CPHRM Regulatory Compliance 2

Question 1

Which federal agency enforces the Emergency Medical Treatment and Labor Act (EMTALA)?

Accepted Answer

Centers for Medicare & Medicaid Services (CMS)

Answer

CMS enforces EMTALA, which requires hospitals to provide emergency medical screening and stabilization regardless of a patient's ability to pay.

Question 2

Under OSHA's Bloodborne Pathogens Standard, employers must offer hepatitis B vaccination to at-risk employees at:

Accepted Answer

No cost to the employee within 10 days of hire

Answer

OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030) requires employers to offer hepatitis B vaccination at no cost to employees within 10 working days of initial assignment to tasks with occupational exposure.

Question 3

A hospital's compliance program discovers that a physician has been upcoding evaluation and management services. The FIRST step under federal guidelines should be:

Accepted Answer

Conduct an internal investigation to determine scope

Answer

Federal compliance guidance recommends conducting a thorough internal investigation to determine the nature and extent of the problem before taking further action.

Question 4

The Stark Law (Physician Self-Referral Law) primarily prohibits physicians from referring Medicare patients to entities:

Accepted Answer

In which they have a financial relationship, absent an exception

Answer

The Stark Law prohibits physician referrals for designated health services to entities in which the physician or an immediate family member has a financial relationship, unless a specific exception applies.

Question 5

Which accreditation standard requires hospitals to have a formal process for identifying and managing sentinel events?

Accepted Answer

The Joint Commission's Sentinel Event Policy

Answer

The Joint Commission's Sentinel Event Policy requires accredited organizations to identify, report, conduct root cause analysis, and implement action plans for sentinel events.

CPHRM Exam Practice Test

CPHRM Exam Practice Test

CPHRM Regulatory Compliance 2