ABFM Industry Regulations 3

Question 1

Under the Medicare Access and CHIP Reauthorization Act (MACRA), the Quality Payment Program (QPP) offers two participation pathways. Which of the following is NOT one of those pathways?

Accepted Answer

Accountable Care Organization Shared Savings Program (MSSP)

Answer

MACRA's QPP offers two pathways: MIPS and Advanced APMs; the Medicare Shared Savings Program is a type of APM but is not itself one of the two main QPP tracks.

Question 2

The Office for Civil Rights (OCR) may impose HIPAA civil monetary penalties on a covered entity that had no knowledge of a violation and could not have known with reasonable diligence. Which penalty tier applies?

Accepted Answer

$100–$50,000 per violation, up to $25,000 per year

Answer

The lowest HIPAA penalty tier ($100–$50,000 per violation, annual cap $25,000) applies when the covered entity did not know and could not reasonably have known of the violation.

Question 3

Which of the following is a key requirement under the CMS Promoting Interoperability (PI) program for eligible professionals?

Accepted Answer

Demonstrating meaningful use of certified electronic health record technology

Answer

The PI program (formerly Meaningful Use) requires eligible professionals to demonstrate meaningful use of certified EHR technology to receive incentive payments or avoid Medicare payment adjustments.

Question 4

A patient requests an amendment to their medical record under HIPAA. The covered entity may deny the request if:

Accepted Answer

The record was not created by the covered entity

Answer

A covered entity may deny an amendment request if it did not create the record, unless the originating entity is no longer available.

Question 5

Under the Ryan Haight Online Pharmacy Consumer Protection Act, prescribing controlled substances via telemedicine without a prior in-person evaluation is generally:

Accepted Answer

Prohibited unless specific DEA exceptions or waivers apply

Answer

The Ryan Haight Act generally requires an in-person evaluation before prescribing controlled substances via telemedicine, with limited exceptions such as DEA-registered telemedicine practitioners.

(ABFM) American Board of Family Medicine Practice Test

(ABFM) American Board of Family Medicine Practice Test

ABFM Industry Regulations 3