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31 terms

Med Law Chapter 2

Med Law Chapter 2
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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