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unit 2 Med Law

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Question
Answer
Accreditation   official authorizaton or approval for conforming to a specified standard  
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Certification   voluntary credentialing process giving applicants who meet specific requirements a certificate  
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qui tam   "to bring an action for the king and for one's self"-individuals who use this law are called whistleblowers  
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Allopathic   a medical philosophy; how MDs are trained  
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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  
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gatekeeper physician   primary care MD-directs the medical care of the managed care health plan patient  
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Health Insurance Portability & Accountability Act of 1996   HIPAA  
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health maintenance organization   HMO  
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Healthcare Integrity & Protection Bank   National healthcare fraud & abuse data collection-reporting actions taken against suppliers, practitioners, and other healthcare providers  
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Indemnity   traditional form of health insurance that covers the insured against a potential loss of money from medical expenses  
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Individual (independent) Practice Association   IPA  
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Licensure   mandatory credentialing process established by state law; grants the right to practice certain skills and endeavors  
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Endorsement   process by which a licensee may practice in another state-based on review of credentials judged to meet requirements of new state  
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managed care   system in which financing, administration and healthcare delivery are combined to provide services to members for a prepaid fee  
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(PMPM) per member per month   payment plan used by HMOs  
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medical practice acts   state laws written to govern the practice of medicine; varies each state  
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medical boards   set forth by medical practice acts; protects health, safety & welfare of healthcare consumers through licensing and regulation for MDs and other HCWs  
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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  
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Registration   entry into an official record the names of persons in a certain occupation who have satisfied specific requirements  
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respondeat superior   "let the master answer"  
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preferred provider organization   PPO  
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Administer   to instill a drug into the body/body part of a patient  
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Autopsy   postmortem exam to determine cause of death or obtain physiologic evidence  
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Child Abuse Prevention Act   federal law requiring MDs/DOs to report cases of abuse  
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Amendments to Older Americans Act   federal act that defines elder abuse, neglect and exploitation; does not deal with enforcement  
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Controlled Substances Act   federal law giving authority to DEA to regulate sale & use of drugs  
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Coroner   public official  
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Dispense   to deliver controlled substances to a patient  
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Drug Enforcement Administration   DEA  
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Food & Drug Administration   FDA  
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Forensics   Branch of medicine using law and medicine to explain medical issues or medical proof at trials dealing with malpractice, crimes and accidents  
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medical examiner   physician who investigates suspicious or unexplained deaths  
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National Childhood Vaccine Injury Act   created compensation program for those injured (death) following vaccines created after 1986  
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Prescribe   to issue a medical prescription for a patient  
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Unborn Victims of Violence Act   federal act that provides for prosecution of anyone who causes death or injury of fetus in utero  
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vital statistics   records of significant events (births, deaths, etc) that occur in an individual's lifetime that affect public policy  
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Department Health & Human Services   DHHS  
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Created by: skopetsky
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