question

LCRA: involves a mandatory credentialing process established by law, usually at the state level

answer

Licensure

question

LCRA: involves simply paying a fee

answer

Registration

question

LCRA: involves a voluntary credentialing process, usually national in scope, most often sponsored by a private sector group

answer

certification

question

LCRA: required of all physicians, dentists and nurses in every state

answer

licensure

question

LCRA: consists simply of an entry in an official record

answer

registration

question

LCRA: a process that implies that health care facility's or HMOs have met certain standards

answer

accredidation

question

which of the following is madatory for certain health professionals to practice in their field

answer

licensure

question

licensure to practice medicine is done by

answer

each individual state

question

which of the following statements best defines accreditation

answer

process for officatially authorizing health care education programs, facilities, and managed care plans

question

which of the following best defines the osteopathic approach to medicine

answer

emphasizes musculoskeletal system of the body and the correction of joint and tissue problems

question

allopathic medicine means, literally,

answer

different suffering

question

which of the following is an example of tertiary care setting

answer

Endoscopic center

question

which of the following is an explanation for the increasing number of medical specialists

answer

More scholarships available for med students

question

a physician fails to meet continuing education requirements. he or she is guilty of

answer

unprofessional conduct

question

which of the following is not a purpose of medical practice acts

answer

to be sure physicians are adequatly compensated for their services

question

each states medical practice acts also provide for the establishment of

answer

Medical boards

question

laws vary from state to state, but unprofessional conduct for medical professionals usually uncludes

answer

phtsical abuse of a patient inadequate record keeping failure to meet CEU's

question

physicians actions generally classified as fraud include

answer

falsifying med diplomas and other credentials falisying med reports promising a patient secret cures or other special ways to cure an aliment

question

the sole authority granted to the federal government in the licensing of physicians is

answer

the permit issued by the drug enforcement administration for controlled substance

question

physicians today practice primarily

answer

in group practices

question

when two or more physicians practice together, which a written agreement specifying the rights, obligations and responsibilities of each partner, what is the arrangement called?

answer

a partnership

question

what is an advantage to forming a professional corporation to practice medicine

answer

the incorporators and owners have limited liability in lawsuits

question

which of the following best defines a managed care health plan

answer

a corporation that pays for and delivers care to subscribers

question

what is a copayment

answer

a set amount that each patient pay for each office visit

question

under this type of plan, insured patients must designate a primary care physician (PCP)

answer

gatekeeper or primary care plan

question

when physicians, hospitals and other health care providers contract with one or more HMOs or directly with employers to provide care, what is it called

answer

a physician hospital organization

question

under this type of plan, a patient may see providers outside the plan, but the patient pays a higheer portion of the fees

answer

prefered provider plan

question

the national practitioner data bank

answer

only to hospitals and health care plans

question

the patients bill of rights

answer

Has still not become a law

question

the recent federal law provides for the establishment of state run insurance exchanges

answer

Patient protection and affordable care act

question

which of the following is not a stated goal of the health insurance portability and accountability act

answer

??ensures every person has health insurance

question

which of the following statements best defines telemedicine

answer

med that is practices via phone, tv, fax or internet

question

cyber medicine involves

answer

direct online contact between physicians and patients

question

e-health refers to

answer

increasing use of the internet for consumer health info

question

accreditiaion

answer

official authorization or approval for conforming to a specified standard.

question

allopathic

answer

-literally,"different suffering"; referring to the medical philosophy that dictates training physicians to intervene in the disease process, through the use of drugs and surgery.

question

associate practice

answer

a medical management system in which two or more physicians share office space and employees but practice individually.

question

certification

answer

voluntary credentialing process whereby applicants who meet specific requirements may receive a certificate.

question

corporation

answer

a body formed and authorized by law to act as a single person.

question

cybermedicine

answer

a form of telemedicine that involves direct contact between patients and physicians over the internet, usually for a fee.

question

e health

answer

term used for use of the Internet as a source of consumer information about health and medicine.

question

endorsement

answer

the process by which a license may be awarded based on individual credentials judged to meet licensing requirements in a new state.

