RHIT Healthcare Compliance and Regulations 3

Question 1

The OIG Compliance Program Guidance recommends seven elements of an effective compliance program. Which element involves establishing clear lines of communication for reporting suspected violations?

Accepted Answer

Effective lines of communication including a hotline

Answer

Effective lines of communication, such as a confidential hotline, are one of the OIG's seven core compliance program elements.

Question 2

A coding professional unbundles a surgical procedure to maximize reimbursement. Under the National Correct Coding Initiative (NCCI), this practice is:

Accepted Answer

Prohibited because component codes are already included in the comprehensive code

Answer

NCCI edits prohibit unbundling because component procedures are considered included in the comprehensive procedure code.

Question 3

Which federal agency is primarily responsible for investigating healthcare fraud and abuse under the Medicare and Medicaid programs?

Accepted Answer

Office of Inspector General (OIG) of HHS

Answer

The OIG of HHS has primary authority to investigate fraud and abuse in Medicare and Medicaid and can impose exclusions and civil monetary penalties.

Question 4

A patient's psychotherapy notes are requested by their primary care physician. Under HIPAA, these notes:

Accepted Answer

Require a specific authorization separate from a general medical records authorization

Answer

Psychotherapy notes receive heightened protection under HIPAA and require a specific patient authorization, separate from a general authorization.

Question 5

In the context of the Stark Law (Physician Self-Referral Law), which of the following is TRUE?

Accepted Answer

It prohibits physician referrals for designated health services to entities in which the physician has a financial relationship, with limited exceptions

Answer

The Stark Law is a strict-liability civil statute prohibiting referrals for designated health services to financially related entities, with no intent requirement.

RHIT - Registered Health Information Technician Practice Test

RHIT - Registered Health Information Technician Practice Test

RHIT Healthcare Compliance and Regulations 3