Medical Law and Ethics Chapter 1,2,3,4,5

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Key terms quiz

85 Terms

1

internal milieu

internal environment

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2

hospitalist

someone who assumes the care of someone who is hospitalized in place of their primary care provider

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3

pluralistic

a society that has numerous distinct ethnic religious and cultural groups that coexist

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4

bond

a contractual obligation to pay a sum of money to an employer due to the actions of an employee

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5

capitation

an amount of money given to healthcare providers determined by the amount of patients they have

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6

complementary medicine

the usage of medicine that complements traditional medecin with alternative medicine

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7

conglomorate

a group of different companies that operate in many different fields

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8

co payment

a medical expense that is a fixed amount paid by people with insurance

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9

deductible

a payment put down by the customer before the insurance makes any payments

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10

fee for service

providers are paid for each service performed

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11

gatekeeper

Someone who regulates medical care

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12

group practice

three or more individuals organize to supply professional service and share equipment and staff

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13

health maintenenance organization (HMO)

a type of managed care insurance plan offered to patients at a fixed annual fee, providing service from participating physicians

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14

integrative medicine

medicine that helps the whole person (body, mind, spirit, and lifestyle), using all appropriate therapies, both traditional and alternative

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15

joint venture

a collaberation between clinics and other providers (physicians, hospitals, etc.)

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16

managed care

a type of healthcare plan with predetermined fees, usually HMO or PPO

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17

opt out option

clients can get treatment from outside of the health care plan but pay more to do so

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18

partnership

two or more individuals are co owners of a business

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19

pay for performance (P4P)

a type of managed care that encourages providers to improve the quality of their service, they are reimbursed for progress towards a set goal

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20

preferred provider organization (PPO)

a business agreement between a provider and an insurer where fees for certain services are predetermined for an established group of clients assigned to or selected by the provider

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21

professional service corporation

a corporations where licensed individuals organize to render a professional service to the public

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22

sole proprietorship

business owned by single individual

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23

certification

certificate that signifies that someone has met requirement needed to be a professional

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24

clinic manager

someone with additional education to manage a facility

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25

continuing education units (CEUs)

awarded to professionals in specific feilds after gaining additional knowledge at a workshop/seminar

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26

credential

evidence to one’s knowledge or experiance

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27

endorsement

when one state supports another

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28

licensed practical nurse (LPN) or licensed vocational nurse (LVN)

a graduate from a 9-month to 1-year college program

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29

licensure

legal permission to perform certain acts (for example a physician to practice medicine)

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30

medical assistant (MA)

someone who assists a provider in both administrative and clinical duties

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31

medical professional coder

someone who has education and experiance in current procedural terminology and international classification of diseases, responsible for correct applications of codes for procedures, supplies and diagnoses used for billing proffessionals for medical services

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32

medical laboratory technician (MLT)

someone with a certificate or associate degree who works under supervision of a provider or medical technologist in a laboratory preparing specimens and operating automated analyzers

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33

medical technologist (MT)

a graduate from a 4 year college program in medical technology that includes 1 year of clinical experience in the laboratory. Performs complex tests and analyses, ensures accuracy of testing, and may supervise medical laboratory technicians

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34

medical transcriptionist

may or may not have a formal education, will have superior medical terminology knowledge and keyboarding and grammar skills, transcribes medical dictation

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35

nurse practitioner (NP)

an RN usually with a bachelor of science in nursing, who has additional education in nursing at the masters or doctoral level

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36

physician

a provider who is identified by law as a doctor of medecine (MD) or a doctor of osteopathic medicine (DO)

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37

physician assistant (PA)

someone with 1-4 years of education in an approved program, works under the supervision of a physician

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38

provider

any health care professional who examines, diagnoses, and treats individuals (includes MDs and DOs)

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39

reciprocity

an agreement by which two states recognize the licensing procedures of each other, consider them valid, and grant licenses to practice based on the other state’s licensure, sometime refered to as “endorsement”

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40

registered nurse (RN)

a graduate from a 2 year associate degree, 3 year diploma, or 4-5 year bachelor’s degree program who passed the state licensing examination for for their field, works under a physicians direction

