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unit 2 Med Law
Question | Answer |
---|---|
Accreditation | official authorizaton or approval for conforming to a specified standard |
Certification | voluntary credentialing process giving applicants who meet specific requirements a certificate |
qui tam | "to bring an action for the king and for one's self"-individuals who use this law are called whistleblowers |
Allopathic | a medical philosophy; how MDs are trained |
Federal False Claims Act | federal law that allows individuals to bring civil actions on behalf of the US government for false claims made to the government |
gatekeeper physician | primary care MD-directs the medical care of the managed care health plan patient |
Health Insurance Portability & Accountability Act of 1996 | HIPAA |
health maintenance organization | HMO |
Healthcare Integrity & Protection Bank | National healthcare fraud & abuse data collection-reporting actions taken against suppliers, practitioners, and other healthcare providers |
Indemnity | traditional form of health insurance that covers the insured against a potential loss of money from medical expenses |
Individual (independent) Practice Association | IPA |
Licensure | mandatory credentialing process established by state law; grants the right to practice certain skills and endeavors |
Endorsement | process by which a licensee may practice in another state-based on review of credentials judged to meet requirements of new state |
managed care | system in which financing, administration and healthcare delivery are combined to provide services to members for a prepaid fee |
(PMPM) per member per month | payment plan used by HMOs |
medical practice acts | state laws written to govern the practice of medicine; varies each state |
medical boards | set forth by medical practice acts; protects health, safety & welfare of healthcare consumers through licensing and regulation for MDs and other HCWs |
Reciprocity | process in which a professional license obtained in one state is accepted as valid by a new state by prior agreement without re-examination |
Registration | entry into an official record the names of persons in a certain occupation who have satisfied specific requirements |
respondeat superior | "let the master answer" |
preferred provider organization | PPO |
Administer | to instill a drug into the body/body part of a patient |
Autopsy | postmortem exam to determine cause of death or obtain physiologic evidence |
Child Abuse Prevention Act | federal law requiring MDs/DOs to report cases of abuse |
Amendments to Older Americans Act | federal act that defines elder abuse, neglect and exploitation; does not deal with enforcement |
Controlled Substances Act | federal law giving authority to DEA to regulate sale & use of drugs |
Coroner | public official |
Dispense | to deliver controlled substances to a patient |
Drug Enforcement Administration | DEA |
Food & Drug Administration | FDA |
Forensics | Branch of medicine using law and medicine to explain medical issues or medical proof at trials dealing with malpractice, crimes and accidents |
medical examiner | physician who investigates suspicious or unexplained deaths |
National Childhood Vaccine Injury Act | created compensation program for those injured (death) following vaccines created after 1986 |
Prescribe | to issue a medical prescription for a patient |
Unborn Victims of Violence Act | federal act that provides for prosecution of anyone who causes death or injury of fetus in utero |
vital statistics | records of significant events (births, deaths, etc) that occur in an individual's lifetime that affect public policy |
Department Health & Human Services | DHHS |