Relias Industry Regulations 2 — Questions and Answers
Question 1: Under HIPAA's Minimum Necessary Standard, a nurse accessing a patient's records should view:
- All records available in the system
- Only the information needed to perform their specific job function (Correct answer)
- Records of any patient assigned to their unit
- Any record requested by a supervising physician
Correct answer: Only the information needed to perform their specific job function
The Minimum Necessary Standard requires workforce members to access only the PHI needed to accomplish the intended purpose.
Question 2: Which federal law mandates background checks for individuals working with Medicare and Medicaid patients in long-term care facilities?
- The False Claims Act
- The Social Security Act Section 1128 (Correct answer)
- OBRA 1987
- The Patient Self-Determination Act
Correct answer: The Social Security Act Section 1128
Section 1128 of the Social Security Act authorizes exclusion of individuals and entities from participating in federal healthcare programs based on background check findings.
Question 3: A home health agency fails to report a medication error that caused patient harm. Which regulatory body is most likely to investigate this incident?
- The Department of Labor
- The Centers for Medicare & Medicaid Services (CMS) (Correct answer)
- The Equal Employment Opportunity Commission
- The Food and Drug Administration
Correct answer: The Centers for Medicare & Medicaid Services (CMS)
CMS oversees home health agencies participating in Medicare and Medicaid and investigates incidents involving patient harm.
Question 4: The Emergency Medical Treatment and Labor Act (EMTALA) primarily requires hospitals to:
- Provide free care to all uninsured patients
- Screen and stabilize patients regardless of ability to pay (Correct answer)
- Transfer all high-risk patients to specialty centers
- Accept all patients transferred from other facilities
Correct answer: Screen and stabilize patients regardless of ability to pay
EMTALA requires hospitals with emergency departments to provide a medical screening exam and stabilize any emergency condition regardless of payment status.
Question 5: Which standard requires healthcare organizations to maintain written policies and procedures for handling complaints and grievances?
- OSHA Bloodborne Pathogen Standard
- The Joint Commission Complaint Management Standards
- CMS Conditions of Participation (Correct answer)
- HITECH Act
Correct answer: CMS Conditions of Participation
CMS Conditions of Participation require Medicare-participating hospitals to have a formal grievance process and written policies for complaint handling.
Question 6: Under the Americans with Disabilities Act (ADA), a healthcare employer must provide reasonable accommodation unless it causes:
- Minor inconvenience
- Undue hardship to the organization (Correct answer)
- Any change to existing workflow
- Additional training costs
Correct answer: Undue hardship to the organization
The ADA requires reasonable accommodation for qualified employees with disabilities unless doing so would impose an undue hardship on the employer.
Question 7: Which regulation specifically governs the disposal of controlled substances in healthcare settings?
- Resource Conservation and Recovery Act (RCRA)
- Drug Enforcement Administration (DEA) regulations under the Controlled Substances Act (Correct answer)
- Environmental Protection Agency (EPA) hazardous waste rules
- Joint Commission medication management standards
Correct answer: Drug Enforcement Administration (DEA) regulations under the Controlled Substances Act
The DEA regulates disposal of controlled substances under the Controlled Substances Act, including authorized destruction and reverse distributor methods.
Relias Industry Regulations 2
Under HIPAA's Minimum Necessary Standard, a nurse accessing a patient's records should view: