Law & Ethics-Ch 2 Terms

Front 1

State Laws written for the purpose of governing the practice of medicine in all 50 states & originally enacted for quakery?

Back 1

Medical Practice acts.

Front 2

A valid out-of-state license is accepted as the basis for issuing a license in second state, without a re-exam is called?

Back 2

Reciprocity

Front 3

This is when madatory credentialing process established by law at the state level that gives a right to practice?

Back 3

Licensure.

Front 4

This is voluntary credentialing process whereby applicants who meet specific requirements & receive a certificate?

Back 4

Certification.

Front 5

Official authorization/approval for conforming to a specified standard?

Back 5

Accreditation.

Front 6

Name 7 criterias that physician must meet to be granted a license?

Back 6

1. Age 21 or older
2. Good moral Character
3. Grad. from medical school.
4. completed approved residency.
5. U.S. citizen of filed.
6. State resident
7. Passed all state board exams.

Front 7

A system in which financing, admin and delivery of health care are combined to provide medical services to subscriber for a prepaid fee?

Back 7

Managed care.

Front 8

A health plan that combines coverage of health care costs/deliver of health care for prepaid premium?

Back 8

HMO-Health maintenance org.

Front 9

Remote consultation by patients w/physicians & health care professionals by tel., television or Internet?

Back 9

Telemedicine

Front 10

A form of telemedicine that involves direct contact between patients & physicians over the Internet for a fee?

Back 10

Cybermedicine.

Front 11

The term for the use of the Internet as a source of consumer info. about health & medicine?

Back 11

E-health.

Front 12

Steps taken to minimize danger, hazard, and liability and malpractice lawsuits?

Back 12

Risk Management.

Front 13

Measures taken by health care providers/practitioners to uphold the quality of patient care?

Back 13

Quality improvement or quality assurance (QI).

Front 14

This act help workers keep insurance when they change jobs, protects confidential medical info. and minimizes fraud and abuse.

Back 14

HIPP-Health Insurance Portability and Accountability Act of 1996.

Front 15

A law that allows persons to bring civil actions on behalf of the U.S. government for false claims?

Back 15

Federal Falss Claims Act

Front 16

A form of practice in which the physician practices alone, assuming all benefits/liabilities?

Back 16

Sole Proprietorship

Front 17

When two or physicians share office space & employees, but practice individually?

Back 17

Associate practice.

Front 18

A form of medical practice where two or more parties practice together under a written agrement stating rights,obligations & responsibilities of each partner?

Back 18

Partnership.

Front 19

A medical manag system in which 3 or more licensed physicians share the collective income,expenses,facility,equipment, records & personal?

Back 19

Group practice

Front 20

The primary care physician who directs the medical care of managed care health plan members?

Back 20

Gatekeeper physician (PCP).

Front 21

Health care plan that allows members to seek health care from nonnetwork physicians, but pays for the highest benefits for care if given by the PCP?

Back 21

Point-of-servic plan (POP).

Front 22

A managed care plan that features whereby subcribers may see any in network health care provider without a referral?

Back 22

Open Access.

Front 23

A national health care fraud/abuse data collection prog. for the reporting & disclosure of certain actions taken against health care providers & practitioners?

Back 23

Healthcare Integrity and Protection Data Bank.

Front 24

A network fo independen physicians,hospitals who contract w/an insurance carrier to provide medical care at a discount rate to patient who are in the insurer's plan?

Back 24

PPO.

Front 25

Boards that protect the health,safety and welfare of health care consumers?

Back 25

Medical boards.

Front 26

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

Back 26

Corporation

Front 27

Describe two fedral acts that prohibit fraud in healthcare?

Back 27

1.HIPPA-Health Insurance Portability and Accountability Act of 1996.

2. The Federal False Claims Act.

Front 28

Who has the authority to revokea phyician's license?

Back 28

Each State's Medical board.

Front 29

What can a physician to lose his/her license?

Back 29

1. Felony
2. Fraud
3. Personal/profession Incapacity.

Front 30

Name the "Whistleblower" statue that deals with fraud and abuse in health care?

Back 30

Federal False Claims Act