Federal Regulations and Surveys Flashcards
7 cards from real CCP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Federal Regulations and Surveys flashcards as text
Under the Consolidated Appropriations Act of 2023, which DEA-registered practitioner classification was newly authorized to prescribe buprenorphine for opioid use disorder without a separate DATA waiver?
Answer: Any DEA-registered practitioner with Schedule III authority
The Consolidated Appropriations Act of 2023 eliminated the DATA waiver (X-waiver) requirement, allowing any DEA-registered practitioner with Schedule III authority to prescribe buprenorphine for OUD.
Which document must a nursing facility provide to residents upon admission, outlining their rights under federal law?
Answer: Resident Rights notification under 42 CFR 483.10
42 CFR 483.10 requires nursing facilities to inform residents of their rights orally and in writing upon admission, covering all federally mandated resident rights.
Under HIPAA, which of the following represents a permitted disclosure of protected health information (PHI) without patient authorization?
Answer: Disclosing information to a state health oversight agency for an audit
HIPAA permits disclosure of PHI to health oversight agencies (including CMS and state survey agencies) for lawful oversight activities without patient authorization.
A skilled nursing facility fails a standard survey and is cited at the scope/severity level of 'G'. What does this designation indicate?
Answer: Pattern of deficiency with actual harm that is not immediate jeopardy
Scope/severity level G indicates a pattern of deficiency that has resulted in actual harm to residents, but does not rise to the level of immediate jeopardy.
Under 42 CFR 483.45, a nursing facility must ensure that each resident's drug regimen is free from unnecessary drugs. Which of the following is NOT a criterion for classifying a drug as 'unnecessary'?
Answer: Drug prescribed by a board-certified physician
Physician board certification is not a criterion for unnecessary drug classification; unnecessary drugs are defined by excessive dosing, inadequate indication, inadequate monitoring, or adverse consequences.
Which federal law established the National Practitioner Data Bank (NPDB) and requires hospitals to query it before granting clinical privileges?
Answer: Health Care Quality Improvement Act of 1986
The Health Care Quality Improvement Act of 1986 created the NPDB to track adverse actions against healthcare practitioners and requires mandatory querying before granting clinical privileges.
Under the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003, which program requires Part D sponsors to include medication therapy management (MTM) services?
Answer: Medicare Prescription Drug Benefit (Part D)
The MMA created Medicare Part D and mandated that Part D plans include MTM programs targeting beneficiaries with multiple chronic conditions, multiple medications, or high drug costs.