Industry Regulations Flashcards
7 cards from real RELIAS 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
Under the False Claims Act, a whistleblower (relator) who files a qui tam lawsuit may receive what percentage of the government's recovery?
Answer: 15–30%
The False Claims Act allows relators to receive between 15% and 30% of the government's recovery depending on the circumstances of the case.
A home health aide discovers that a patient is being financially exploited by a family member. Under Adult Protective Services (APS) laws, the aide is:
Answer: A mandatory reporter obligated to report the suspected exploitation
Most states designate home health workers as mandatory reporters, requiring them to report suspected financial exploitation of vulnerable adults to APS.
The Health Information Technology for Economic and Clinical Health (HITECH) Act strengthened HIPAA by:
Answer: Extending HIPAA obligations directly to business associates and increasing penalties
HITECH extended HIPAA compliance requirements directly to business associates and significantly increased civil and criminal penalties for violations.
Which CMS regulation establishes the 'two-midnight rule' for inpatient hospital admissions?
Answer: 42 CFR Part 424
The two-midnight rule under 42 CFR Part 424 states that inpatient admission is generally appropriate when a physician expects the patient to require hospital care spanning at least two midnights.
Under OSHA's Hazard Communication Standard (HazCom), Safety Data Sheets (SDS) must contain how many standardized sections?
Answer: 16 sections
GHS-aligned SDS documents must contain exactly 16 standardized sections covering hazard identification, composition, first aid, handling, and other safety information.
Which regulation requires healthcare facilities to develop and implement an Infection Control Plan?
Answer: OSHA Bloodborne Pathogen Standard and CMS Conditions of Participation
Both OSHA's Bloodborne Pathogen Standard and CMS Conditions of Participation require healthcare facilities to have a formal infection control plan.
A psychiatric facility restrains a patient without proper clinical justification. This most directly violates which regulation?
Answer: The CMS Conditions of Participation for Patients' Rights (42 CFR 482.13)
42 CFR 482.13 establishes patients' rights including protection from inappropriate restraint or seclusion, requiring clinical justification and ongoing monitoring.