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

The HIPAA Breach Notification Rule requires covered entities to notify affected individuals without unreasonable delay and no later than 60 days after discovery.

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

EMTALA mandates that hospitals with emergency departments perform a medical screening exam and stabilize patients with emergency medical conditions, regardless of ability to pay.

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 Stark Law prohibits physician self-referrals to entities where the physician or an immediate family member has a financial relationship, unless a specific exception applies.

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

Upcoding involves billing for a more complex or expensive service than was actually provided, which constitutes healthcare fraud.

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

Under HIPAA, covered entities must make a good faith effort to provide the NPP to patients no later than the first date of service and obtain written acknowledgment.

(NHI) National Healthcareer Institute Certification Practice Test

(NHI) National Healthcareer Institute Certification Practice Test

NHI Healthcare Regulations & Compliance 3