. LegalityB. ComplianceC. ComplementsD. AbilityAdherence to rules and regulations is also known as compliance. 

27. (p. 58) This person may be an office manager or a biller: A. Chief Medical OfficerB. Chief of StaffC. Chief Compliance OfficerD. Chief Financial OfficerThe chief compliance officer may be an office manager or a biller. 

28. (p. 58) This type of environment makes employees feel encouraged to report mistakes promptly without fear of retribution: A. Open door policyB. Closed door policy

An open door policy makes employees feel encouraged to report mistakes promptly without fear of retribution.

 29. (p. 58) An audit should be conducted at least how often by a designated staff member on the outside? A. Once per yearB. Once every two yearsC. Every six monthsD. Once every five yearsAn audit should be conducted once per year by a designated staff member on the outside. 30. (p. 58) Within how many days should corrective action be taken once a problem is identified? A. 30 daysB. 60 daysC. 90 daysD. 120 daysA corrective action should be taken within 60 days of when a problem is identified. 31. (p. 58) Accurate data entry speeds the correct payment of claims and lessens the chance of: A. Claims denialB. State finesC. State auditD. Federal auditAccurate data entry speeds the correct payment of claims and lessens the chance of federal audit. 32. (p. 58) Accurate documentation contributes to improved: A. Patient satisfactionB. Patient complianceC. Patient careD. Patient paymentAccurate documentation contributes to improved patient care. 

33. (p. 59) Assistants who maintain good __________ relationships with patients and other staff members help reduce the likelihood of litigation. A. PersonalB. ExtracurricularC. WorkingD. Interpersonal

Assistants who maintain good interpersonal relationships with patients and other staff members help reduce the likelihood of litigation. 34. (p. 59) Documentation of all __________ should be placed in the compliance manual. A. HiringB. TrainingC. FiringD. AuditingDocumentation of all training should be placed in the compliance manual. 35. (p. 59) Many practices accept requests for information only when they are: A. Requested in writingB. Requested in personC. Requested by an attorneyD. Both written and notarizedMany practices accept requests for information only when they are requested in writing. 36. (p. 50) Which is not a standard of the HIPAA Administrative Simplification Provisions? A. HIPAA Security RequirementsB. HIPAA Electronic Transaction and CodeC. HIPAA Privacy RequirementsD. HIPAA Release of InformationHIPAA Release of Information is not a standard of the HIPAA Administrative Simplification Provisions. 

37. (p. 49) At the physician's office, blood must be drawn from a patient to check cholesterol levels and possible reasons for consistently elevated blood pressure. The patient arrives, agrees to have her blood drawn, and blood is drawn. Please choose which kind of consent the patient has given. A. Expressed consentB. Implied consentC. No consentD. Written consentAt the physician's office, blood must be drawn from a patient to check cholesterol levels and possible reasons for consistently elevated blood pressure. The patient arrives and blood is drawn. The patient has given expressed consent. 

38. (p. 37) During a recent political campaign, the candidates stated varying positions on stem cell research. Choose the category under which this topic falls. A. EthicsB. EtiquetteC. ComplianceD. BioethicsDuring a recent political campaign, the candidates stated varying positions on stem cell research. This falls under the category of bioethics. 39. (p. 41) When Patricia was diagnosed with Alzheimer's disease, she decided she might need another individual to make informed medical decisions, should she not be able to make them for herself. Select the document that she would need to complete. A. Medical durable power of attorneyB. Expressed consent formC. Certificate of depositD. DepositionPatricia would need to complete a medical durable power of attorney. 40. (p. 56) The following information was placed on the computer screen containing electronic health information data: Susan Durbin, Social Security number 123-45-6789, DOB 12-3-1975. Upon checkout, Susan's neighbor saw the data on the screen and later called Susan to ask why she was seeing an OB/GYN. Point out why this is a breech of confidentiality. A. Protected health information was disclosed without permissionB. Health information was disclosedC. The phone number was incorrectD. The blood type was not listedProtected health information was disclosed without permission. 41. (p. 56) Lisa is asked to develop and implement policies and procedures to protect medical data. Before beginning, select what would be the next step. A. Assign a security officerB. Assign passwords to individuals who need accessC. Identify areas of vulnerabilityD. Conduct staff trainingLisa is asked to develop and implement policies and procedures to protect medical data. Before beginning, she should assign a security officer.  

Fill in the Blank Questions 42. (p. 49) HIPAA stands for ____________________. Health Insurance Portability and Accountability ActHIPAA stands for Health Insurance Portability and Accountability Act. 

43. (p. 47) A general written consent for the sharing of information for the purpose of carrying out treatment or submitting insurance claims is a(n) ____________________________________. Authorization for Medical RecordsA general written consent for the sharing of information for the purpose of carrying out treatment or submitting insurance claims is an Authorization for Medical Records. 44. (p. 46-47) A patient's refusal to have tests, x-rays, or vaccinations can be defined as ______________. Contributory NegligenceA patient's refusal to have tests, x-rays, or vaccinations can be defined as contributory negligence. 45. (p. 46) _____________ is an intentionally dishonest practice that deprives others of their rights. FraudFraud is an intentionally dishonest practice that deprives others of their rights. 

 

46. (p. 47) A law set to limit the time for initiating litigation is known as ________________________. Statute of LimitationA law set to limit the time for initiating litigation is known as statute of limitation.

 

47. (p. 45) A clear threat of injury to another is ______________. AssaultA clear threat of injury to another is assault. 48. (p. 45) _______________ is any bodily contact without permission. BatteryBattery is any bodily contact without permission. 49. (p. 44) When a physician orders additional tests and follow-up visits to confirm a diagnosis or treatment, this kind of medicine is known as _______________________. defensive medicineWhen a physician orders additional tests and follow-up visits to confirm a diagnosis or treatment, this is known as defensive medicine. 

50. (p. 38) Behaviors and customs that are standards for what is considered good manners is ________. EtiquetteBehaviors and customs that are standards for what is considered good manners is etiquette. 51. (p. 41) A(n) __________________________ gives someone else, of the patient's choosing, the right to make decisions for the patient. Durable Power of AttorneyA durable power of attorney gives someone else, of the patient's choosing, the right to make decisions for the patient. 

52. (p. 40) In order to prescribe controlled substances, the physician must be registered with the ________________________________. Drug Enforcement AgencyIn order to prescribe controlled substances, the physician must be registered with the Drug Enforcement Agency. 

 

53. (p. 37) _____________ deals with the ethics of medical treatment, technology, and procedures. BioethicsBioethics deals with ethics of medical treatment, technology, and procedures. 

 

54. (p. 39) A(n) _________________ provides a license to practice medicine. LicensureA licensure provides a license to practice medicine. 55. (p. 51) __________________________________ are companies that "translate" or "facilitate" translation of electronic transactions between the providers of health care and the health care plans. Health care clearinghousesHealth care clearinghouses are companies that "translate" or "facilitate" translation of electronic transactions between the providers of health care and the health care plans.