Want to test your compliance knowledge before the RHIA exam? Below are free sample flashcards from the 90-card compliance section of our 1000-card RHIA (Registered Health Information Administrator) deck, which covers Privacy Rule, Kickback Statute, Discussion Period and more.
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Under the HIPAA Privacy Rule, a covered entity may disclose PHI without patient authorization to public health authorities for what primary purpose?
Show answer →For the purpose of preventing or controlling disease, injury, or disability. This includes reporting of disease, injury, vital events (birth/death), and public health surveillance/investigations. AHIMA Tip: Remember that while HIPAA permits this, state laws may be more stringent. The HIM professional must ensure the request is from a legitimate public health authority. Key Exam Point: Public health reporting is a labeled Public Interest and Benefit exception to the authorization requirement.
What is the difference between Analytic and Non-analytic cases in a cancer registry, and which one is the priority for CoC reporting compliance?
Show answer →Analytic cases are those diagnosed and/or receiving all or part of the first course of treatment at the facility (Class of Case 00-22). Non-analytic cases are those seen for recurrence or progression only, or where the facility only provided a second opinion (Class of Case 30-99). Analytic cases are the priority and are the only ones required for CoC reporting and National Cancer Database (NCDB) submission. Exam Strategy: HIM managers must ensure registrars prioritize abstracting analytic cases to meet CoC timeliness standards. Non-analytic cases are often optional or abstracted as a low priority.
A provider is found guilty of violating the Anti-Kickback Statute. Beyond criminal fines and imprisonment, what administrative action can the OIG take that effectively ends the provider's ability to treat Medicare patients?
Show answer →Exclusion from participation in all Federal health care programs. This is a death penalty for most healthcare providers. Additionally, Civil Monetary Penalties (CMPs) can be as high as $100,000+ per violation (adjusted for inflation) plus three times the amount of the kickback. Key Exam Tip: Differentiate between criminal (AKS) and civil (Stark) penalties. AKS is a felony; Stark results in claim denials, refunds, and CMPs but not jail time.
Following a RAC notification of overpayment, the facility disagrees with the finding but wants to avoid a formal appeal. What is the purpose of the Discussion Period?
Show answer →The Discussion Period is an informal process allowing the provider to communicate directly with the RAC within 30 days of the demand letter. It occurs before or concurrent with Level 1 appeals. If the RAC is convinced by the provider's explanation, they can retract the overpayment finding, saving the facility the time and cost of the formal 5-level appeal process. HIM managers use this to clarify coding nuances or missing documentation quickly.
An HIM Director is auditing discharge planning. Per CMS CoP, which patients must have a discharge planning evaluation performed by the hospital?
Show answer →Hospitals must identify, at an early stage of hospitalization, all patients who are likely to suffer adverse health consequences upon discharge if there is no adequate discharge planning. Additionally, a discharge planning evaluation must be performed for any patient upon the request of the patient, patient's representative, or physician. Exam Tip: The evaluation is the key trigger; it's not strictly mandatory for every single minor admission unless requested or clinically indicated.
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Try 30 free RHIA cards firstThe full RHIA deck contains 1000 flashcards, and 90 of them focus on compliance. This page shows 5 free samples.
Our RHIA deck dedicates 90 of 1000 cards (9%) to compliance — always cross-check the official AHIMA exam outline for the current blueprint weighting.
Yes — the samples on this page are free, and the RHIA preview page has 30 more free cards. Full access to all 1000 cards is a one-time $7.
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