Practice of Medicine is:
Primary goal of health insurance professional is
Complete & submit insurance claims, Conduct billing & collection procedures, to generate as much money for the practice as legally possible.
A breach of medical care can result in:
The employer is ultimatley responsible for employee actions:
Loosley translated, the latin term respondeat superior means:
Failur to excercise a reasobale degrww of care is referred to as:
Health Insurance policy & the relationship between a healthcare proveder & a patient are considered:
Making an offer
In terms of a contract law, when an individual completes an application for health insurance, he or she is:
Completing an acceptance
When the insurance company agrees to grant health insurance coverage to an inividual, this is called:
The binding force in any contract that gives it legal status- the thing of value that each party gives to the other- is the:
For the contract to be enforceable, it must be:
The parties to a legal contractual agreement must be:
Minors who are married or living separate and apart from their parents and not receiving any financial support from them:
The contract between a healthcare provider and a patient is referred to as:
Ceasing to provide care to a patient without following prudent steps is a breach of the physician/patient contract, referred to as:
Federal Privacy Act of 1974
The act that regulates disclosure of confidential information is the:
Federal Omnibus Budget Reconciliation Act of 1987 (OBRA)
The act of following current or former employees or dependants younger than age 65 to become eligible for Medicare because of end-stage renal disease is the:
Standards of human conduct - sometimes called morals - of a particular group or culture are commonly known as:
Following the rules and conventions governing correct or polite behavior in society is called:
A clinical scientific, administrative, and legal documentation of facts containing information relating to a patient's care and treatment is called a:
A health record is considered priviledged communication; information in it should not be disclosed without a patient's:
If additional needs to be added to a patients record, it should be in the form of a:
Adequate and complete documentation helps to:
Determine the levels of service; Establish medical neccesity; Justify the fees charged.
Lack of proper documentation often results in:
Denied claims; reduced claim benefits.
HIPPA's objective stating that employees cannot be denied health insurance coverage when moving from one group health plan to another is called:
If two people who know each other meet inadvertently in a physician's reception area, HIPPA refers to this exposure:
Timeliness, according to the Joint Commision, is within ______ hours of the encounter.
Situations that do not come under the umbrella of the patient confidentiality include:
Communicable disease; The patient is being treated as a result of an on-the-job injury
Subpoena duces tectum
A legal document that requires an individual to appear in court with a piece of evidence that can be used or inspected by the court is called:
A breach of confidentially
What results when confidential information is disclosed to a third party without patient consent or court order?
Health insurance professional should be ________ in the area of the medical law and liability.
Medical laws regulating insurance are _____ the same from state to state.
Direct and indirect patient contact involves ethical and legal _________.
In contract law, the promise to pay the premium is the ____________ of the individual seeking health insurance coverage
How long medical records are kept and stored and disposed of __________ from practices to practice and state to state.
A written release of information is not necessary to process an __________for a patient's healthcare information they collect, maintain, use and transmit eclectronically.