PAR Regulatory and Compliance Standards 2

Question 1

Under EMTALA, what is a hospital's obligation when a patient presents to the emergency department requesting examination?

Accepted Answer

Provide a medical screening examination regardless of ability to pay

Answer

EMTALA requires hospitals to provide a medical screening examination to anyone who comes to the ED requesting care, regardless of insurance status or ability to pay.

Question 2

Which federal act established the standards for protection and confidential handling of individually identifiable health information?

Accepted Answer

HIPAA

Answer

HIPAA (Health Insurance Portability and Accountability Act) established national standards for protecting individually identifiable health information.

Question 3

A patient requests an accounting of disclosures of their PHI. Under HIPAA, the covered entity must provide this accounting going back how many years?

Accepted Answer

6 years

Answer

HIPAA requires covered entities to provide an accounting of disclosures for the six years prior to the request date.

Question 4

The Stark Law (Physician Self-Referral Law) primarily prohibits physicians from referring Medicare/Medicaid patients to entities where the physician has a financial relationship UNLESS:

Accepted Answer

A specific statutory exception applies

Answer

The Stark Law prohibits self-referrals unless the arrangement fits within one of the specific statutory or regulatory exceptions defined in the law.

Question 5

Which of the following is NOT a permissible use of PHI under HIPAA's Treatment, Payment, and Healthcare Operations (TPO) provision without patient authorization?

Accepted Answer

Sharing records with an employer for job performance review

Answer

Sharing PHI with an employer for job performance review is not permitted under TPO and requires separate written authorization from the patient.

(PAR) Patient Access Representative Certification Practice Test

(PAR) Patient Access Representative Certification Practice Test

PAR Regulatory and Compliance Standards 2