PAR Regulatory Compliance & Health Privacy Laws 3

Question 1

A patient is incapacitated in the ER. Under HIPAA, who may give permission to release PHI to family members present?

Accepted Answer

A licensed physician who determines it is in the patient's best interest

Answer

When a patient is incapacitated, a licensed healthcare professional may use professional judgment to share PHI with family or friends involved in the patient's care if it is in the patient's best interest.

Question 2

What does the 'minimum necessary' standard under HIPAA require of Patient Access Representatives?

Accepted Answer

Limiting PHI disclosures to the smallest amount needed to accomplish the purpose

Answer

The minimum necessary standard requires that covered entities limit PHI uses and disclosures to the least amount needed to accomplish the intended purpose.

Question 3

Under the No Surprises Act, which of the following patients are protected from unexpected out-of-network bills?

Accepted Answer

Insured patients receiving emergency care or non-emergency care at in-network facilities from out-of-network providers

Answer

The No Surprises Act protects insured patients from surprise bills for emergency services and for non-emergency services at in-network facilities from out-of-network providers without prior consent.

Question 4

A patient verbally requests that information about their visit not be shared with their spouse. Under HIPAA, the facility must:

Accepted Answer

Honor the restriction if it does not interfere with the patient's treatment

Answer

Patients have the right to request restrictions on PHI disclosures, and while facilities are not required to agree to all restrictions, they must honor any restriction agreed upon.

Question 5

Which CMS Condition of Participation requires hospitals to inform patients of their rights before or at the point of admission?

Accepted Answer

The Patient Rights CoP (42 CFR 482.13)

Answer

The CMS Patient Rights Condition of Participation (42 CFR 482.13) requires hospitals to inform each patient of their rights before or at admission.

(PAR) Patient Access Representative Certification Practice Test

(PAR) Patient Access Representative Certification Practice Test

PAR Regulatory Compliance & Health Privacy Laws 3