Relias Industry Regulations 2

Question 1

Under HIPAA's Minimum Necessary Standard, a nurse accessing a patient's records should view:

Accepted Answer

Only the information needed to perform their specific job function

Answer

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?

Accepted Answer

The Social Security Act Section 1128

Answer

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?

Accepted Answer

The Centers for Medicare & Medicaid Services (CMS)

Answer

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:

Accepted Answer

Screen and stabilize patients regardless of ability to pay

Answer

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?

Accepted Answer

CMS Conditions of Participation

Answer

CMS Conditions of Participation require Medicare-participating hospitals to have a formal grievance process and written policies for complaint handling.

(Relias) Relias Certification Practice Test

(Relias) Relias Certification Practice Test

Relias Industry Regulations 2