Healthcare Regulation and Compliance Quiz

'Solicitation' is an initial contact with a specific individual, initiated through in-person, electronic, written communication, telephone, telegraph, or facsimile. This does not include radio, television, newspaper, or yellow pages advertisements.

A 'Health-care prescriber board' is a governing body that oversees the licensing and regulation of healthcare professionals in Colorado.

Some examples are the Colorado podiatry board, Colorado dental board, Colorado medical board, state board of nursing, state board of optometry, and state board of veterinary medicine.

A 'Licensee' is an individual who is licensed or otherwise regulated by a 'Health-care prescriber board' in Colorado.

'Solicitation' involves direct and specific communication with an individual, while advertising is a broader message reaching a larger audience through mass media.

Pharmacies, carriers, and pharmacy benefit managers cannot refuse to fill an opioid prescription solely based on the drug being an opioid or exceeding a predetermined dosage limit.

Healthcare providers cannot refuse to prescribe, administer, or dispense an opioid prescription solely based on exceeding a predetermined dosage limit.

Before prescribing opioids for chronic pain, healthcare providers must discuss the risks associated with the prescribed drug with the patient (or their legal guardian) and document the discussion.

This law does not apply to opioid prescriptions for treating substance use disorders, nontherapeutic or drug diversion purposes, terminating a patient's life with chronic pain, or for substances not approved by the FDA for pain relief.

The Colorado Medical Board retains its authority to regulate healthcare providers, despite this law regarding opioid prescriptions.

The State Board of Nursing maintains its authority to regulate nurses, even with the new law regarding opioid prescriptions.

This section of the law isn't about prescribing or dispensing opioid antagonists, even though the section title refers to them.

This law generally prohibits arbitrary limits on opioid prescriptions by pharmacies, benefit managers, and healthcare providers, emphasizing patient access to pain management.

Prescribers dispensing opioid antagonists are exempt from certain labeling, storage, and record-keeping requirements.

Prescribers dispensing opioid antagonists are not considered to be engaging in unprofessional conduct, and are not subject to discipline.

Prescribers dispensing opioid antagonists are protected from civil liability and criminal prosecution.

Individuals or entities acting in accordance with the opioid antagonist provisions are also protected from civil liability and criminal prosecution.

This legislation does not create any new duties or standards of care for prescribers regarding opioid antagonist use.

This legislation doesn't affect the prescriptive authority of healthcare professionals already licensed to prescribe.

A program for individuals who have been convicted of a crime and are being supervised in the community.

A non-profit organization that provides services to those at risk of opioid overdose and their support network.

When an out-of-network provider needs to give care, they must obtain a signed consent form from the patient to allow billing. This form explains potential costs and risks to the patient.

Providers who have secured a signed consent form must keep it for at least 7 years after providing the service. This ensures they have proof in case of any issues with billing or coverage.

Out-of-network providers are restricted from balance billing patients for services if the law specifies a different payment method.

Even if you receive out-of-network care, you still have legal protections regarding your rights and benefits outlined in your health plan, meaning you shouldn't be wrongly denied coverage.

These laws don't apply to out-of-network services provided by publicly funded fire departments.

If an out-of-network provider breaks the rules about consent and billing it can be classified as deceptive trade practice, which may lead to penalties.

Health care providers in Colorado must inform patients about previous convictions or disciplinary actions related to sexual misconduct.

A 'Sex Offense' is defined in Colorado law (Section 16-11.7-102 (3)) and includes acts like sexual assault, child sexual abuse, and sexual exploitation.

Providers must inform patients about any professional limitations resulting from a conviction or disciplinary action related to sexual misconduct, even if the action was taken by another state.

Providers must disclose the required information in writing, using a form and format specified by the relevant regulatory board.

Disclosure must occur before a provider begins providing professional services to a patient, with exceptions for certain situations.

In Colorado, most prescriptions for controlled substances (Schedule II, III, or IV) must be written electronically, except for specific exceptions outlined in the law.

There are specific situations where a prescriber is allowed to write a traditional paper prescription for controlled substances. These exceptions include situations like technology failures, prescriptions for patients outside of Colorado, and dispensing by the prescriber themselves.

This is a national standard that outlines the specific information required for electronic prescriptions. Prescriptions must adhere to this standard unless exempted under specific circumstances.

During a public health emergency, prescriptions for controlled substances may be written traditionally, allowing for quicker access to medication in critical situations.

A standing order is a pre-approved prescription that allows for the dispensing of a controlled substance without a specific patient prescription. This is often used for routine medications in institutions or for specific protocols.

This involves a collaborative agreement between a prescriber and a pharmacist to manage a patient's medication. In these cases, a prescription for controlled substances may be written using a non-patient-specific format.

A prescriber can apply for an exception based on financial hardship, allowing them to write paper prescriptions. The regulations for this exception are defined by the state regulator.

A prescriber who writes 24 or fewer controlled substance prescriptions per year may be exempt from electronic prescribing requirements.