MAST 1010- Chapter1

In 2015, the health care industry in the United States accounted for almost _____ of all goods and services produced in the United States.

18 Percent

Medical office professionals are usually the first person a patient encounters in a medical facility.

True

As a medical office professional, you can prevent complaints, lawsuits, regulatory violations, mistakes, and other acts that create risk for you, your patient, or your employer by being familiar with the law.

True

Most medical office professionals are not licensed to practice medicine and __________.

must carry out their responsibilities without making medical decisions or acting outside the areas of their expertise

You are answering phones in your physician's office. A patient on the line explains to you that she has had an upset stomach, headache, low grade temperature, mild diarrhea. Can you tell the patient to use over-the-counter medication for the diarrhea, take Ibuprofen for the headache, rest, and drink plenty of fluids?

No, because you are not permitted to make medical decisions.

Ignorance of a law or a regulation does not excuse a medical office professional's violation.

True

As members of society, we are all expected to conduct ourselves in a responsible manner that will not cause harm. This is known legally as holding an individual to a reasonable person standard of care. Physicians, nurses, and other health care professionals are held to _______________ standard of care than what is demanded under the reasonable person standard of care.

a higher

Locum tenens means

a physician or other professional who is temporarily performing the duties of another.

The Health Insurance Portability and Accountability Act (HIPAA) is a federal law requiring every health plan and provider to maintain "reasonable and appropriate" safeguards to ensure the confidentiality of patient health information.

True

Certain health matters must be reported by physicians in every state. Which of the following do not have to be reported?

abortions

A Patient Bill of Rights is not always required by law.

True

A Patient Bill of Rights

explains legal and ethical rights and acknowledges a patient's right to choose, to consent to, and to refuse treatment.

Physicians are liable for their own conduct, as well as being vicariously liable for their employees' conduct while working within the scope of their employment. In the employment setting, this is known as

respondeat superior.

Each medical practice has an underlying legal entity that governs matters such as ownership, profit distribution, liability, taxes, and control, among others. State, county, or city law governs the structure and requirements. Legal entities include sole proprietorships, partnerships, professional associations, limited liability partnerships, corporations, and ____________________.

limited liability companies

A partnership is two or more people who combine their work, money, and talents to achieve a common goal. If one partner's personal debts become so large that they cannot be satisfied by his or her private assets, creditors may go after that partner's share of the business property, thereby threatening the partnership.

True

Managed Care Organizations (MCOs) provide health care services for the MCOs’ insured in accordance with certain requirements. What are the two major types of MCOs?

PPOs and HMOs

Which of the following is a feature of an HMO?

A primary care physician is required

There are two main HMO provider payment structures: the prepaid group practice (PGP) and the individual practice association (IPA). PGPs are groups of physicians who agree to provide comprehensive health care services for a fixed prospective per capita payment to a definite population.

True

A _____________ is the most commonly used form of health insurance coverage.

PPO

Telemedicine includes _________________________.

physician on demand services; teleradiology; and the use of video, as well as the transmission of electronically collected data from the patient to the remote physician