← Law & Ethics Chp 2 Test
5 Written Questions
5 Matching Questions
- Patients' Bill of Rights Acts of 1999, 2001, & 2004
- CAAHEP(Accreditation of Healthcare Education Programs)
- Preferred provider organization(PPO)
- a usually a voluntary process where one pays a fee and is put on a list. some registration lists do not require additional educational requirements.
- b Are managed care plans that contract with a network of doctors, hospitals, and other health care providers who provide services for a set fee. Patients must choose their health provider from an approved list, and patients pay higher out of pocket fees if they use out of network providers.
- c Protects consumers in managed care health plans and other health coverage. The biil did not become a law.
- d A plan's list of approved presciption medications that will be reimbursed to subscribers.
- e Some allied health care educational programs are accredited by the ommision of accreditation of allied health education program. some by a specific organizations such as the national league of nursing(for registered nursing programs).
5 Multiple Choice Questions
- Refers to remote consultation with physicians or other health care professionals via telephone, telemedicine orginally meant consultation via telephone or closed circuit TV. The Internet has created Cybermedicine - online contact between doctor and patient. e-health - use of the Internet as a source of consumer information. Consumers must evaluate websites for reliability.
- Enacted in 1986, also known as the "Whistle Blowers Act", allows individuals to bring suit on behalf of the U.S. government for false claims made to the government. These individuals share in court awarded damages. and this has been used successfully in Medicare fraud cases.
- A health plan that combines coverage of health care costs and delivery of health care for a prepaid premium. Different models of HMO's in different market areas. Patients must use the identified HMO services. Must designate a Primary care physician(PCP).
- A specified amount that must be paid by the insured before the plan will begin to pay benefits.
- When responding to emergency, while establishing state residency, and when employed by a federal facility.
5 True/False Questions
Certification → usually a voluntary process where one pays a fee and is put on a list. some registration lists do not require additional educational requirements.
Partnership → is a mandatory credtialingprocess established by law, usually at the state level. Required for a variety of health care practitioners.
Associate Practice → Three or more physicians who have formed either a partnership or corporation, they share the collective income, expenses, facilities, equipments, records, and personnel for the business. This is the most common today.
HIPDB → Physicians are licensed by individual _____ to practice medicine, the physician may have licenses in more than one state.
NCQA(National Commission for Quality Assurance) → When responding to emergency, while establishing state residency, and when employed by a federal facility.