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46 Cards in this Set
- Front
- Back
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Registration |
a credentialing procedure whereby one's name is listed on a register as having paid a fee or met certain criteria |
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Licensure |
mandatory credentialing process established by law, usually at the state level, that grants the right to practice certain skills and endeavors |
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Licensure |
mandatory |
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Certification |
voluntary |
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Registration |
Put on a list |
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Reciprocity |
process by which a professional license obtained in one state may be accepted as valid in other states by prior agreement without reexamination |
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medical practice acts |
state laws written for the express purpose of governing the practice of medicine |
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Where can you find medical practice acts |
in the code-libraries and internet |
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Primary responsibility of state medical boards |
protect the health, safety, and welfare of health care consumers through proper licensing and regulation |
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DO's |
trained to emphasized the musculoskeletal system of the body and the correction of joint and tissue problems |
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MDs |
trained in allopathic medicine, "different suffering" and emphasizes intervention in the form of drugs or surgery to alleviate symptoms |
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Unprofessional conduct |
physical abuse of a patient, inadequate record keeping, and failure to recognize or act on common symptoms |
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A physician is licensed by the _____ in which he or she wishes to practice. |
state |
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The federal government's authority regarding medical licensing extends only to ________. |
DEA (drug enforcement administration) |
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Give one example of fraud |
Falsifying medical reports |
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Four situations in which physicians do not need a valid license to practice in a specific state |
responding to emergencies, establishing residency requirements, employed by US armed forces, VA, or other federal facility, engaged in research and not treating patients |
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Two ways medical practice management systems have changed over time |
staffing configurations and practice consolidation |
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Managed care |
a system in which financing, administration, and delivery of health care are combined to provide medical services to subscribers for a prepaid fee. |
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Two original objectives for establishing managed care |
reducing health care cost and improving healthcare delivery |
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Three types of managed care plans |
HMO, PPO, PHO |
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Patient-centered medical home |
offers accreditation to qualify primary care practices |
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Federal constitution |
must be observed first |
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State constitution |
must be observed second |
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Legislative branch |
authority to declare war and to hold an impeachment trial |
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Four types of law based on their origin |
Consitutional law Case law Statutory law Administrative law |
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Law that began with common law |
case law |
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Administrative law |
enabling statutes enacted to define powers and procedures when an agency is created |
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Written law that says murder is a crime is an example of _______ law |
Substantive law |
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The law that says a law enforcement must read a prisoner rights |
Procedural law |
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One who contributes to or aids in the commission of a crime______ |
accessory |
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Law that determines the rules for one person's suing of another |
civil law |
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Assault |
threatening to strike or harm with a weapon or physical movement, resulting in fear (verbal) |
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Battery |
Unlawful, unprivileged touching of another person |
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Highest tier of federal courts |
US supreme court |
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Lawsuit brought by a patient against a health care practitioner would be heard first in a |
state court |
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torts are wrongs committed against |
person or property |
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two broad types of torts |
intentional and unintentional |
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Type of tort most likely to concern health care practitioners |
unintentional |
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Agreement |
one party makes an offer, and another party accepts it |
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Consideration |
something of value is bargained for as part of the agreement |
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Legal subject matter |
contracts are not valid and enforceable in court unless they are for legal services or purposes |
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Contractual capacity |
parties who enter into the agreement must be capable of fully understanding all of its terms and conditions |
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Expressed contract |
may be written or oral, but all terms of the contract are explicitly stated |
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Implied contract |
the conduct of the parties creates the contract. (most contracts in the medical office are implied) |
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Three federal laws governing collections in the medical office |
statue of frauds, third party payor contract, and fair debt collection practice acts |
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Managed care has impacted physician-patient contracts |
have access to patients medical records |
