Industry Regulations Flashcards
7 cards from real PCE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Industry Regulations flashcards as text
The Anti-Kickback Statute (AKS) in healthcare prohibits:
Answer: Offering remuneration to induce referrals of federally funded healthcare services
The AKS makes it illegal to offer, pay, solicit, or receive anything of value to induce or reward referrals of items covered by federal healthcare programs.
Under the Americans with Disabilities Act (ADA), a physiotherapy clinic is MOST likely required to:
Answer: Provide accessible entrances and treatment areas for patients with physical disabilities
Title III of the ADA requires places of public accommodation, including healthcare facilities, to provide physical accessibility to people with disabilities.
Which document outlines the patient's rights regarding their protected health information and must be provided at the first service encounter?
Answer: Notice of Privacy Practices (NPP)
HIPAA mandates that covered entities provide patients with a Notice of Privacy Practices at the first point of service contact.
A physiotherapist working in a hospital is subject to The Joint Commission (TJC) standards. These standards primarily address:
Answer: Quality of patient care and organizational safety within accredited facilities
TJC accredits healthcare organizations and sets performance standards focused on patient safety and quality of care.
A physical therapist in a 'direct access' state begins treating a patient without a physician referral. The therapist practices beyond their training in a specialized area. This MOST likely violates:
Answer: The state practice act's scope of practice provisions
Practicing beyond one's competence or the legally defined scope of practice is a violation of state licensure law.
Under OSHA's Bloodborne Pathogens Standard, physical therapy clinics must provide hepatitis B vaccination to:
Answer: Employees with occupational exposure to blood or other potentially infectious materials, at no cost
OSHA requires employers to offer hepatitis B vaccination at no cost to all employees who have occupational exposure to bloodborne pathogens.
Which of the following scenarios MOST clearly constitutes insurance fraud in physical therapy?
Answer: Billing Medicare for 60 minutes of therapeutic exercise when only 30 minutes were provided
Knowingly billing for services not rendered or for greater units than provided constitutes fraud under federal and state law.