MHA Health Law and Regulations 5

Question 1

A healthcare organization discovers that an employee inappropriately accessed 500 patient records out of curiosity with no malicious intent. Under HIPAA, this is:

Accepted Answer

A breach that must be evaluated using the four-factor risk assessment

Answer

Under HIPAA, a security incident is presumed a reportable breach unless a risk assessment using four factors demonstrates a low probability that PHI was compromised.

Question 2

Title VI of the Civil Rights Act of 1964 requires healthcare organizations that receive federal financial assistance to:

Accepted Answer

Ensure equal access to services without discrimination based on race, color, or national origin

Answer

Title VI prohibits discrimination based on race, color, and national origin in programs receiving federal funding, which includes most hospitals through Medicare and Medicaid.

Question 3

Under the Patient Self-Determination Act (PSDA), hospitals receiving Medicare/Medicaid funds must:

Accepted Answer

Inform patients of their rights to make healthcare decisions and inquire about advance directives

Answer

The PSDA requires hospitals to inform patients of their rights to accept or refuse treatment and to create advance directives, and to document advance directive status in the medical record.

Question 4

Which standard governs how hospitals must handle requests from law enforcement for patient information without a court order or patient authorization?

Accepted Answer

HIPAA permits limited disclosures for law enforcement purposes subject to specific conditions

Answer

HIPAA permits certain law enforcement disclosures — such as pursuant to a court order, subpoena, or administrative request — but imposes conditions to protect patient privacy.

Question 5

A Medicare Advantage plan denies a medically necessary procedure. The enrollee's first step under federal appeals rights is to:

Accepted Answer

Request a redetermination from the Medicare Advantage plan

Answer

The Medicare appeals process begins with a redetermination request to the Medicare Advantage plan, followed by reconsideration, IRE review, ALJ hearing, and then federal court.

MHA - Master of Healthcare Administration Practice Test

MHA - Master of Healthcare Administration Practice Test

MHA Health Law and Regulations 5