Relias Industry Regulations 5

Question 1

Which standard requires healthcare organizations to conduct an annual evaluation of their Environment of Care management plans?

Accepted Answer

The Joint Commission Environment of Care Standards

Answer

The Joint Commission's Environment of Care standards require accredited organizations to annually evaluate the effectiveness of their EC management plans.

Question 2

Under the Stark Law (Physician Self-Referral Law), a physician is generally prohibited from referring Medicare patients to entities:

Accepted Answer

In which the physician or an immediate family member has a financial relationship

Answer

The Stark Law prohibits physicians from referring Medicare patients to designated health services entities in which they or their immediate family have a financial interest, absent an applicable exception.

Question 3

A residential care facility fails to provide required advance notice before discharging a Medicaid resident. This most likely violates:

Accepted Answer

OBRA 1987 transfer and discharge protections

Answer

OBRA 1987 established specific resident rights regarding transfer and discharge, requiring facilities to provide written notice with a required number of days' advance warning.

Question 4

The National Practitioner Data Bank (NPDB) is primarily used by healthcare organizations to:

Accepted Answer

Query practitioners' adverse actions, malpractice payments, and licensure history during credentialing

Answer

The NPDB is a federal repository that healthcare entities must query when credentialing practitioners to check for malpractice payments and adverse actions.

Question 5

Which regulation established the requirement for hospitals to have a governing body legally responsible for the conduct of the hospital?

Accepted Answer

CMS Conditions of Participation (42 CFR 482.12)

Answer

42 CFR 482.12 requires Medicare-participating hospitals to have a governing body that assumes full legal responsibility for determining, implementing, and monitoring policies governing the hospital.

(Relias) Relias Certification Practice Test

(Relias) Relias Certification Practice Test

Relias Industry Regulations 5