OSHA/Labs
Stark Laws
HIPPA
Employment
Fraud/Anti-trust
100

The meaning of OSHA 

What is the Occupational Safety and Health Administration 

100

Definition of Stark Laws

Cannot refer Medicare or Medicaid patient if you have  financial relationship or the provider is an immediate family member 

100

Protected health information includes 

patient identifiers, information created or received by: health care provider, plan, employer, all physical and mental health information 
100

Time of unpaid leave with family and medical leave

What is 12 wks

100

Definition of anti-trust laws 

Prevent from having a monopoly 

200

3 things OSHA standards apply to 

What are blood born pathogens, hazardous chemicals, and emergency exits 

also: electrical use, reporting illness/injury, ionizing radiation 

200

Penalties of not following Stark Laws 

15,000 per service referred PLUS 2X reinbursement claimed 

200

The three HIPPA regulations 

Transaction, security, privacy 

200

Size of company needed to comply with Americans with Disabilities act 

14 employees (state laws can be different) 

200

Name one type of medicare fraud 

What is billing for services not provided? 

300

What does CLIA cover? 

What is all laboratory test performed on humans 

300

3 designated health services covered under Stark laws 

What are lab services, home health, radiology 


Also: PT, OT, speech, out patient/in patient services, radiation, TPN, medical equipment 

300

Biggest HIPPA payout (company)

$5.5 million dollars

300

Regulations for public accommodations that have to be provided 

Accessibility, Communication, Limited english proficiency 

300

Penalties for medicare fraud 

2000-10,000 per improper item 


400
CLIA test that can be waived

Tests so simple that there is little risk for error 

400

He helped create Stark Laws (first and last name) 

Congressmen Pete Stark 

400

Maximum violation 

up to $250,000 fine and imprisonment for 10 years 

400

Current minimum wage in NJ 

What is $8.60/hr

400

Define a false claim 

any statement made to get reimbursement is inaccurate 

500

Year that OSHA was created 

1971

500

Exceptions to the rule 

Provider in same group, some in-office services, enrollees in prepaid claims, Medicare frequency limitations, 
500

He signed this into law

Who is President Bill Clinton>
500

Last major amendment to the Civil Rights Act of 1964

Lilly Ledbetter Fair Pay Act of 2009

500

Year medicare was enacted 

1966

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