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41

registration

an entry in an official record listing names of people with certain requirements and education levels

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42

scope of practice

what is allowed for a person to do depending on education, experience, and competency

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43

tickler file

a chronological file used as a reminder to do specific tasks on schedule, usually daily, weekly, or monthly

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44

administer a drug

introduce a drug into a client’s body

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45

controlled substances act

federal law that regulates the administration, dispensing, and prescribing of particular substances that are categorized into five schedules

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46

drug enforcement administration (DEA)

branch of the department of justice that enforces drug laws

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47

drug formulary

an insurance carrier’s list of preferred drugs

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48

health insurance porability and accountability act (HIPPA)

national standards to protect health information

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49

medical practice acts

state statutes that define the practice of medicine, decribe methods of licensure, and set guidelines for suspension or revocation of a license

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50

National Provider Identification (NPI)

A 10-digit unique number given to a health care provider for idnetification purposes under HIPAA regulations

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51

prescribe a drug

issue a drug order for a client

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52

privacy rule

a portion of HIPPA that regulates the confidentiality of a clien’ts health record while still allowing that information to flow properly and effectively in order to treat the client

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53

protected health information (PHI)

all the past, present, and future physical and mental conditions of an individual’s health care

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54

agent

a healthcare employee appointed by a principal party (physician or provider) to perform authorized acts in the name and under the control and direction of the principal party

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55

alternatice dispute resolution (ADR)

methods outside the judicial system used to solve potential malpractice actions, methods include arbitration and mediation

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56

assault

a threat to inflict injury with an apparent ability to do so

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57

battery

the unlawful touching, beating, or laying hold of persons or their clothing without consent

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58

breach of contract

failure to comply with the terms of a valid contract

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59

civil liability

identifies conflicts between individuals, corporations, government bodies, and other organizations

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60

compliance plan

guidelines established to protect a clinic from fraud and litigation charges

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61

contract

a voluntary agreement between parties

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62

criminal liability

when an individual commits an act that is considered to be an offense against society as a whole

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63

defamation

spoken or written words concerning someone that tend to injure that person’s reputation and for which damages can be recovered, the two types are libel and slander

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64

libel

false, defamatory writing, such as published material, effigies, or pictures

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65

slander

false, malicious, or defamatory spoken words

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66

fiduciary

holding in confidence or trust

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67

malfeasance

commission of an unlawful act

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68

medical malpractice

professional negligence fo physicians or providers

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69

misfeasance

improper performance of an act resulting in injury to another

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70

negligence (medical)

doing some act that a reasonable and prudent provider would not do, or failing to do some act that a reasonable and prudent provider would do

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71

nonfeasance

failure to perform an act when there is a duty to do so

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72

res ipsa loquitur (latin phrase)

the thing speaks for itself, a doctrine of negligenge law

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73

respondeat superior (latin phrase)

let the master answer, the provider is responsible for employee acts

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74

tort

wrongful act committed by one person against another person or against propery, distinguished from a breach of contract

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75

vicarious liability

legal doctrine assigns liability for injury to a person of institution who did not cause the injury but who has a particular legal relationship to the person who did act negligently

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76

appellant

one who appeals a court decision to a higher court

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77

arraignment

the procedure of calling someone before a court to answer a charge

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78

civil case

court action between private parties, corportatoins, government bodies, or other organizations. comensation is usually monetary.

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79

closing arguments

summary and las statements made by opposing attorneys at a hearing or trial

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80

congress

the law making body of the federal government, made up of two seperate groups, the house of representatives and the senate

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81

court of appeals

court that reviews decisions made by a lower court; may reverse, remand, modify, or affirm lower court decision

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82

court order

an order issued only by a judge to appear or to request certain records, does not require clients permission

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83

criminal case

court action brought by the state against individuals or groups of people accused of committing a crime; punishment is usually imprisonment and/or a fine; includes recovery of rights of society

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84

cross-examination

examination of a witness by an opposing attorney at a hearing or trial

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85

defendant

the person or group accused in a court action

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