Cpam/ccam Certification

Front 1

Age Discrimination Act of 1975

protects employees as of what age?

Back 1

Employees protected as of age 40

Front 2

Age Discrimination Act of 1975

Employers may not discriminate due to age in the areas of what 5 things?

Back 2

1. Benefits
2. hiring practices
3. job opportunities
4. termination (except employee terminations based on salaries)
5. compensation

Front 3

Americans w/ Disabilities Act 1990 - Prohibits public & private employers from discriminating against what kind of individuals?

Back 3

individuals w/ physical or mental disabilities so long as they can perform essential job duties or functions.

Front 4

Who administrates the Americans w/ Disabilities Act of 1990?

Back 4

The EEOC - The Equal Employment Opportunity Commission

Front 5

What 4 things must an employer do to comply with the Americans With Disabilities Act of 1990?

Back 5

1. Not ask any applicant if she/he is “disabled”
2. Revise employment applicants and job descriptions to incorporate ADA requirements
3. Modify the physical work environment to meet ADA requirements
4. Post an ADA notice for employees

Front 6

What 3 things does the Clayton Antitrust Act of 1914 prohibit?

Back 6

1. price discrimination
2. exclusive dealings
3. tying arrangements

Front 7

What 3 things does the Federal Trade Comission Act of 1914 forbid?

Back 7

1. Deceptive or misleading advertising
2. Unfair business practices
3. Unfair competition

Front 8

What 3 things does the Hart-Scott Rodino Act mandate?

Back 8

1. Pre- merger notification to the FTC and the DOJ
2. Acquiring entity must have net sales or assets of over $100 million
3. Or acquired hospital has net assets of $10 million

Front 9

What does the Robinson-Patman Act of 1935 prohibit?

Back 9

collusion of prices between sellers of the same product, where the effect of the collusion may lessen competition and create a monopoly

Front 10

What did the Safe Harbor Regulations of 1991 establish

Back 10

protect certain financial arrangements between parties from criminal prosecution under the federal and state health care programs’ anti-kickback statute

Front 11

The Sherman Antitrust Act of 1980 prohibits what 3 things?

Back 11

1. Monopolies
2. Price fixing activities
3. Unfair price discounting

Front 12

What do the Stark I & II Amendments (1991 and 1993) prohibits what?

Back 12

It prohibits physician referrals to entities in which they hold a financial interest.

Front 13

The DOJ and FTC made antitrust "safety zones" for what three activities?

Back 13

1. Mergers
2. Joint Ventures
3. Other Collaborative Activities

Front 14

What are 3 examples of things that the "safety zones" address?

Back 14

1. the sharing of non-fee and fee-related information
2. provider participation in exchanges of price and cost information
3. joint purchasing arrangements among health care providers

Front 15

The nine policy statements include

Back 15

1. Hospital Mergers
2. Hospital joint ventures involving high-technology or other expensive medical equipment
3. Hospital joint venture involving specialized clinical or other expensive health care services
4. Physicians’ provision of non-fee-related information to purchasers of health care services
5. Physicians’ provision of fee-related information to purchasers of health care services
6. Provider participation in exchages of price and cost information
7. Joint purchasing arrangements among health care providers
8. Physician network joint ventures
9. Multi-provider networks

Front 16

Any Willing Provider Laws are state laws requiring managed care organizations to do what?

Back 16

Grant network enrollment to any willing provider who meets contracting terms outlined in the managed care plan.

Front 17

What does the Assistant Suicide Funding Restriction Act of 1997 prevent?

Back 17

the use of federal funds to provide or pay for any health care item or service associated with causing or assisting to cause the death of any individual

Front 18

Does not pertain to the withholding or withdrawing of what 3 things?

Back 18

1. medical treatment or care
2. nutrition
3. hydration

Front 19

Who signed the BBA – Balanced Budget Act of 1997?

Back 19

President Clinton

Front 20

What 3 things did the BBA do?

Back 20

1. Changed M'care and M'caid programs most significantly since mid-1960’s.
2. Expands the services provided by HCFA through the new CHIP
3. permantently extends the coordination period for individuals entitled to m’care 18 months to 30 months

Front 21

What 5 things did the BBA do to Medicare?

Back 21

1. Extended the life of the M’care Trust Fund by reducing spending
2. Increased healthcare options available to seniors
3. Improved benefits for staying healthy
4. Fought fraud and abuse
5. Looked for ways to help M’care work in the future