Industry Regulations Flashcards
7 cards from real ABFM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Industry Regulations flashcards as text
A family medicine practice wants to implement a patient texting system for appointment reminders containing PHI. Under HIPAA, this requires:
Answer: Patient acknowledgment of privacy risks and authorization, plus encryption or equivalent safeguards
Texting PHI requires appropriate technical safeguards (ideally encryption), a signed BAA with the vendor, and patient authorization acknowledging the risks of unencrypted communication.
Under CMS fraud and abuse regulations, which of the following arrangements between a hospital and a physician group is most likely to qualify for the 'Personal Services' safe harbor under the Anti-Kickback Statute?
Answer: A written agreement for aggregate services set in advance at fair market value
The Personal Services safe harbor requires a written agreement, a term of at least one year, compensation set in advance at fair market value, and services that are commercially reasonable.
The Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Standard requires that healthcare employers offer which vaccination to employees with occupational exposure at no cost?
Answer: Hepatitis B vaccine
OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030) requires employers to offer the hepatitis B vaccine series free of charge to all employees with occupational exposure to blood or OPIM.
Under Medicare Part B, the global surgical package for a minor procedure typically includes postoperative care for how many days?
Answer: 10 days
Medicare's global surgical package for minor procedures includes a 10-day postoperative period, during which related follow-up visits are bundled into the surgical fee.
A physician employed by a federally qualified health center (FQHC) is protected from certain malpractice suits under which federal statute?
Answer: The Federal Tort Claims Act (FTCA)
FQHC-employed physicians deemed eligible by HRSA are covered under the FTCA, which makes the federal government the defendant in malpractice suits instead of the individual physician.
The CMS Conditions of Participation (CoPs) require that a hospital's medical staff bylaws address which of the following?
Answer: Credentialing, privileging, and peer review processes
CMS CoPs require hospital medical staff bylaws to address credentialing, privileging, and ongoing peer review to ensure patient safety and quality of care.
Which of the following is a defining characteristic of a 'covered entity' under HIPAA?
Answer: Health plans, healthcare clearinghouses, and healthcare providers who transmit health information electronically
HIPAA defines covered entities as health plans, healthcare clearinghouses, and healthcare providers that conduct certain transactions electronically, such as billing.