NHI Healthcare Regulations & Compliance 3

Question 1

Under HIPAA's Breach Notification Rule, covered entities must notify affected individuals of an unsecured PHI breach within:

Accepted Answer

60 days

Answer

30 days

Answer

45 days

Answer

90 days

Question 2

The Emergency Medical Treatment and Labor Act (EMTALA) requires hospitals to:

Accepted Answer

Screen and stabilize any patient who presents to the emergency department

Answer

Provide free care to all uninsured patients

Answer

Accept all Medicare and Medicaid patients regardless of capacity

Answer

Treat only patients within their designated service area

Question 3

The Stark Law (Physician Self-Referral Law) prohibits physicians from referring Medicare patients to entities for designated health services if:

Accepted Answer

The physician has a financial relationship with that entity

Answer

The entity is out-of-network

Answer

The patient has not provided written consent

Answer

The service is not medically necessary

Question 4

Which of the following is an example of 'upcoding' in medical billing?

Accepted Answer

Billing a higher-level service than was actually provided

Answer

Submitting a claim for a service not rendered

Answer

Using outdated procedure codes

Answer

Billing for two procedures when only one was performed

Question 5

A covered entity's Notice of Privacy Practices (NPP) must be provided to new patients:

Accepted Answer

No later than the first date of service

Answer

Within 30 days of first service

Answer

Only upon patient request

Answer

Annually regardless of new visits

Question 6

Which law established the Health Insurance Marketplace and required most Americans to obtain health insurance coverage?

Accepted Answer

The Affordable Care Act (ACA)

Answer

COBRA

Answer

ERISA

Answer

SCHIP

Question 7

Under OSHA's Bloodborne Pathogens Standard, employers must offer hepatitis B vaccination to at-risk employees:

Accepted Answer

At no cost, within 10 working days of initial assignment

Answer

Within 90 days of hire

Answer

After a needlestick exposure occurs

Answer

Only if the employee requests it in writing