question

federal false claims act

answer

a law that allows for individuals to bring civil actions on behalf of the U.S. government for false claims made to the federal government, under a provision of the law called qui tam.

question

gate keeperphysician

answer

the primary care physician who directs the medical care of HMO members.

question

group practice

answer

a medical management system in which a group of three or more licensed physicians share their collective income, expenses, facilities, equipment, records, and personnel.

question

health care and education reconciliation act

answer

enacted in 2010, a federal law that added to regulations imposed on the insurance industry by Patient Protection and Affordable Care Act.

question

health care quality improvement act of 1986

answer

a federal statue passed to improve the quality of medical care nationwide. One provision established the National Practitioner Data Bank.

question

healthcare integrity an protection data bank

answer

a national health care fraud and abuse date collection program established by HIPAA for the reporting and disclosure of certain adverse actions taken against health care providers, suppliers, or practitioners.

question

health insurance portability and accountability act (HIPPA)

answer

a federal law passed in 1996 to protect privacy and other health care rights for patients. The act help workers keep continuous health insurance coverage for themselves and their dependents when they change jobs, and unauthorized disclosure and/or use. It was also intended to help curb the rising cost of health care fraud and abuse.

question

health maintenance organization

answer

health plan that combines coverage of health care costs and delivery of health care for prepaid premium.

question

indemnity

answer

a traditional form of health insurance that covers the insured against a potential loss of money from medical expenses resulting from an illness or accident.

question

individual practice association

answer

a type of HMO that contracts with groups of physicians who practice in their own offices and receive a per-member payment from participating HMOs to provide a full range of health services for HMO members.

question

licensure

answer

a mandatory credentialing process established by law, usually at the state level, that grants the right to practice certain skills and endeavors.

question

managed care

answer

a system in which financing, administration, and delivery of health care are combined to provide medical services to subscribers for a prepaid fee.

question

medical boards

answer

bodies established by the authority of each state's medical practice acts for the purpose of protecting the health, safety, and welfare of health care consumers through proper licensing and regulation of physicians and other health care practitioners.

question

medical practice acts

answer

state law written for express purpose of governing the practice of medicine.

question

national practitioner data bank

answer

a repository of information about health care practitioners, established by the Health Care Quality Improvement Act of 1986.

question

open access plan

answer

managed care feature whereby subscribers may see an in-network health care provider without a referral.

question

partnership

answer

a form of medical practice management system whereby two or more parties practice together under a written agreement specifying the rights, obligations, and responsibilities of each partner.

question

patient protection and affordable care act

answer

a federal law enacted in 2010, to expand health insurance coverage and otherwise regulate the health insurance industry. Many provisions of the law were scheduled to take effect I 2014 and 2015.

question

physician hospital organization

answer

health care plan in which physicians join with hospitals to provide a medical care delivery system and then contract for insurance with a commercial carrier or an HMO>

question

point of service plan

answer

health care fro nonnetwork physicians but pays the highest benefits for care when it is given by the primary care physicians (PCP) or via a referral from the PCP.

question

preferred provider association

answer

...

question

preferred provider organizaion

answer

network of independent physicians, hospitals, and other health care providers who contract with an insurance carrier to provide medical care at a discount rate to patients who are part of the insurer's plan. Also called preferred provider association (PPA)

question

primary care physician

answer

physician responsible for direction all of a patient's medical care and determining whether the patient should be referred for specialty care.

question

reciprocity

answer

process by which a professional license obtained in one state may be accepted without reexamination.

question

regrestration

answer

credentialing procedure whereby one's name is listed on a register as having paid a fee and/or met certain criteria within a profession.

question

sole proprietorship

answer

form of medical practice management in which a physician practices alone, assuming all benefits and liabilities for the business.

question

telemedicine

answer

remote consultation by patients with physicians or other health professionals via telephone, closed-circuit television, or the Internet.

question

tertiary care settings

answer

those care settings providing highly specialized services.

Law & Ethics Ch. 3 – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards