NHI Healthcare Regulations & Compliance 2

Question 1

Which federal law prohibits healthcare providers from knowingly submitting false claims to Medicare or Medicaid?

Accepted Answer

False Claims Act

Answer

The False Claims Act (FCA) imposes liability on individuals and companies who defraud the federal government by submitting false or fraudulent claims for payment.

Question 2

A patient requests an amendment to their medical record, claiming an entry is inaccurate. Under HIPAA, the covered entity must respond within how many days?

Accepted Answer

60 days

Answer

HIPAA requires covered entities to respond to amendment requests within 60 days, with a possible 30-day extension if notice is provided.

Question 3

Which organization accredits hospitals and healthcare organizations and has 'deemed status' from CMS for Medicare certification?

Accepted Answer

The Joint Commission (TJC)

Answer

The Joint Commission holds deemed status from CMS, meaning TJC-accredited facilities are considered to meet Medicare Conditions of Participation.

Question 4

Under the Occupational Safety and Health Act, employers must provide a workplace free from recognized hazards under which doctrine?

Accepted Answer

General Duty Clause

Answer

The General Duty Clause of the OSH Act requires employers to provide a workplace free from recognized hazards likely to cause death or serious physical harm.

Question 5

A healthcare worker accidentally views a celebrity patient's records out of curiosity without a clinical reason. This is best described as:

Accepted Answer

A HIPAA privacy violation

Answer

Accessing a patient's PHI without a legitimate work-related reason violates the HIPAA minimum necessary standard and constitutes a privacy violation.

(NHI) National Healthcareer Institute Certification Practice Test

(NHI) National Healthcareer Institute Certification Practice Test

NHI Healthcare Regulations & Compliance 2