AMCA Regulations and Compliance 3 — Questions and Answers
Question 1: Under the Controlled Substances Act, Schedule II drugs are characterized by:
- No accepted medical use and low abuse potential
- High abuse potential, accepted medical use, and severe dependence risk (Correct answer)
- Low abuse potential and accepted medical use
- Moderate abuse potential with no physical dependence
Correct answer: High abuse potential, accepted medical use, and severe dependence risk
Schedule II substances have a high potential for abuse, currently accepted medical use, and abuse may lead to severe psychological or physical dependence.
Question 2: Which document must a patient sign to authorize the release of their PHI to a third party not covered by routine treatment, payment, or operations?
- Notice of Privacy Practices
- HIPAA Authorization form (Correct answer)
- Advance Directive
- Assignment of Benefits form
Correct answer: HIPAA Authorization form
A valid HIPAA Authorization is required for disclosures of PHI that fall outside treatment, payment, healthcare operations, or other HIPAA-permitted purposes.
Question 3: A medical assistant discovers that a coworker is accessing patient records without a job-related need. The BEST immediate action is to:
- Warn the coworker to stop
- Report the situation to the privacy officer or supervisor (Correct answer)
- Document it and wait to see if it continues
- Ignore it since it did not directly harm patients
Correct answer: Report the situation to the privacy officer or supervisor
Unauthorized access to PHI is a potential HIPAA violation that must be reported to the facility's privacy officer or supervisor for investigation.
Question 4: The OSHA Hazard Communication Standard requires that chemical hazard information be conveyed to employees through:
- Annual safety meetings only
- Safety Data Sheets, labels, and training (Correct answer)
- Verbal instructions from supervisors
- Posted notices in break rooms
Correct answer: Safety Data Sheets, labels, and training
OSHA's HazCom Standard requires employers to maintain Safety Data Sheets for hazardous chemicals, ensure proper labeling, and provide employee training.
Question 5: Under Medicare's fraud and abuse laws, the Anti-Kickback Statute prohibits:
- Billing for services not rendered
- Offering remuneration to induce referrals for federal healthcare services (Correct answer)
- Double billing for the same service
- Upcoding diagnosis codes
Correct answer: Offering remuneration to induce referrals for federal healthcare services
The Anti-Kickback Statute prohibits knowingly offering, paying, soliciting, or receiving anything of value to induce or reward referrals of federal healthcare program business.
Question 6: Which of the following best describes the concept of 'minimum necessary' under HIPAA?
- Using the fewest possible words in medical documentation
- Limiting PHI disclosures to the least amount needed to accomplish the intended purpose (Correct answer)
- Providing patients with minimal information about their diagnosis
- Storing records in the smallest possible physical space
Correct answer: Limiting PHI disclosures to the least amount needed to accomplish the intended purpose
The minimum necessary standard requires covered entities to make reasonable efforts to limit PHI use and disclosure to the minimum needed to accomplish the purpose.
Question 7: A medical facility's written plan for responding to bloodborne pathogen exposure incidents is called an:
- Infection Control Policy
- Exposure Control Plan (Correct answer)
- Safety Management Program
- Incident Response Protocol
Correct answer: Exposure Control Plan
OSHA's Bloodborne Pathogens Standard requires every employer with occupational exposure risk to maintain a written Exposure Control Plan updated annually.
AMCA Regulations and Compliance 3
Under the Controlled Substances Act, Schedule II drugs are characterized by: