CMC Regulatory Compliance & Legal Framework 3

Question 1

A nurse discovers that a colleague accessed a cardiac patient's records without a clinical need. The appropriate first action is to:

Accepted Answer

Report the incident through the hospital's privacy compliance officer or established reporting channel

Answer

Unauthorized access to PHI must be reported to the privacy compliance officer per HIPAA breach response procedures.

Question 2

Under CMS Conditions of Participation, a hospital's cardiac surgery program must maintain quality improvement activities including:

Accepted Answer

Peer review of outcomes data and mortality review

Answer

CMS CoPs require ongoing quality assessment and performance improvement activities including peer review of clinical outcomes.

Question 3

A pharmaceutical representative offers a cardiologist tickets to a sporting event in exchange for prescribing their anticoagulant. This violates:

Accepted Answer

The Anti-Kickback Statute

Answer

The Anti-Kickback Statute prohibits offering or accepting remuneration to induce referrals or prescriptions for federally reimbursable services.

Question 4

Which consent doctrine requires that a cardiologist disclose information that a reasonable patient would want to know before agreeing to cardiac catheterization?

Accepted Answer

The patient-centered (reasonable patient) standard

Answer

The patient-centered standard focuses on what a reasonable patient would need to know to make an informed decision, not just what physicians typically disclose.

Question 5

A hospital receives a subpoena for a cardiac patient's medical records in a malpractice case. Under HIPAA, the hospital may disclose the records:

Accepted Answer

Pursuant to the subpoena if proper legal procedures are followed, such as a qualified protective order

Answer

HIPAA permits disclosure in response to legal proceedings if the request meets specific procedural requirements including a qualified protective order.

CMC - Cardiac Medicine Certification Practice Test

CMC - Cardiac Medicine Certification Practice Test

CMC Regulatory Compliance & Legal Framework 3