Legal & Ethical Standards in Healthcare Flashcards
7 cards from real CHCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Legal & Ethical Standards in Healthcare flashcards as text
Elam v. College Park Hospital (1982) extended negligent credentialing liability to which type of practitioner?
Answer: Independent non-employee practitioners such as podiatrists
Elam held a hospital liable for negligently credentialing an independent podiatrist who was not its employee.
A practitioner resigns privileges while under investigation for possible incompetence. What must the hospital do?
Answer: Report the resignation to the NPDB
Surrender of privileges while under investigation or to avoid investigation is reportable to the NPDB.
Under CMS rules for telemedicine, a distant-site hospital may rely on the originating hospital's credentialing decisions through:
Answer: Credentialing by proxy under a written agreement
CMS permits credentialing by proxy when a written agreement meets Conditions of Participation requirements.
Which federal law prohibits physicians from referring Medicare patients for designated health services to entities in which they have a financial relationship, unless an exception applies?
Answer: Stark Law
The Stark Law is a strict-liability self-referral prohibition for designated health services.
A medical staff office employee discovers a false statement on a physician's application. Under typical medical staff bylaws, this is most commonly treated as:
Answer: Grounds for denial or termination of the application
Bylaws generally treat material misrepresentation or omission as grounds for denial or automatic relinquishment.
Which statement about peer review privilege is most accurate?
Answer: It is established by state law and varies from state to state
Peer review confidentiality protections are largely created by state statutes, so scope differs by state.
A credentialing specialist who owns stock in a vendor being considered for the CVO contract should first:
Answer: Disclose the conflict of interest and recuse from the decision
Ethical standards require disclosing conflicts of interest and recusing from related decisions.
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