CPCO CHAPTER #6 EXAM QUESTIONS
AND ANSWERS
A person having an asthma attack presented to the physician office on the hospital
campus. The office did not have a provider in the office and the patient had to go to
the Emergency department around the corner for treatment. Is the physician office in
violation of EMTALA?
No, EMTALA does not include physician practices.
No, EMTALA does not apply because the physician was not in the office.
Yes, the physician practice is on the hospital campus.
Yes, the physician practice should have had a provider available. - ANSWER-No,
EMTALA does not include physician practices.
In 2003, a provision was added to clarify when EMTALA applies, as follows:A person
who presents anywhere on the hospital campus and requests emergency services,
or who would appear to a reasonably prudent person to need medical attention, must
be handled under EMTALA. Other presentations outside the emergency room do not
invoke EMTALA.• The 250-yard zone will continue to apply when defining the
"hospital campus." Now, however, that sphere does not include non-medical
businesses (shops and restaurants located close to the hospital), nor does it include
physicians' offices or other medical entities that have a separate Medicare identity.•
EMTALA does not apply to any off-campus facility, regardless of its provider-based
status, unless it independently qualifies as a dedicated emergency department.
Larry, Compliance Officer for Orange County Family Medicine Group, explained to
the front office staff that all ______have CLIA divisions administered by the
_________.
regions, Medicare office
states, state
states, MAC
regions, RAC - ANSWER-states, state
Sates, state. Compliance officers should be aware that all states and territories have
CLIA divisions administered by the states' Departments of Health (DOH).
The CLIA of 1988 establishes quality standards for _____ laboratory testing to
ensure accuracy.
all
high risk
low risk
waived - ANSWER-all
All. Congress passed the CLIA in 1988, establishing quality standards for all
laboratory testing to ensure the accuracy, reliability and timeliness of patient test
results, regardless of where the test was performed. A laboratory is defined as any
facility that performs lab testing on specimens derived from humans for the purpose
of providing information for the diagnosis, prevention, treatment of disease, or
impairment or assessment of health.
What was established by Congress for all laboratory testing under the Clinical
Laboratory Improvement Amendments (CLIA) in 1988?
, New equipment regulations
New staffing quota requirements
Quality standards
Training qualifications - ANSWER-Quality standards
Congress passed the Clinical Laboratory Improvement Amendments (CLIA) in 1988
establishing quality standards for all laboratory testing to ensure the accuracy,
reliability and timeliness of patient test results regardless of where the test was
performed.
Dr. X is on-call at ABC Hospital. There is a major accident on the local freeway and
the emergency department calls Dr. X to respond. Dr. X has fallen asleep and does
not respond to the page. Under EMTALA, what is the maximum penalty (prior to
inflation) that Dr. X can be charged per violation?
$10,000
$50,000
$75,000
$100,000 - ANSWER-$50,000
Community call program In September 2003, HHS clarified that on-call physicians
may have simultaneous on-call duties and schedule elective surgery during the time
that they are on-call. (68 FR 53,264 (Sept. 9, 2003)).In its most recent revision to the
federal regulations, HHS agreed to allow hospitals to satisfy their on-call coverage
obligations by organizing an approved community call/regional call program. (73 FR
48,434, 48,662 (Aug. 19, 2008)). The community call plans are not subject to local,
state or federal pre-approval; however, CMS has identified certain elements that
must be part of a formal community call plan, if one is adopted. (42 CFR § 489.24(j)
(2)(iii)).EMTALA contains significant penalties to prevent hospitals and physicians
from disregarding their duties in treating all patients in a similar manner regardless of
the ability to pay. A hospital which negligently violates the statute may be subject to
a CMP of up to $50,000 per violation (prior to an inflation adjustment).
After enacting CLIA, what percentage did the total number of quality deficiencies
decrease from the first laboratory survey to the second?
40%
46%
52%
80% - ANSWER-40%
Data indicates that CLIA has helped to improve the quality of testing in the United
States. The total number of quality deficiencies a laboratory experiences has
decreased approximately 40 percent from the first laboratory survey to their second.
If I'm only doing blood draws, do I need a CLIA number?
No, a CLIA number is not required if the facility only collects specimens and
performs no testing.
No, a CLIA number is not required if the facility only collects specimens and
performs minor testing.
Yes, a CLIA number is required if the facility only collects specimens even if they
perform no testing.
Yes, a Medicare-participating provider that only collects specimens requires a CLIA
number. - ANSWER-No, a CLIA number is not required if the facility only collects
specimens and performs no testing.
