Stark Law: Physician Self-Referral

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What is the primary goal of a Compliance Committee in a Compliance Program?

To advise and assist the Compliance Officer (correct)

To develop and implement a Code of Conduct

To investigate and report non-compliance incidents

To conduct regular audits and monitor compliance

What is the recommended frequency of education hours per year for Compliance education in corporate integrity agreements?

4-6 hours per year

2-5 hours per year

5-10 hours per year

1-3 hours per year (correct)

What is the main objective of a Compliance Officer in a Compliance Program?

To develop and implement a Compliance Program

To conduct regular audits and monitor compliance

To investigate and report non-compliance incidents

To serve as the focal point of the Compliance Program (correct)

What is a key element of an effective Compliance program?

Proper education and continual retraining Signup and view all the answers

What should be included in a Written Annual Training Plan?

Training needs, timing, methods, and duration Signup and view all the answers

What is a topic that may be included in specific or focused training?

Actions outside scope of practice Signup and view all the answers

What is the primary goal of the Stark Law?

To prevent conflicts of interest and self-referral practices in healthcare Signup and view all the answers

What type of relationships does the Stark Law address?

Financial relationships, including ownership interests and compensation arrangements Signup and view all the answers

What is unique about the Stark Law compared to the Anti-Kickback Statute?

The Stark Law is a strict liability statute, requiring no proof of intent Signup and view all the answers

Which of the following is an example of a designated health service (DHS) under the Stark Law?

Clinical laboratory services Signup and view all the answers

Under the Stark Law, what happens if a physician has a financial relationship with an entity to which they refer patients?

The physician is prohibited from referring patients to that entity, unless an exception applies Signup and view all the answers

Who is the Stark Law named after?

U.S. Congressman Pete Stark Signup and view all the answers

What is the primary reason for the Compliance Officer's presence during an on-site government investigation?

To keep a detailed, written account of all activities and an itemized inventory of documents inspected or removed Signup and view all the answers

What is the first step in implementing a compliance program?

Communicating management's commitment to compliance Signup and view all the answers

Why is it essential to have support from the Board of Directors or Board of Trustees?

Because they are the governing body responsible for overseeing the organization's fiduciary assets and mission Signup and view all the answers

What should non-essential employees do during an on-site government investigation?

Be sent home or relocated during the search Signup and view all the answers

What should be the format of management's communication of its commitment to compliance?

Written format, such as a memo or policy document Signup and view all the answers

Who should be notified immediately in the event of an on-site government investigation?

Legal counsel Signup and view all the answers

What is the primary purpose of conducting a risk assessment in a compliance program?

To identify and prioritize risks in the organization Signup and view all the answers

What is a key characteristic of a Compliance Officer?

Being trusted and well-respected in the organization Signup and view all the answers

What is the purpose of developing an annual compliance report?

To build support for the compliance department Signup and view all the answers

What should be done periodically to the risk list?

Review and update it to assess new risks and mitigation plans Signup and view all the answers

What is the role of the P-D-C-A cycle in a compliance program?

To care for and feed the ongoing evaluation of the compliance program Signup and view all the answers

What should be considered when developing annual team goals for the compliance department?

A realistic number of goals that are achievable and measurable Signup and view all the answers

Under what circumstances can a covered entity restrict an individual's access to their PHI?

When access would jeopardize the security of the individual, another inmate, or the institution Signup and view all the answers

Who must review the decision to deny an individual access to their PHI?

A licensed healthcare professional not involved in the individual's treatment Signup and view all the answers

In what format must a CE provide PHI if it is already in that format?

Electronic format Signup and view all the answers

What is a condition under which a CE can send PHI in an unencrypted email?

If the CE has advised the individual of the risk, and the individual still prefers unencrypted email Signup and view all the answers

Why might a CE deny an individual access to their PHI?

If sharing the information would put the individual or another person in danger Signup and view all the answers

What must a CE provide if it denies an individual access to their PHI?

An appeal process Signup and view all the answers