Healthstream:EMTALA+HIPPA+Professional
Compliance- Qs & As
Documentation of history consists of up to four components: history of present illness; review of
systems; past, family and social history; and . Correct Ans-D. chief complaint
For an inpatient admission, what questions involving severity of illness information should be
addressed in your documentation? Correct Ans-E. All the above
A review of systems (ROS) inquires about the system(s) . Correct Ans-A. directly related to
the patient's symptoms
CMS does not allow physicians to order observation services until . Correct Ans-A. the
physician has seen and evaluated the patient
What is the primary purpose of documentation? Correct Ans-B. To support the provision of
high quality patient care
The Medicare Inpatient-Only Procedure list . Correct Ans-D. A and C
Professional Compliance 08: Medical Identity Theft
How can medical identity theft be a risk to an individual's health? Correct Ans-B. Medical
information of the victim and the imposter are comingled creating potential for grave error
,Which of the following is a form of medical identity theft? Correct Ans-E. B and C
In what ways are physicians and non-physician practitioners put at risk for medical identity
theft? Correct Ans-D. All the above
How can medical identity theft be a risk to an individual's health? Correct Ans-B. Medical
information of the victim and the imposter are comingled creating potential for grave error
Physicians and non-physician practitioners are increasingly at risk for identity theft. What
elements of a physician's professional identity should be safeguarded to the extent possible?
Correct Ans-D. Drug Enforcement Agency (DEA) number, license number, photo I.D., Tax
I.D. Number and National Provider Identifier (NPI)
Why are healthcare providers targeted by identity thieves? Correct Ans-B. Because of the
quality and quantity of the information they maintain
Providers should check____ and ____ documents for activity that may be suspicious for medical
identity theft. Correct Ans-C. Explanation of Benefits and Remittance Advice
Patient-related identity theft may cause a medical record to contain comingled health information
of more than one individual. Correct Ans-A. True
, Under EMTALA, the obligation to provide services ceases when there is suspicion of medical
identity theft. Correct Ans-B. False
Professional Compliance 10: Special Interest Topics
A process to easily identify trial participants in a hospital setting is important. Why? Correct
Ans-A. In order to keep items and services rendered as part of the trial separate from those items
or services that are billed as part of the regular billing process
With regard to physicians and teaching hospitals, what does the Physician Payments Sunshine
Act, commonly known as Open Payments, require device and pharmaceutical manufacturers to
report? Correct Ans-D. B and C
The level of physician supervision in a diagnostic service is determined by . Correct Ans-C.
the Medicare Physician Fee Schedule Relative Value File
Physician registration in the Open Payments system is voluntary; however, registration is
required in order for the physician to review and/or dispute any data reported. Correct Ans-A.
True
Clinical trial costs that are not covered by Medicare include . Correct Ans-D. All the above
Documentation of the supervision of a service should include . Correct Ans-B. any
management or direction of the service that the supervising physician furnished, the level of
supervision and signature of the supervising physician
Compliance- Qs & As
Documentation of history consists of up to four components: history of present illness; review of
systems; past, family and social history; and . Correct Ans-D. chief complaint
For an inpatient admission, what questions involving severity of illness information should be
addressed in your documentation? Correct Ans-E. All the above
A review of systems (ROS) inquires about the system(s) . Correct Ans-A. directly related to
the patient's symptoms
CMS does not allow physicians to order observation services until . Correct Ans-A. the
physician has seen and evaluated the patient
What is the primary purpose of documentation? Correct Ans-B. To support the provision of
high quality patient care
The Medicare Inpatient-Only Procedure list . Correct Ans-D. A and C
Professional Compliance 08: Medical Identity Theft
How can medical identity theft be a risk to an individual's health? Correct Ans-B. Medical
information of the victim and the imposter are comingled creating potential for grave error
,Which of the following is a form of medical identity theft? Correct Ans-E. B and C
In what ways are physicians and non-physician practitioners put at risk for medical identity
theft? Correct Ans-D. All the above
How can medical identity theft be a risk to an individual's health? Correct Ans-B. Medical
information of the victim and the imposter are comingled creating potential for grave error
Physicians and non-physician practitioners are increasingly at risk for identity theft. What
elements of a physician's professional identity should be safeguarded to the extent possible?
Correct Ans-D. Drug Enforcement Agency (DEA) number, license number, photo I.D., Tax
I.D. Number and National Provider Identifier (NPI)
Why are healthcare providers targeted by identity thieves? Correct Ans-B. Because of the
quality and quantity of the information they maintain
Providers should check____ and ____ documents for activity that may be suspicious for medical
identity theft. Correct Ans-C. Explanation of Benefits and Remittance Advice
Patient-related identity theft may cause a medical record to contain comingled health information
of more than one individual. Correct Ans-A. True
, Under EMTALA, the obligation to provide services ceases when there is suspicion of medical
identity theft. Correct Ans-B. False
Professional Compliance 10: Special Interest Topics
A process to easily identify trial participants in a hospital setting is important. Why? Correct
Ans-A. In order to keep items and services rendered as part of the trial separate from those items
or services that are billed as part of the regular billing process
With regard to physicians and teaching hospitals, what does the Physician Payments Sunshine
Act, commonly known as Open Payments, require device and pharmaceutical manufacturers to
report? Correct Ans-D. B and C
The level of physician supervision in a diagnostic service is determined by . Correct Ans-C.
the Medicare Physician Fee Schedule Relative Value File
Physician registration in the Open Payments system is voluntary; however, registration is
required in order for the physician to review and/or dispute any data reported. Correct Ans-A.
True
Clinical trial costs that are not covered by Medicare include . Correct Ans-D. All the above
Documentation of the supervision of a service should include . Correct Ans-B. any
management or direction of the service that the supervising physician furnished, the level of
supervision and signature of the supervising physician