AND ANSWERS
A person having an asthma attack presented to the physician office on the hospital
campus. The office did not have a provider in the office and the patient had to go to
the Emergency department around the corner for treatment. Is the physician office in
violation of EMTALA?
No, EMTALA does not include physician practices.
No, EMTALA does not apply because the physician was not in the office.
Yes, the physician practice is on the hospital campus.
Yes, the physician practice should have had a provider available. - ANSWER-No,
EMTALA does not include physician practices.
In 2003, a provision was added to clarify when EMTALA applies, as follows:A person
who presents anywhere on the hospital campus and requests emergency services,
or who would appear to a reasonably prudent person to need medical attention, must
be handled under EMTALA. Other presentations outside the emergency room do not
invoke EMTALA.• The 250-yard zone will continue to apply when defining the
"hospital campus." Now, however, that sphere does not include non-medical
businesses (shops and restaurants located close to the hospital), nor does it include
physicians' offices or other medical entities that have a separate Medicare identity.•
EMTALA does not apply to any off-campus facility, regardless of its provider-based
status, unless it independently qualifies as a dedicated emergency department.
Larry, Compliance Officer for Orange County Family Medicine Group, explained to
the front office staff that all ______have CLIA divisions administered by the
_________.
regions, Medicare office
states, state
states, MAC
regions, RAC - ANSWER-states, state
Sates, state. Compliance officers should be aware that all states and territories have
CLIA divisions administered by the states' Departments of Health (DOH).
The CLIA of 1988 establishes quality standards for _____ laboratory testing to
ensure accuracy.
all
high risk
low risk
waived - ANSWER-all
All. Congress passed the CLIA in 1988, establishing quality standards for all
laboratory testing to ensure the accuracy, reliability and timeliness of patient test
results, regardless of where the test was performed. A laboratory is defined as any
facility that performs lab testing on specimens derived from humans for the purpose
of providing information for the diagnosis, prevention, treatment of disease, or
impairment or assessment of health.
What was established by Congress for all laboratory testing under the Clinical
Laboratory Improvement Amendments (CLIA) in 1988?
, New equipment regulations
New staffing quota requirements
Quality standards
Training qualifications - ANSWER-Quality standards
Congress passed the Clinical Laboratory Improvement Amendments (CLIA) in 1988
establishing quality standards for all laboratory testing to ensure the accuracy,
reliability and timeliness of patient test results regardless of where the test was
performed.
Dr. X is on-call at ABC Hospital. There is a major accident on the local freeway and
the emergency department calls Dr. X to respond. Dr. X has fallen asleep and does
not respond to the page. Under EMTALA, what is the maximum penalty (prior to
inflation) that Dr. X can be charged per violation?
$10,000
$50,000
$75,000
$100,000 - ANSWER-$50,000
Community call program In September 2003, HHS clarified that on-call physicians
may have simultaneous on-call duties and schedule elective surgery during the time
that they are on-call. (68 FR 53,264 (Sept. 9, 2003)).In its most recent revision to the
federal regulations, HHS agreed to allow hospitals to satisfy their on-call coverage
obligations by organizing an approved community call/regional call program. (73 FR
48,434, 48,662 (Aug. 19, 2008)). The community call plans are not subject to local,
state or federal pre-approval; however, CMS has identified certain elements that
must be part of a formal community call plan, if one is adopted. (42 CFR § 489.24(j)
(2)(iii)).EMTALA contains significant penalties to prevent hospitals and physicians
from disregarding their duties in treating all patients in a similar manner regardless of
the ability to pay. A hospital which negligently violates the statute may be subject to
a CMP of up to $50,000 per violation (prior to an inflation adjustment).
After enacting CLIA, what percentage did the total number of quality deficiencies
decrease from the first laboratory survey to the second?
40%
46%
52%
80% - ANSWER-40%
Data indicates that CLIA has helped to improve the quality of testing in the United
States. The total number of quality deficiencies a laboratory experiences has
decreased approximately 40 percent from the first laboratory survey to their second.
If I'm only doing blood draws, do I need a CLIA number?
No, a CLIA number is not required if the facility only collects specimens and
performs no testing.
No, a CLIA number is not required if the facility only collects specimens and
performs minor testing.
Yes, a CLIA number is required if the facility only collects specimens even if they
perform no testing.
Yes, a Medicare-participating provider that only collects specimens requires a CLIA
number. - ANSWER-No, a CLIA number is not required if the facility only collects
specimens and performs no testing.
