law and ethics ch 6

  1. Two basic ways of controlling health care costs are
    competition and regulation
  2. related medical groups contributing their diagnosis of the nature of a patient's disease on which standardized fees are based.
    diagnostic related groups (DRGs)
  3. likely to come about; looking forward to the future
    prospective payment system
  4. ownership of a business by one person
    sole proprietorship
  5. an association of two or more individuals to act as co-owners of a business venture
  6. a means by which a group of people can unite to create an entity to do something impossible for the individual members. The organization is established by filling a certification of corporation in the state where its main place of business is located
  7. a corporation diversifying operations by acquuiring varied enterprises
  8. business structure with corporation and partne5rship qualities, which provides protection from personal liabilities like a corporation and the tax advantages of a partnership.
    limited liability corporation
  9. a form of general partnership that provides protection from liability for an individual partner for certain partnership obligations
    limited liability partnership
  10. the assents in money or property accumulated by individual, partnership, or corporate owndrship of a business; net worth
  11. personal belongings and property owned by a person or, if he or she has died, by his or her estate
  12. an announcement, written or displayed, gibing peertinent information to whose interested in a certain person, place, or event, or in any legal agreement such as a partnership
  13. money, services, or goods owned to some person or persons to some person or persons to whom one is obligated.
  14. those to whom money or its equivalent is owed
  15. units of stock giving the possessor part ownership in a corporation
  16. persons holding formal positions of trust in an organization, especially those involved in high levels of management
  17. a term used to describe a system of integration of the financing and delivery of health
    managed care
  18. those elected and terminated by stockholders to management responsibility in a corporation
  19. those who hold an interest (stock) in a corporation
  20. In the context of managed care, what does gatekeeper mean to you?
    Primary physician control who you see
  21. What
    are the benefits of managed care?
    keeps costs down
  22. what are the disadvantages of managed care
    may not receive care you need
  23. what is prior authorization for managed care?
    ask insurance if procedure can be done
  24. expenditure of capital to secure income or profit
  25. direction or administration of the affiars of a person, business, or organization
  26. regulations adopted by a corporation or association to govern its internal
  27. the gains accrued from a business or investment after the payment of expenses
  28. profits of a corporation
  29. pay equally according to the number of individuals
    per capita payment
  30. one who agrees to buy or belong for a peroid of time
  31. payment in a lump sum to physicians, HMO's, and health care facilities to deliver health care to a segment of the population
  32. basis of professional billing, either so much per hour or per identified procedure
  33. covering completely or broadly: inclusive
  34. a group of persons together performing some business undertaking
    joint venture
  35. the process of the submission and consideration of offers until an offer is accepted. Fee schedule refers to the amount an insurance company or other third-party payer will reimburse for a medical procedure.
    negotiated fee schedules
  36. a process by which hostipals review patient progress to efficiently allocate scarce medical resources
    utilization review
  37. failure to treat all persons equally when there is no reasonable distinction between those favored and those unfavored
  38. the movement of goods and services , or services that rely on the movement of goods, which cross state borders within the United States
    interstate commerce
  39. between two or more states
  40. the force of impression of one thing on another
    disparate impact
  41. a marked difference between two things
    disparate treetment
  42. process of reasoning by which a fact is deduced as a logical consequence of other facts
  43. on the surface the matter is impartial, or does not take an active part in either side
    facially neutral
  44. having more evidence for than against
    probable cause (reasonable cause)
  45. a way of practicing medicine when the patient is in one location and the treating physician is in another, possibly thousands of miles away.
  46. benefits paid to an employee for a prior term of service after he or she discontinues work for that employer
    retirement benefits
  47. the representation of one thing or person similar to another
  48. procedural attempt to achieve collective agreements between an employer and accredited representative of employees, to improve the condition of employment
    collective bargoning
  49. the labor union, or group of employees with similar interests, authorization to conduct negotioations on bhalf of the employees who are members of the union or group
    barganing unit
  50. honesty of intention
    good faith
  51. minimizing the danger or hazard
    risk management
  52. responsibility to uphold the quality of care of patients in treatment situations
    quality assurance
  53. conduct that is against common knowledge that, by its act, without argument, can be deligated negligence
    negligent per se
  54. make less severe due to considerations of fairness and mercy
  55. to raise or execute a tax
  56. an offer of money from one person to another
  57. the particular county or geographic area where a court may try a case
  58. FMLA
    Family and Medical Leave Act
  59. a federal insurance program for people who are entitled to _____ from their social security contributions and payment of premiums.
  60. is a program jointly administered by the federal government and state government for low-income individuals obtainable through social services or welfare departments
Card Set
law and ethics ch 6
law and ethics ch 6