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42 Cards in this Set
- Front
- Back
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Legis Intent
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1. Qualif may practice
2. Reg to protect public 3. Keep cost at min |
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Duties
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1. Biennual renew (some 4yr)
2. Appoint director and submit budget 3. Train and adopt rules 4. Record proceedings 5. Work w/ dpt of rev 6. Help to recover medicaid overpay |
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Long range policy planning
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1. 5 yr.
2. update every year 3. How reg and need to reg 4. How reg, adequate, improve 5. Enforce unlic activity |
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Board
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1. Comply w/these provisions
2. Chair and v. chair 3. Meet annually and more if needed 4. Quorum: 51% of board 5. Vacant: 3 unexcused absence in 12 mo 6. $50 day for hearing of phone calls 4+hr 7. Special committee when 2 boards disagree |
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Legis Intent
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1. Qualif may practice
2. Reg to protect public 3. Keep cost at min |
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Duties
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1. Biennual renew (some 4yr)
2. Appoint director and submit budget 3. Train and adopt rules 4. Record proceedings 5. Work w/ dpt of rev 6. Help to recover medicaid overpay |
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Long range policy planning
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1. 5 yr.
2. update every year 3. How reg and need to reg 4. How reg, adequate, improve 5. Enforce unlic activity |
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Accountability and liability
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1. Governor
2. dept pays lawyer and invest |
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Board
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1. Comply w/these provisions
2. Chair and v. chair 3. Meet annually and more if needed 4. Quorum: 51% of board 5. Vacant: 3 unexcused absence in 12 mo 6. $50 day for hearing of phone calls 4+hr 7. Special committee when 2 boards disagree |
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Board rules: Challenge1
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1. State surgeon gen - overrule. if not protecting public, unnec cost, restrict profess,
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Gen lic provisions
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1. Applic - online - incomplete expires 1 yr
2. No ssn - personal id number - give lic expires w/in 30 days until new ssn 3. Lic fee, issue wallet and wall lic 4. No lic if under invest or prosecution and given 15 days after verdict 5. Convicted of felony must prove civil rights restored |
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Gen lic prov
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6. Some require personal appearance if not within 2 meetings or 30 days refuse lic
7. 40 hr CE - 1 hr of cost containment/risk management 8. Med Errors course, Video course (5hrs), 25% pro bono |
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Limited lic
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1. Retired to served indigent or limited pop
2. App and lic fee <300, practice 10 yr, fee waived if not receiving compensation w/ ltr 3. Employed by public agencies |
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Exam
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1. Contract company - dept approve quest.
2. Specify areas of competency and scores, fees 3. Score less than 10% may challenge score in hearing 4. Prefer national over state - less money 5. Candidates pays for all costs 6. Scores kept for 2 years following exam for state exam 7. Request for exam in other language request 6 mo prior 8. Felony of 3rd degree for theft or reproduction of test |
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Exam
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1. Does not have to be US citizen
2. Native language - 15 + applicants |
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Fee
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1. Adequate and fair
2. 25$ for lic or duplicate, cert public record 3. $250 for Ce provider 4. |
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Annual Report
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1. Nov 1 each year to Senate
2. Finance, stats, complaints, actions, rules, |
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Domestic violence CE
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1. Every 3rd biennual
2. 2 hr course, victim, perp, screening, assist |
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HIV Hep
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1. Provide assist
2. Not presumed to get on job will verify 3. Course instruct 4. Athletic trainers, massage therapist - allowed 6 mo to complete after lic |
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Active/Inactive
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1. Only practice active
2. Change when renew or any time 3. Fee to change 50 (retire) 4. In to active must pay status change, deliquency and renew 5. Complete app 6. Reactivate after 2 consec biennuals or retired 5 yrs or inactive 5 yrs in other state- retake full exam 7. Meet all CE for all biennuals |
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Business lic
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1. active lic
2. renew before expire, renew 6 mo after expire if not unable to renew |
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Renew/Cancellation notices
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1. 90 days prior to end of cycle
