Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Chapter 5
Legal and Regulatory Issues
| Term | Definition |
|---|---|
| Statutory Law | Laws passed by legislative bodies |
| Case Law (Common Law) | Based on court decisions that establish a precedent |
| Precedent | Standard/common law |
| Civil Law | Deals with all areas of the law that are not classified as criminal.( dogs barking) |
| Criminal Law | Public law that defines crimes and their prosecution. Property damage |
| Subpoena | Order of the court that requires a witness to appear at a particular time and place to testify. |
| Subpoena Duces Tecum | ordered by a judge to bring a patient's medical record to court hearing |
| Deposition | Testimony under oath taken outside of court |
| Interrogatory | a list of questions that must be answered in writing. |
| Qui Tam | private citzens to file a lawsuit in the name of the government |
| Record Retention | Storage of documentation for an established period of time |
| Fraud | An intentional deception or misrepresentation that someone makes |
| Abuse | Involves actions that are inconsistent with accepted |
| Privileged Communication | Any information communicated by patient to a healthcare provider |
| Protected Health Information (PHI) | Information that is identifiable to an individual such as name |
| Privacy | Right of individuals to keep their information from being disclosed to others |
| Confidentiality | Involves restricting patient information access to those with proper authorization and maintaining the security of patient information |
| Security | Safekeeping of patient information |
| overpayments | receives in excess of amounts due and payable under Medicare and Medicaid statues and regulations. |
| authorization | official permission or approval prior to disclosing the individuals information |
| Medicare Conditions of Participation | the retention of patient records in their original or legally reproduced form for a period of at least 5 years (CA 7-10 ) |
| Department of Health and Human Services Office to the Inspector General | prepares the case for referral to the Department of Justice for criminal and or civil prosecution. A person guilty of Medicare fraud faces criminal |
| HIPAA - Health Insurance Portability and Accounting Act 1996 | improves the portability and continuity of health insurance |
| HIPAA title I Health Care Access | Portability and Renewability |
| HIPAA title II | Preventing Health Care Fraud and Abuse |
| medically necessary | providing the reasons why treatment is medically necessarey |
| ARRA | protects whistle blowers |
| What special handling is required to release medical information for a patient who is HIV- positive | the patient should sign an additional authorization statement for release of information |
Created by:
643565250
Popular Medical sets