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37 terms

Medical Ethics & Law

STUDY
PLAY
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 ID
National 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