CPHRM Regulatory Compliance 3

Question 1

The OIG's Corporate Integrity Agreement (CIA) is typically entered into when:

Accepted Answer

A provider settles a False Claims Act case with the government

Answer

CIAs are negotiated between the OIG and providers or entities as part of civil settlement agreements, typically requiring enhanced compliance oversight for 3-5 years.

Question 2

HIPAA's Minimum Necessary Standard requires covered entities to:

Accepted Answer

Limit PHI use and disclosure to the minimum needed for the intended purpose

Answer

The Minimum Necessary Standard requires covered entities to make reasonable efforts to limit PHI use, disclosure, and requests to the minimum necessary to accomplish the intended purpose.

Question 3

Under the Americans with Disabilities Act (ADA), a hospital's obligation to provide reasonable accommodations applies to:

Accepted Answer

Both employees and patients with disabilities

Answer

The ADA applies to hospitals as both employers (Title I) and places of public accommodation (Title III), requiring reasonable accommodations for both employees and patients with disabilities.

Question 4

Which document outlines CMS's requirements that hospitals must meet to participate in the Medicare and Medicaid programs?

Accepted Answer

Conditions of Participation (CoPs)

Answer

The Conditions of Participation (CoPs) establish the health and safety standards that hospitals must meet to receive Medicare and Medicaid reimbursement.

Question 5

A risk manager is reviewing compliance with the Patient Self-Determination Act (PSDA). The PSDA requires hospitals to:

Accepted Answer

Inform patients of their right to make advance directives upon admission

Answer

The PSDA requires Medicare and Medicaid participating providers to inform adult patients of their rights under state law to make advance directives and to document whether they have one.

CPHRM Exam Practice Test

CPHRM Exam Practice Test

CPHRM Regulatory Compliance 3