CEHRS Regulatory Compliance and Quality Assurance 2

Question 1

Which federal law established the Medicare and Medicaid programs and introduced the Conditions of Participation for healthcare facilities?

Accepted Answer

Social Security Act of 1965

Answer

HIPAA of 1996

Answer

HITECH Act of 2009

Answer

Affordable Care Act of 2010

Question 2

A covered entity discovers a breach affecting 600 patients. Within how many days must it notify the Secretary of HHS?

Accepted Answer

60 calendar days from discovery

Answer

30 days

Answer

45 days

Answer

60 days

Question 3

Which quality improvement model uses Plan-Do-Study-Act (PDSA) cycles to test changes in healthcare processes?

Accepted Answer

Model for Improvement

Answer

Six Sigma

Answer

Lean methodology

Answer

Root Cause Analysis

Question 4

Under HIPAA, which of the following is NOT considered a covered entity?

Accepted Answer

Life insurance company

Answer

Health insurance company

Answer

Hospital billing department

Answer

Pharmacy chain

Question 5

The ONC's Cures Act Final Rule prohibits which practice related to EHR data access?

Accepted Answer

Information blocking

Answer

Charging for data storage

Answer

Requiring patient portals

Answer

Using certified EHR technology

Question 6

Which accreditation standard requires hospitals to maintain a complete medical record for every patient and defines minimum content requirements?

Accepted Answer

CMS Conditions of Participation

Answer

HITECH meaningful use

Answer

PCMH recognition

Answer

URAC accreditation

Question 7

A hospital's coding team identifies that a coder consistently upcodes diagnoses for higher reimbursement. This constitutes:

Accepted Answer

Healthcare fraud under the False Claims Act

Answer

A documentation deficiency

Answer

A coding guideline deviation

Answer

An administrative error requiring retraining