RHIT Healthcare Compliance and Regulations 4

Question 1

A covered entity discloses PHI to a vendor that manages its medical transcription services. Which document must govern this relationship under HIPAA?

Accepted Answer

Business Associate Agreement (BAA)

Answer

Data Use Agreement

Answer

Qualified Protective Order

Answer

Notice of Privacy Practices

Question 2

Under the Medicare Conditions of Participation for medical records, which timeframe is required for completion of a medical record after patient discharge?

Accepted Answer

30 days

Answer

7 days

Answer

24 hours

Answer

60 days

Question 3

Which of the following activities would constitute Medicare fraud, as opposed to Medicare abuse?

Accepted Answer

Intentionally billing for services never rendered

Answer

Billing for a service that is not medically necessary due to a coding error

Answer

Inadvertently using an incorrect code that results in a higher payment

Answer

Failing to document a service that was provided

Question 4

Which of the following best describes the purpose of the National Provider Identifier (NPI)?

Accepted Answer

It is a unique 10-digit identification number assigned to covered healthcare providers for HIPAA administrative transactions

Answer

It tracks physician licensing across state lines

Answer

It replaces the DEA number for controlled substance prescribing

Answer

It is issued by the Joint Commission for accreditation purposes

Question 5

The Anti-Kickback Statute (AKS) prohibits offering, paying, soliciting, or receiving remuneration to induce referrals for items or services covered by federal healthcare programs. Which category provides legal protection for certain business arrangements?

Accepted Answer

Safe harbors

Answer

Stark Law exceptions

Answer

Compliance shields

Answer

Non-prosecution agreements

Question 6

A patient requests access to their electronic health record. Under the HIPAA Right of Access rule, the covered entity must provide access within how many days?

Accepted Answer

30 days, with one 30-day extension possible

Answer

10 business days

Answer

60 days with no extension

Answer

14 calendar days

Question 7

In ICD-10-CM, sequencing the principal diagnosis for inpatient records follows the UHDDS definition, which defines principal diagnosis as:

Accepted Answer

The condition established after study to be chiefly responsible for occasioning the admission

Answer

The most resource-intensive condition treated during the stay

Answer

The admitting diagnosis documented by the attending physician

Answer

The condition that poses the greatest mortality risk to the patient