Med Law Chapter 2

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Med Law Chapter 2

licensure

A mandatory credentialing process established by law, usually at the state level, that grants the right to practice certain skills and endeavors

certification

A voluntary credentialing process whereby applicants who meet specific requirements may receive a certificate

registration

A credentialing procedure whereby one's name is listed on a register as having paid a fee and/or met certain criteria within a profession

accreditation

The process by which health care practitioner education programs, health care facilities, and managed care plans are officially authorized.

reciprocity

the process by which a professional license obtained in one state may be accepted as valid in other states by prior agreement without reexamination

medical practice acts

have been established by statute to govern the practice of medicine.

medical boards

purpose is to protect the health, safety and welfare of health care consumers through proper licensing and regulation of physicians and, in some jurisdictions, other health care practitioners.

Emergency medical technician

most often work from an ambulance or in a hospital emergency room, providing life-support care to critically ill and injured patients

medical assistant

perform administrative and clinical duties for physician/employers, usually within an ambulatory care setting.

ambulatory care setting

facility, such as a medical office, clinic, or outpatient surgical center, that provides medical care for patients who can walk and are not bedridden.

Medical trascriptionist

key material dictated by physicians to be placed with patients' medical records

tertiary care settings

those care settings providing highly specialized services

endorsement

process by which a license may be awarded based on individual credentials judged to meet licensing requirements in a new state

respondeat superior

let the master answer

sole proprietorship

form of medical practice management in which a physician practices alone

associate practice

medical management system in which two or more physicians share office space and employees but practice individually

corporation

body formed and authorized by law to act as a single person

group practice

medical management system in which three or more licensed physicians share the collective income, expenses, facilities, equipment, records and personnel for the business

managed care

system in which financing, administration, and delivery of health care are combined to provide medical services to subscribers for a period of time

indemnity

traditional form of health insurance that covers the insured against a potential loss of money from medical expenses resulting from an illness or accident

HMO

(health maintenance organization) health plan that combines coverage of health care costs and delivery of health care for a prepaid premium

PCP

(primary care physician) physician responsible for directing all of a patient's medical care

gatekeeper physician

the primary care physician who directs the medical care of managed care health plan members

NPDB

(national practitioner data bank) repository of information about health care practitioners, established by the Health Care Quality Improvement Act of 1986

HIPAA

(health insurance portability and accountability act of 1996) federal statute that helps workers keep continuous health insurance coverage for themselves and their dependents when they change jobs, protects confidential medical information from unauthorized disclosure or use, and helps curb the rising cost of fraud and abuse

HIPDB

(healthcare integrity and protection data bank) national health care fraud and abuse data collection program for the reporting and disclosure of certain adverse actions taken against health care providers, suppliers, or practitioners

Federal False Claims Act

allows for whistleblowers to bring civil actions on behalf of the United States government for false claims made to the federal government, under a provision of the law called qui tam

Patients' Bill of Rights Acts of 1999, 2001, 2004

the bill did not become law

telemedicine

refers to remote consultation with physicians or other health care professions via telephone, closed-circuit television, fax, or the internet

cybermedicine

form of telemedicine that involves direct contact between patients and physicians over the internet, usually for a fee

e-health

term for the use of the internet as a source of consumer information about health and medicine

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