Regulation, Accreditation, and Legislation in Laboratory Management

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Questions and Answers

What is the purpose of the Clinical Laboratory Improvement Act (CLIA) of 1988?

  • To prevent physicians from referring Medicare patients to self-owned laboratories
  • To mandate quality assurance, personnel, and proficiency testing standards for all laboratories (correct)
  • To regulate hazardous material in laboratories
  • To establish out-patient laboratory fees

Which legislation prevents physicians from referring Medicare patients to their self-owned laboratories?

  • Health Insurance Portability and Accountability Act (HIPAA) of 1996
  • Physician Self-Referral Ban of 1989 (correct)
  • Deficit Reduction Act (DEFRA) of 1984
  • Occupational Exposure to Blood Borne Pathogens Act of 1992

Under the Prospective Payment System (PPS), how are hospitals paid?

  • Based on the number of Medicare patients seen
  • According to the hospital's profits
  • Through a pay-per-service model
  • Based on a fixed amount per Diagnosis Related Group (DRG) (correct)

What did the 1990 Three Day Rule regulate?

<p>Duration of hospital stays before Medicare coverage is applicable (D)</p> Signup and view all the answers

Which legislation introduced pay-per-service control for outpatient laboratory fees?

<p>Deficit Reduction Act (DEFRA) of 1984 (A)</p> Signup and view all the answers

What organization provided compliance guidelines in 1997 for healthcare practices?

<p>Office of Inspector General (OIG) (A)</p> Signup and view all the answers

What law was initiated in 1992 to establish guidelines to limit unnecessary exposure to biological hazards?

<p>Occupational Exposure to Blood Borne Pathogens (B)</p> Signup and view all the answers

Which act from 2007 provides patients access to their Protected Health Information within 30 days of the request?

<p>HI-TECH Act (C)</p> Signup and view all the answers

In the context of laboratory testing, what did the Physician, as of August 24, 1998, have to avoid?

<p>Unrelated 'shotgun' test ordering practices (B)</p> Signup and view all the answers

Which guideline helps laboratories develop programs promoting high ethical and lawful conduct in billing practices?

<p>OIG Compliance Guidelines (A)</p> Signup and view all the answers

What does the Three-Day Rule payment address regarding laboratory testing done before admission as an in-patient?

<p><em>Not</em> reimbursing laboratory testing done within 3 calendar days before admission (B)</p> Signup and view all the answers

Which regulation from 2003 deals specifically with the shipment of blood and other potentially biohazardous products?

<p><em>Hazardous Material Regulations</em> (B)</p> Signup and view all the answers

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