Adult-Gerontology Primary Care Nurse Practitioner Exam Regulatory Frameworks & Compliance 2

Question 1

Under HIPAA's Minimum Necessary Standard, when a nurse practitioner's office receives a request for a patient's complete medical record from the patient's attorney for a personal injury lawsuit, what is the most appropriate response?

Accepted Answer

Request a valid HIPAA authorization from the patient before releasing records

Answer

A valid HIPAA authorization signed by the patient is required before releasing records to an attorney for non-treatment purposes such as litigation.

Question 2

A 68-year-old Medicare patient needs a screening colonoscopy. The patient asks about cost. Which statement correctly describes Medicare coverage for this preventive service?

Accepted Answer

Medicare Part B covers screening colonoscopy every 10 years at no cost-sharing for average-risk patients

Answer

Medicare Part B covers colorectal cancer screening colonoscopies every 10 years for average-risk beneficiaries with no deductible or co-insurance.

Question 3

An AGPCNP practicing in a full-practice-authority state wants to prescribe buprenorphine/naloxone for opioid use disorder. Which regulatory requirement applies?

Accepted Answer

A DEA Schedule III registration is no longer required following the 2023 Consolidated Appropriations Act

Answer

The 2023 Consolidated Appropriations Act eliminated the DEA X waiver requirement; providers with a standard DEA Schedule III license may now prescribe buprenorphine for OUD.

Question 4

A 75-year-old patient's daughter calls and insists on receiving her mother's lab results over the phone, claiming her mother gave verbal consent. How should the NP handle this under HIPAA?

Accepted Answer

Verify the patient has capacity and either speak directly with the patient or confirm documented authorization before releasing information

Answer

HIPAA permits disclosure to family members involved in care when the patient authorizes it, but the NP must verify the patient has capacity and that documented or contemporaneous authorization exists.

Question 5

Which CMS quality program requires eligible clinicians to report performance data through the Merit-Based Incentive Payment System or Advanced APM track?

Accepted Answer

MACRA/MIPS (Medicare Access and CHIP Reauthorization Act)

Answer

MACRA replaced PQRS and established the Quality Payment Program with two tracks: MIPS and Advanced Alternative Payment Models (APMs).

Adult-Gerontology Primary Care Nurse Practitioner Exam Practice Test

Adult-Gerontology Primary Care Nurse Practitioner Exam Practice Test

Adult-Gerontology Primary Care Nurse Practitioner Exam Regulatory Frameworks & Compliance 2