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reciprocity
the cooperation of one state in granting a license to practise in another state
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standard of care
the ordinary skills and care that medical practitioners use when caring for patients
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guardian ad litem
court appointed guardian to represent a minor or unborn child in litigation
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bonding
a special type of insurance that covers employees who handle financial statements, records, and cash
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risk management
a practice to minimize the incidence of problem behavior that might result in injury to the patient and liability for the organization
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third party prayers
a party other than the patient who assumes responsibilty for paying the patients bills
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capitation
a fixed monthly fee paid by hmo to health care providers for providing medical services to patients who are members of that hmo
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medcaid
provided financial assistance for the indigent
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diagnosis related groups
dignations used to identify reimbursement per condition in a hospital used for medicare patients
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sole proprietorship
a type of medical practice in which one physician may employ other physicians
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associate pratice
legal agreement in which physicians agree to share a facility and staff but do not share responibilty for legal actions of each other
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paternship
two or more physicians become presponsible for the actions of the other partners
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group practice
three or more physicians who share the same facility and practice medicine together
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medical practice acts
is to protect the general public, and are established by the state legislature
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board of examiners
grants licensure through examination, edorsement, and reciprocity
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successful completion of the national board medical examination (NBME)
provides endorsment
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example of person practicing without medical licensense
is licensed practical nurse signing RN
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voluntary process in which an agency request an official review of its operation is called
accreditation
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accredation of allied health educational programs is provided by
CAAHEP
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provision of information to a patient that a resonable person would want before making a decision about treatment is
prudent person rule
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period of time that a patient has to file a lawsuit is
statue of limitations
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the ultimate decision for healthcare rests with
licensed physician
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the legal theory that provides that the statue of limitations begins to run
at the time recognition of an injury is the discovery rule
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a physician pracitising in a va hospital may hold
license from any state
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medical examination board is also called
the state board examiners
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fixed payment plan of health insurance offers
coverage for hospital care
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the purpose of a gatekeeper
is to approve all nonemergency services, approve hospitalizations, and approve tests before they are given
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in managed care organizations
financial risk is shared by organizations, hospital, and physicians
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attempt to limit a patients choice of hospitals, referral specialist, and length of stay in a hospital
managed care organizations
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provides healthcare services available for predetermined fee per member by a limited group of providers
health maintence organizations
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federal program of healthcare coverage in which rationing of care for elderly and disabled
medicare
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medicare instituted method of hospital payment
DRG
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person most likely to recieve the best care under a managed care system are
the poor an ignorant
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medicare and medicaid prohibit physicians from
reffering to services they own
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benefits of a corporation include
profit sharing for its members, pension plans for its members and insurance
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solo practice ends with
death of the owner
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fee splitting occurs when
one physician pays another physician for referral of patients
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allied healthcare professionals who are certified include
medical assistants, phlebotomists, and medical transcriptionists
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the medical practice acts provide for medical examing board in each state
establishe the baseline for practice of medicine in each state, and forbid the practice of medicine without a license
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