Licensing

Question 1

What is the NCCPA

Answer 1

national commision on cerification of PAs

Only recognized certifying body for PAs in US

Question 2

What does a PA-C mean

Answer 2

You have BROAD knowledge and you can switch from field to field

Question 3

To get an initial certification for PAs, what do you need?

Answer 3

1. Must graduate an ARC-PA accredited PA Program
2. Must pass the PANCE

Question 4

To rectify, what do you need?

Answer 4

1. Must log 100 hrs of CME every 2 years
2. Must pay $150 maintenance fee every 2 years
3. Must pass a recertification exam every 10 years

Question 5

What are the parameters of the PANCE exam?

Answer 5

Fee
5-hour exam
300 MC questions (Five 60-minute blocks of 60 questions each
45 minutes total break time)

Question 6

How many times can you take the PANCE?

Answer 6

180 day timeframe to schedule exam
Can only take once in a 90 day time period
Max of 3 times per calendar year

Graduating from PA program gives you a six-year window of eligibility for PANCE

or else you have to retake

Question 7

What is the first time pass rate on average for the PANCE?

Answer 7

93%

Question 8

Max score and passing score of PANCE

Answer 8

800 and need 350 to pass

Question 9

What is the PANRE exam?

Answer 9

$350 fee

9th or 10th year of your recertification cycle

4-hour exam, 240 multiple choice questions

4 blocks of 60 questions each
45 minutes total break time

Question 10

What is special about the PANRE?

Answer 10

Option to choose practice-focused content

Adult medicine, surgery, or primary care
60% of exam - “all areas of practice in primary care”
40% of exam - questions in practice-focused area

general, but a little more narrowed if you want

the passing rate is based on averages (so it may be > 350)

Question 11

PANRE-LA

Answer 11

quarterly blocks of 25 MC questions with pauses

5 minutes per question with unlimited access

Must complete 8 quarters of blocks
Can skip up to 4 quarters in the 3-year period
If 8 successful quarters completed, recertification is done
If unsuccessful in passing the PANRE-LA, up to 3 attempts available to take and pass traditional PANRE in year 10

Question 12

What is CME?

Answer 12

Required 100 hrs every 2 years

50 hours from category 1 (more structured and formal, need to keep documentation)

50 hours from category 2 (informal - teaching, journal clubs, consultation, no record/check)

Question 13

What is performance improvement CME (PI-CME)

Answer 13

Designed to be active learning with application to improve your practice

Not wildly done

Question 14

What is self assessment CME?

Answer 14

Most traditional CME - passive
SA-CME involves active process of evaluating one’s own performance, knowledge base or skill set
Formal programs approved by the AAPA as SA-CME

based on self improvement basically

Question 15

What does the scope of practice depend on?

Answer 15

1. List of activities, responsibilities, procedures and processes that a provider can perform
2. Differs depending on state, type of practice and provider who you are practicing under
3. Supervising physician will complete a form stating what responsibilities and procedures you are allowed to perform

Question 16

What are the four parameters that have the biggest effect on your scope of practice?

Answer 16

1. PA’s education and experience
2. State laws
3. Facility policy
4. Needs of the practice and its patients (if you work in a clinic that does not need a procedure, it might not be done)

have to check ALL boxes in order to do that in your practice

Question 17

What are the 3 requirements to be in your scope of practice?

Answer 17

1. Provider must be educated
2. Task must be allowed for state and federal laws
3. Facility and supervising physician must allow you to perform the task.

Question 18

What writes does HIPAA allow?

Answer 18

1. Access
2. Amend information
3. Authorization
   4, Accounting of disclosures
4. Contact information
5. Sharing information (request to when info can be shared)

Question 19

If you think rights have been violated, what can you do?

Answer 19

File a complaint

Question 20

Who is covered by HIPAA

Answer 20

1. Health plans
2. Health care providers
3. Health care clearinghouses (billing agencies)
4. Business associates (people who do security checks, that have to treat info they here as protected info).

Question 21

What information is protected under HIPAA?

Answer 21

ALL “individually identifiable health information”

payment information

Question 22

What can you provide?

Answer 22

Deidentified health information

Question 23

What allows you to release health information?

Answer 23

1. As the Privacy Rule permits or requires
2. When individuals authorize it in writing

Question 24

What are the only two cases where you HAVE to release information?

Answer 24

1. To individuals or their designated representatives when they request access to it
2. To Health and Human Services when they are undertaking a HIPAA compliance investigation

Question 25

When can we release health information without specific authorization?

Answer 25

1. To the individual 2. For treatment, payment, and healthcare operations 3. When the individual has the opportunity to agree or object “informal permission” (patient did not ask someone to step out when you were talking to them). 4. Incidental uses or disclosures as long as there are reasonable safeguards in place (saying something in a confidential space that says staff only and someone walks in - but if you are talking in a public space, then it is NOT ok) 5. Public interest and benefit includes public health (public health reports), law enforcement purposes, victims of abuse, etc. 6. Limited data sets e.g., research studies (just age, biological set, and a big chunk of data)

Question 26

If you are not sure if something is covered by HIPAA, what do you do?

Answer 26

1. Written authorization 2. Most psychotherapy notes must have written authorization to be released (very personal information about someone's life - need an extra layer of protection).

Question 27

What is the amount of data that you can disclose for HIPAA?

Answer 27

Minimum necessary for what you are seeing them for

Question 28

In order to make sure that you comply with HIPAA, what must be provided

Answer 28

notice of privacy practices

Question 29

What other rights do patients have about HIPAA?

Answer 29

amendment request statement of disagreement accounting of disclosures Patients can request that disclosure of their information is restricted Patients can request an alternative means or locations for receiving communications about protected health information

Question 30

amendment request

Answer 30

if they feel there is incorrect data in their file

Question 31

statement of disagreement

Answer 31

in their file if their amendment request is denied

Question 32

accounting of disclosures

Answer 32

of their health information up to 6 years prior to the request

Question 33

What services do individuals covered by HIPAA have to provide?

Answer 33

1. Must have privacy policies/procedures and a privacy officer 2. Must provide training and enforcement of privacy rules 3. Must mitigate any harmful effect it learns was caused by unauthorized or inappropriate information disclosure 4. Must have data safeguards in place 5. Must have procedures allowing for complaints 6. Must not retaliate against people for exercising rights provided by HIPAA, for assisting in investigation regarding HIPAA, etc. 6. Must not require individuals to waive their right to HIPAA to receive treatment, payment, benefits, etc. 7. Must retain records pertinent to HIPAA

Question 34

For HIPAA, What about representatives or minors?

Answer 34

You can authorize parents/ spouse ONLY exception is that you think there may be abuse

Question 35

What are the two types of HIPAA violations?

Answer 35

Civil or criminal violations

Question 36

What is civil money penalty?

Answer 36

Depends on how bad it is $100-$50,000 per violation based on judge/jury

Question 37

What is the criminal violation for HIPAA and the three tiers?

Answer 37

Willful violation 1. Knowingly obtains or discloses up to $50,000 and up to 1 year imprisonment 2. Obtains or discloses with false pretenses up to $100,000 and up to 5 years imprisonment 3. Intent to sell, transfer, or use information for commercial advantage, personal gain or malicious harm up to $250,000 and up to 10 years imprisonment