CTC Regulatory Compliance & Standards 3

Question 1

A patient receives telepsychiatry in State A from a psychiatrist licensed only in State B. Which interstate compact allows this to be legally compliant?

Accepted Answer

PSYCH Compact

Answer

The Psychology Interjurisdictional Compact (PSYCH Compact) allows licensed psychologists to practice telepsychology across member states without obtaining full licensure in each state.

Question 2

Under Section 1834(m) of the Social Security Act, which setting is classified as a permissible Medicare telehealth originating site?

Accepted Answer

Skilled nursing facility

Answer

Skilled nursing facilities (SNFs) are explicitly listed in Section 1834(m) as permissible Medicare telehealth originating sites before any COVID-era expansions.

Question 3

Which federal agency enforces anti-kickback statute violations related to telehealth arrangements between vendors and providers?

Accepted Answer

OIG (Office of Inspector General)

Answer

The HHS Office of Inspector General (OIG) enforces the Anti-Kickback Statute (AKS) and investigates improper financial arrangements between telehealth vendors and healthcare providers.

Question 4

A telehealth organization wants to use de-identified patient data for research. Which HIPAA method requires removing 18 specific identifiers to achieve safe harbor de-identification?

Accepted Answer

Safe Harbor method

Answer

HIPAA's Safe Harbor method requires removal of all 18 specific identifiers (name, dates, geographic data, etc.) and no actual knowledge of re-identification risk.

Question 5

Which CMS billing modifier must be appended to telehealth claims to indicate the service was delivered via synchronous audio-visual technology?

Accepted Answer

Modifier 95

Answer

Modifier 95 is used for real-time interactive audio and video telehealth services rendered to a patient at a distant site, replacing the older GT modifier for most Medicare claims.

(CTC) Certified Telehealth Coordinator Practice Test

(CTC) Certified Telehealth Coordinator Practice Test

CTC Regulatory Compliance & Standards 3