Patient Rights
A patient's decision to decline services is their right to...
What is their right to refuse treatment or services?
This act protects the government from being overcharged and violations may result in fines up to three times the program's loss and $11,000 per filed claim.
What is the False Claims Act?
Administrative, Physical and Technical.
What are Safeguards?
Violations of state licensing requirements can result in fines, loss of accreditation or certification, and...
What is license revocation?
Governing boards are ultimately responsible for compliance and quality oversight and play a significant role in healthcare cost containment. It is currently estimated that by 2025, government payers and agencies will be responsible for this percentage of U.S. health care expenditures.
What is 47% (nearly half)?
This department under the United States Department of Health and Human Services (HHS) ensures the protection of patient rights and prevents unlawful discrimination in health and human services entities.
What is the Office of Civil Rights (OCR)?
This act was enacted as part of an economic stimulus bill and created to motivate implementation and utilization of electronic health records.
What is the Health Information Technology for Economic and Clinical Health (HITECH)?
HIPAA consists of these three Rules.
What are Privacy Rule, Security Rule, and Breach Notification Rule?
This type of agency oversees licensing of Medical Doctors (MD) and Doctors of Osteopathic Medicine (DO).
What is the state medical board?
The Office of Inspector General (OIG) recommends that this organizational leader be independent and separate from the organization's legal counsel and senior management team on the organizational chart.
What is the Compliance Officer?
This is the term used for the rights provided to patients in residential or long-term care facilities.
What is the Residents' Bill of Rights?
The regulation that requires an organization to ask about a patient's advance directive status and offer information related to obtaining one is covered by this act.
What is the Patient Self-Determination Act (PSDA)?
This number of common identifiers are included as protected health information elements.
What is 18?
Specific to medical staff governance, these documents are required to be in place at the time of application for licensure of a new acute are facility.
What are Medical Staff Bylaws and Rules and Regulations?
This type of Board of Directors/Trustees provides advice and counsel to higher authorities; absent legal authority and responsibility for actions.
What is an Advisory Board?
Free preventive care, free or low-cost breastfeeding equipment, and elimination of lifetime and yearly insurance coverage limits are patient rights provided by this regulatory act.
What is the Affordable Care Act (ACA) (or health care law)?
This regulation prohibits knowingly and willfully paying remuneration to induce or reward patient referrals or to generate business involving an item or service payable by a federal healthcare program.
What is the Anti-Kickback Statute?
Security management processes and personnel, information access management, workforce training and management, and evaluation are components of this type of safeguard.
What are Administrative Safeguards?
States can make their rules more strict but not less strict than these requirements.
What are federal requirements?
This type of Board of Directors/Trustees has legal authority and responsibility for the success and well-being of the organization; individually and collectively legally responsible and accountable for its or their actions.
What is a Fiduciary Board?
This document and process requires a patient's signature to confirm that their physician provided information about the benefits, risks, and alternatives of any test, procedure, or treatment that they recommend prior to performance.
What is Informed Consent?
This regulation prohibits physicians from referring patients to receive designated health services payable by Medicare or Medicaid from entities which which the physician or immediate family member has a financial relationship (unless an exception applies).
What is Stark Law (or Physician Referral Law)?
In the event of a privacy breach affecting greater than 500 individuals, under the Breach Notification Rule, the organization must notify these three groups within 60 days of breach discovery.
Who are the individuals, local media and the U.S. Secretary?
In a long-term care facility, this non-clinical role must be licensed.
Who is the Administrator?
In 2004, these regulations were revised to include guidance on governing board responsibilities.
What are the United States Federal Sentencing Guidelines (USSG)?