Healthcare Regulations & Compliance Flashcards
7 cards from real NHI practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Healthcare Regulations & Compliance flashcards as text
Which consent is required before a patient can be enrolled in a research study under federal regulations?
Answer: Informed consent with IRB-approved documentation
Federal regulations (45 CFR Part 46) require written informed consent approved by an Institutional Review Board (IRB) before enrolling subjects in research studies.
A patient bill of rights in a healthcare facility typically does NOT include the right to:
Answer: Demand experimental treatments not approved by their insurer
Patient rights include non-discrimination, record access, and informed consent for approved treatments, but do not guarantee access to experimental or non-covered treatments.
Which of the following best describes a 'Conditions of Participation' (CoP) for Medicare?
Answer: Health and safety standards healthcare organizations must meet to receive Medicare payment
Conditions of Participation are health and safety standards established by CMS that healthcare organizations must meet to be certified to participate in Medicare and Medicaid.
Under HIPAA, a healthcare provider MAY disclose PHI without patient authorization for which of the following purposes?
Answer: Reporting to public health authorities to prevent disease spread
HIPAA permits disclosure of PHI to public health authorities for activities such as disease surveillance, prevention, and control without patient authorization.
The minimum necessary standard under HIPAA requires covered entities to:
Answer: Limit PHI access to the minimum needed to accomplish the intended purpose
The minimum necessary standard requires covered entities to make reasonable efforts to limit PHI use, disclosure, and requests to what is minimally necessary for the purpose.
Which of the following scenarios represents a potential Stark Law violation?
Answer: A physician refers Medicare patients to a lab in which the physician holds a financial interest, with no applicable exception
A physician referring Medicare patients to a laboratory where the physician has a financial interest, without an applicable Stark Law exception, violates the physician self-referral prohibition.
Which document serves as the legal authority for a designated person to make healthcare decisions on behalf of an incapacitated patient?
Answer: Durable Power of Attorney for Healthcare
A Durable Power of Attorney for Healthcare (DPAHC) designates a healthcare proxy or agent with legal authority to make medical decisions when the patient lacks decision-making capacity.