PCE Industry Regulations 2

Question 1

Under HIPAA, which of the following is considered a covered entity required to comply with privacy regulations?

Accepted Answer

A physical therapy private practice billing insurance

Answer

Healthcare providers who transmit health information electronically in connection with covered transactions are considered covered entities under HIPAA.

Question 2

A physiotherapist discovers that a colleague has been billing for services not rendered. The MOST appropriate first action is to:

Accepted Answer

Report the issue through the facility's compliance or ethics reporting process

Answer

Suspected fraud should first be reported internally through established compliance channels, which then determines escalation steps.

Question 3

Which federal act primarily governs workplace safety standards relevant to physiotherapy clinic settings in the US?

Accepted Answer

Occupational Safety and Health Act (OSHA)

Answer

OSHA establishes and enforces workplace safety and health standards, including those applicable to healthcare settings.

Question 4

The Stark Law (Physician Self-Referral Law) primarily prohibits:

Accepted Answer

Physicians referring Medicare patients to entities in which they have a financial relationship

Answer

The Stark Law bans physician self-referrals to designated health services providers, including physical therapy, where a financial relationship exists.

Question 5

A patient requests a copy of their medical records. Under HIPAA, the covered entity must generally provide access within:

Accepted Answer

30 days, with one 30-day extension if needed

Answer

HIPAA requires covered entities to provide access to records within 30 days, with a single 30-day extension permitted if the entity notifies the patient.

(PCE) Physiotherapy Competency Exam Practice Test

(PCE) Physiotherapy Competency Exam Practice Test

PCE Industry Regulations 2