Please select 2 correct answers
HIPAA (Health Insurance Portability and Accountability Act) focuses on protecting patient privacy and data security (A). Regular risk assessments (C) are also required to identify and mitigate potential threats to protected health information (PHI). While denial management and insurance eligibility are critical revenue cycle tasks, they are not directly tied to HIPAA compliance.
Please select 3 correct answers
The False Claims Act prohibits knowingly submitting false or fraudulent claims for payment (D). Accurate coding and documentation (A) are critical to compliance. Identified overpayments must be reported and refunded within 60 days (B). While patient financial responsibility (C) is important, it is not specifically tied to the False Claims Act.
Please select 3 correct answers
EMTALA requires hospitals to provide emergency medical care to all patients regardless of their ability to pay (A) and prevents patient "dumping" (B). It also establishes the need to stabilize patients before transfer or discharge (D). Hospitals cannot refuse emergency care due to payment concerns, although they can address non-emergent cases differently after initial assessment.
Please select 2 correct answers
Medicare Conditions of Participation require organizations to maintain complete and accurate medical records (A) and implement patient safety protocols (C). While culturally competent care (B) and appropriate billing practices (D) are important, they are not specifically listed as conditions of participation.
The Stark Law prohibits physicians from referring patients to entities where they have a financial interest unless specific exceptions apply (A). Organizations must monitor and audit such financial relationships to ensure compliance (C). While medical necessity (B) is vital, it is more relevant to other compliance areas. Physician-owned facilities must adhere to strict rules, contrary to option D.
