CHAP Compliance & Regulatory Requirements 2

Question 1

Under HIPAA's Minimum Necessary Standard, a covered entity sharing PHI must disclose:

Accepted Answer

Only the information reasonably needed to accomplish the intended purpose

Answer

HIPAA's Minimum Necessary Standard requires covered entities to limit PHI disclosures to only what is needed for the specific purpose.

Question 2

Which federal law established the Anti-Kickback Statute (AKS) to combat healthcare fraud?

Accepted Answer

Social Security Act

Answer

The Anti-Kickback Statute is codified under the Social Security Act and prohibits offering or accepting remuneration to induce referrals for federally funded healthcare services.

Question 3

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 and the originating provider is available to act on the request.

Question 4

CMS Conditions of Participation (CoPs) apply primarily to:

Accepted Answer

Healthcare facilities participating in Medicare and Medicaid

Answer

CoPs are federal requirements that healthcare organizations must meet to participate in and receive payment from Medicare and Medicaid programs.

Question 5

The OIG Compliance Program Guidance recommends which element as the foundation of an effective compliance program?

Accepted Answer

Written policies and procedures governing compliance activities

Answer

The OIG identifies written standards, policies, and procedures as the foundational element that guides all other compliance program components.

(CHAP) Certified Healthcare Administrative Professional Practice Test

(CHAP) Certified Healthcare Administrative Professional Practice Test

CHAP Compliance & Regulatory Requirements 2