2. renew notice, pending cancel notice, |
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Designated health care professionals (Physicians, RN, : provide info for lic
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1. Physicians: education, hosp w/ privileges, practice address, certif, yr began practicing, faculty teaching, criminal offense, discip action,
2. Relevant prof qualif 3. Update info w/in 45 days of event (if not citation 50 each day - not appealed 30 days must pay) 4. Finger prints 5. Publications, awards, community service, language, medicaid |
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Rx labeling
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1. the practitioner's name on the container of the drug that is dispensed
2. Rx by RN or physician asst |
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Practitioner profile
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1. Discip action, med malpract,
2. Posted 30 days after receiving update 3. Info related to competently practice 4. indicate paid claims 5. Indicate if discip action incl incompetent practice and if part of services delivered to pt 6. Cause for term w/medicaid 7. 30 days to review profile - 100 fine if not reviewed |
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Insurance
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1. Mandatory: Acu, chiro, dental, podia, medicine, osteo med, anesth asst, adv rn, midwives
2. Exception: work for fed, limited lic, inactive, teaches, not practicing in state, no malpractice, 3. Report to office of insurance reg 4. Claim is public record except for name of victim (bankruptcy too) and is in profile |
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Financial arrangement bw referal provider and provider
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1. Conflicts - esp when owns interest in provider referring to.
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Receiving referrals for imaging
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1. Receive ref from outside report annual to Health care admin. - limited number allowed
2. Medicaid agreement cant refer to hosp unless med nec |
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Prohibited referrals
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1. Investor - unless
a. public invest b. exceed 50 mil assets 2. Not more than 50% invest, not forced to refer, |
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Records retained after death, relocate, term practice
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retained 2 years after the practitioner's death, termination of practice, or relocation.
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Disclose to needle sharing partner or sexual partner and not liable
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1. HIV pos
2. Not liable if no disclosure |
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Medicaid fraud
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1. No effect if happened over 15 yrs
2. Good standing last 5 yrs and occurred 20 yrs ago |
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Practice w/o lic
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1. Citation 500-5k
2. Pay investigation or court costs 3. Felony 2nd degree - fine 1k or incarceration 4. Misdemeanor 1st degree - practice with inactive 12 mo 5. $5 fee to combat unlic activity 6. Misrep - felony 3rd |
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Discipline actions
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1. Fraud to obtain lic, financial gain,
2. Vio rule/knows someone vio 3. Crime/fail to report w/in 30 days 4. Use laser inapprop/incompetent 5. Fail to complete HIV courses/domestic vio 6. False report/fail to report/explain how to report to pt 7. Lose lic/aid unlic/delegate to incompetent 8. Fail to pay loan 9. Sexual misconduct 10. Ambulance chasing |
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Discipline actions 11- 12
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11. Unable to practice, testing pos for drug, not comply with tx program
12. Wrong pt, procedure, leave instrument. lack of rx skill |
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Discipline action taken
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1. Refuse to lic, suspend, revoke, restrict, fine <10k, reprimand, letter of concern, probation, corrective action, admin fine, repay pt, remedial educ
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Investigation
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1. Invest within 6 mo
2. Respond 20 days 3. submit to probable cause panel 4. Minor vio - respond 15 days |
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Probable cause panel
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1. 2 members, 1 must be active, other can be past member
2. Request add info within 15 days and complete w/in 30 or 10 days after expiration of time complete within 1 yr |
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Report
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1. Can report some within 6 yrs
2. If hidden within 12 yrs to be held valid 3. More serious does not matter |
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Immediate suspension
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1. Pleads guilty
2. Medicaid fraud 3. Criminal offense 4. Violate 3+ pt 5. Test pos for drug 48 hr given to show rx 6. Not paying loan after 45 days given to agree to new payment plan |
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Citation
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1. Actions that cause no harm
2. Given within 6 mo of complaint 3. 30 days to contest |
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Mediation
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1. Harm done
2. Economic, can be remedied, no injury, not adverse (death etc, unnec surgery) 3. Allowed 3 mediations |
