- Registered Health Information Technician Healthcare Compliance and Regulations Flashcards
6 cards from real RHIT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 - Registered Health Information Technician Healthcare Compliance and Regulations flashcards as text
What is the primary purpose of the False Claims Act (FCA) in healthcare?
Answer: To prevent and penalize the submission of false or fraudulent claims to government programs
The False Claims Act prohibits knowingly submitting false claims to the government for payment.
Which federal regulation protects the confidentiality of substance abuse treatment records?
Answer: 42 CFR Part 2
42 CFR Part 2 provides heightened confidentiality protections for substance abuse treatment records, more restrictive than HIPAA.
A hospital receives a subpoena duces tecum for a patient's medical records. What does this require?
Answer: The hospital must produce the specified documents or records
A subpoena duces tecum is a court order requiring the production of specified documents or records.
What is the purpose of the OIG Work Plan in healthcare compliance?
Answer: To outline the government's planned areas of focus for audits and enforcement in healthcare
The OIG Work Plan identifies areas of focus for audit and investigation activities.
Under the Anti-Kickback Statute, which arrangement is prohibited?
Answer: A physician receiving payment from a laboratory in exchange for patient referrals
The Anti-Kickback Statute prohibits exchanging anything of value to induce or reward referrals for federally reimbursable services.
What is required when a covered entity uses a business associate to perform functions involving PHI?
Answer: A Business Associate Agreement (BAA) specifying permitted uses and safeguards for PHI
HIPAA requires a BAA before sharing PHI with a business associate.