RPSGT Industry Regulations & Compliance 2 — Questions and Answers
Question 1: Under HIPAA's Minimum Necessary Standard, a sleep technologist sharing PSG data with a referring physician should disclose:
- The entire patient chart including billing history
- Only the information reasonably needed for treatment purposes (Correct answer)
- All past sleep study results regardless of relevance
- Full demographic and insurance details by default
Correct answer: Only the information reasonably needed for treatment purposes
HIPAA's Minimum Necessary Standard requires covered entities to share only the PHI needed to accomplish the intended purpose.
Question 2: Which federal agency has primary enforcement authority over workplace safety standards in a hospital-based sleep lab?
- The Joint Commission (TJC)
- Occupational Safety and Health Administration (OSHA) (Correct answer)
- Centers for Medicare & Medicaid Services (CMS)
- State Department of Health
Correct answer: Occupational Safety and Health Administration (OSHA)
OSHA enforces workplace safety regulations, including bloodborne pathogen standards and ergonomic guidelines applicable to sleep labs.
Question 3: A sleep center's policies must comply with CMS Conditions of Participation primarily to:
- Maintain AASM accreditation status
- Receive Medicare and Medicaid reimbursement (Correct answer)
- Satisfy state nursing board requirements
- Qualify for Joint Commission deemed status only
Correct answer: Receive Medicare and Medicaid reimbursement
CMS Conditions of Participation are requirements that healthcare providers must meet to participate in and receive payment from Medicare and Medicaid programs.
Question 4: Which document outlines the specific accreditation standards sleep centers must meet as set by the AASM?
- The Federal Register
- AASM Standards for Accreditation (Correct answer)
- CMS Conditions of Coverage
- HIPAA Privacy Rule §164.530
Correct answer: AASM Standards for Accreditation
The AASM Standards for Accreditation define the requirements for personnel, facility, equipment, and policies that sleep centers must fulfill.
Question 5: A patient revokes their written authorization for release of sleep study records. The sleep center must:
- Honor the revocation for future disclosures but not retrieve already-released records (Correct answer)
- Immediately retrieve all previously released records
- Deny the revocation if records were released in good faith
- Require a second written revocation before acting
Correct answer: Honor the revocation for future disclosures but not retrieve already-released records
Under HIPAA, a revocation of authorization is effective for future disclosures; it cannot undo information already lawfully released.
Question 6: The RPSGT credential must be renewed every how many years, and requires how many continuing education credits?
- 3 years, 30 CECs
- 5 years, 50 CECs (Correct answer)
- 5 years, 30 CECs
- 2 years, 20 CECs
Correct answer: 5 years, 50 CECs
The BRPT requires RPSGTs to renew their credential every 5 years with 50 continuing education credits.
Question 7: Under the Americans with Disabilities Act (ADA), a sleep lab must make reasonable accommodations for a patient who uses a motorized wheelchair by:
- Referring the patient to a home sleep testing provider instead
- Ensuring accessible pathways, bathroom facilities, and adjustable equipment as feasible (Correct answer)
- Charging an additional fee to cover accommodation costs
- Obtaining a physician waiver before scheduling the study
Correct answer: Ensuring accessible pathways, bathroom facilities, and adjustable equipment as feasible
The ADA requires healthcare facilities to provide reasonable accommodations to ensure equal access for patients with disabilities.
RPSGT Industry Regulations & Compliance 2
Under HIPAA's Minimum Necessary Standard, a sleep technologist sharing PSG data with a referring physician should disclose: