Ch.05 Legal and Ethical Responsibility-key terms
What is Malpractice?
any act or omission by a physician during treatment of a patient that deviates from accepted norms of practice in the medical community and causes an injury to the patient.
what is a contract?
costs of employer-furnished first aid and medical facilities, including personnel or retainer fees for nurses and physicians that are not allocated to individual claims.
inappropriate treatment of an individual or patient.
What is Libel?
a defamatory statement in writing or other visible forms.
What is Ethics?
the disciplined study of morality in medicine and concerns the obligations of physicians and health care organizations to patients as well as the obligations of patients.
What is Negligence?
a situation where a healthcare professional fails to provide the standard of care that is expected in their field, leading to harm or injury to the patient
What is breach of contract?
a patient doesn't get his claim paid or unable to follow the terms and agreements.
what is Defamation?
a false statement of fact, published to a third party.
What is Denial Of services?
when a healthcare insurance payer refuses to reimburse a provider for services rendered to a patient according to their benefits.
What is Slander?
the action or crime of making a false spoken statement damaging to a person's reputation.
what is assault and battery?
assault is attempted battery or harm to a patient
What is Scope of Practice?
the activities that an individual health care practitioner is permitted to perform within a specific profession.
What is Consent Form?
a process of communication between you and your health care provider that often leads to agreement or permission for care, treatment, or services.
What is a Living Will?
A living will is a written, legal document that spells out medical treatments you would and would not want to be used to keep you alive, as well as your preferences for other medical decisions.
What is Invasion of Privacy?
Disclosing your private information without your consent, whether intentionally or by mistake.
what is Omnibus Budget Reconciliation Act (OBRA)?
gives workers and their families who lose their health benefits the right to choose to continue group health benefits provided by their group health plan.
What is Torts?
a tort occurs when a medical professional acts in a negligent manner and injures someone in their care.
What is False Imprisonment?
An intentional act to restrict a patient's movement unlawfully.
what is Power of attorney?
a legal document that lets you give someone legal authority to make important decisions about your medical care.
What is Denied payment?
issued when a payer, such as a health insurance company or Medicare, declines a healthcare provider's request to be reimbursed for their services.
what is termination of coverage?
when the consumer has chosen a plan and effectuated coverage by paying the first premium payment and ends the coverage effective after the date the coverage was effectuated.
What is Civil Law?
laws and regulations that govern the interactions between private citizens, or in the case of healthcare, between the practitioner and patient.
What is Preexisting Condition?
A health problem, like asthma, diabetes, or cancer, you had before the date that new health coverage starts.
what is termination of Coverage?
when the consumer has chosen a plan and effectuated coverage by paying the first premium payment and ends the coverage effective after the date the coverage was effectuated.
What is Criminal Law?
laws and regulations that govern the interactions between private citizens, or in the case of healthcare, between the practitioner and patient.