Medical Law & Ethics Chapter 2

Front 1

ACCREDITATION

Back 1

Official authorization or approval for conforming to a specific standard

Front 2

ALLOPATHIC

Back 2

(Literally - different suffering) referring to medical philosophy that indicate training physicians to intervene in the disease process through use of drugs and sugery

Front 3

ENDORSEMENT

Back 3

Process by which a license may be awarded based on individual credentils judged to meet licensing requirements in a new state

Front 4

RECIPROCITY

Back 4

Process by which a professional license obtained in one state may be accepted as valid in other states by prior agreement.

Front 5

PHO - PHYSICIAN, HOSPITAL ORGANIZATION

Back 5

Health care plan where physicians join with hospitals to provide medical care & then contracts with commercial carrier or an HMO for insurance

Front 6

POS
POINT OF SERVICE PLAN

Back 6

Can seek care from non-network physician, but
Pays the highest benefits for care when it is given by the PCP or via a referral from the PCP

Front 7

OPEN ACCESS PLAN

Back 7

Subscribers may see any in-network health provider WITHOUT REFERRAL

Front 8

TERTIARY CARE SETTING

Back 8

Care setting providing highly specialized services

Front 9

PPO/PPA

Preferred Provider Org./Assoc.

Back 9

Network of independent physician and hospitals who provide medical care insurance at a discounted rate to patient's who are part of insurers plan

Front 10

HMO

Back 10

Health maintenance program that provides insurance for a prepaid premium

Front 11

HCQIA

HEALTH CARE QUALITY IMPROVEMENT ACT OF 1986

Back 11

A federal statute passed to improve the quality of medical care nationwide. Established the National Practitioner Data Bank

Front 12

HCIPDB

HEALTH CARE INTEGRITY & PROTECTION DATA BANK

Back 12

National health care fraud & abuse data collection program established by HIPAA for adverse actions taken against health care providers

Front 13

RESPONDEAT SUPERIOR

Back 13

"Let the master answer" referring to the employer is legally responsible for the actions of their employees, if performed in the scope of their duties

Front 14

CYBERMEDICINE

Back 14

Form of tele-medicine that involves direct contact between patient and physician over the internet, usually for a fee

Front 15

HIPAA

HEALTH INSURANCE PORTABILITY & ACCOUNTABILITY ACT OF 1996

Back 15

Federal law to protect privacy & health care rights for patients Helps keep insurance coverage in job loss and protects confidential information from unauthorized disclosure & rising costs of medical care

Front 16

MANAGED CARE

Back 16

System in which financing, administration and delivery of health are combined to provide medical services for a fee

Front 17

ADMINISTRATIVE LAW

Back 17

Statues enacted to define powers & processes when an agency is created

Front 18

CASE LAW

Back 18

Laws established through common law and legal precedent

Front 19

CIVIL LAW

Back 19

Law that involves wrongful acts against persons

Front 20

COMMON LAW

Back 20

Laws developed in England primarily from judicial decisions based on customs & traditions

Front 21

EXPRESSED CONTRACT

Back 21

Written or Oral agreement in which terms of the contract are explicidy stated

Front 22

IMPLIED CONTRACT

Back 22

Unwritten and unspoken contract whose terms result from the actions of the parties involved

Front 23

STATUTORY LAW

Back 23

Laws passed by the U.S. congress or state legislatures

Front 24

TORT

Back 24

Civil wrong committed against a person or property, excluding breach of contract

Front 25

TORTFEASOR

Back 25

Person guilty of committing a tort

Front 26

SUBSTANTIVE LAW

Back 26

Statutory or written law that defines & regulates legal rights & obligations

Front 27

NEGLIGENCE

Back 27

Unintentional tort alleged