Medical Ethics & Law
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Created by:
parker0507 on March 17, 2012
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37 terms
Terms | Definitions |
|---|---|
Abandonment | Physician's leaving a case before the patient is recovered |
Arbitration | Resolution of case brought about by a unbiased 3rd party |
Assault | Clear threat of injury |
Battery | Operating beyond the patient given consent- Body contact without consent. |
Compliance | Adherence to rules and regulations |
Deposition | Testimony under oath usually OUTSIDE court room |
Ethics | Standards of right and wrong conduct |
Etiquette | Behavior and customs that are considered good manner |
Express Consent | Patients written agreement to have a procedure preformed |
Fraud | Depriving others of their rights by dishonest means |
Good Samaritan act | Protection for the physician from liability of a civil damage in emergency case. Emergency situations is defined by the state in which the assistant is employed. |
Implied consent | Patient permission for treatment when he or she enters the DR office |
Liability | Legal Responsibly |
Litigation | A lawsuit |
Release of information | Authorization to send the patient's information to another physician |
Statute of limitations | Time limit for a lawsuit to start |
Statutory Report | Confidential information that must be submitted to the state department |
Summons | Written notice sent to the defendant asking for an answer to the charges. |
Federal Register | Legal Paper published every business day |
Qui Tam | Allows a private citizen to file a law suite in the name of US Government |
Program Transmittal | Contain new and changed Medicare policies and procedures. |
Medicare Administrative Contractor | MAC = Third party payer that contracts with CMS |
Record Retention | Storage of documents for a established period of time |
HIPAA | Health Insurance Portability and Accountability Act |
Medical Integrity Program | MIP= combat fraud waste and abuse |
Unique Indentifiers | National Health Plan IDNational Provider Identifier -NPI National Individual Identifier (ON HOLD) EIN # |
EIN | Employee ID # (issued by IRS) |
NPI | Assigned to health care providers |
Statue | Statutory law, laws passed by legislative bodies |
Security | Involves the safe keeping of patient information by controlling access to hard copy and computerized records protecting information from alteration, destruction,tampering, or loss providing employees training in confidentiality of patient information and requiring employees to sign a confidentiality statement that details the consequences of not maintaining patient confidentiality. |
Clearinghouse | performs centralized claims processing for providers and health plans |
National Health Plan ID | Assigned to 3rd party payer and it has 10 digit numeric position. |
Medical Practice acts | set of rules for obtaining a license explains who must be licensed to give health care covers the grounds on the licenses may be revoked |
Overpayment | medicare pays too much to the provider for a claim |
Demand Letter | is sent when Medicare administrative contractor determines that an overpayment was made |
Subpoena | is an order of the court that requires a witness to appear at particular time and place to testify |
Subpoena duces tecum | requires document to be produced |
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