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Medical Law and Ethics
Chapter 1&2 and Medical Assistant 3
20
Medical
Undergraduate 1
09/11/2009

Additional Medical Flashcards

 


 

Cards

Term
Bond
Definition
An insurance contract by which a bonding agency guarantees payment of a specified sum to an employer in the event of a financial loss to the employer caused by the act of a specified employee, a legal oblication to pay specific funds
Term
burglary
Definition
breaking and entering with intent to commit a felony
Term
capitation
Definition
Health care providers are paid a fixed monthly fee for a range of services for different fields
Term
conglomerate
Definition
a corporation of a number of different companies operating in a number of different fields
Term
co-payment
Definition
a medical expense that is a members responsibility, usually a fixed monthly fee for a range of services for different fields
Term
deductable
Definition
a cost-sharing arrangement in which the member pays a set amount toward covered servicesbefore the insurer begins to make any payments. Typically,HMO members do not pay deductables.
Term
fee for service
Definition
pays providers for each service performed
Term
gatekeeper
Definition
a term referring to HMO primary care providers responsible for refferring members to specialists with the intent of matching the clients needs and preferences with the appropriate and cost effective use of those specialsts services.
Term
group practice
Definition
type of business management in which three or more organize to render professional service and share the same equipment and personnel.
Term
Health Maintenance Organization
Definition
(HMO) Prepaid health services rendered by participating physicians and providers to an enrolled group of persons.
Term
joint venture
Definition
a type of business management where hospitals, physicians, and clinics form to offer client care
Term
liability
Definition
The state of being liable, responsible, legally bound or obligated as to make good on any loss or damage that may occur.
Term
managed Care
Definition
A type of health care plan, generally one of two types, namely HMO or PPO or preferred provider organization.
Term
opt-out-option
Definition
Members or Clients can seek treatment outside the network however, pay more to do so.
Term
partnership
Definition
Type of business management involving the association of two or more individuals who are co-owners of their business.
Term
Pay for Performance
Definition
(P4P) A type of managed care to encourage providers to improve the quality of their clients care and reimburses them for their progress toward a fixed goal.
Term
Preferred Provider Organization
Definition
(PPO) A type of business agreement between a medical service provider and an insurer organization in which the fees for specific services are predetermined for an already established group of clients assigned to or selected by the provider.
Term
Professional Service Corporation
Definition
Specific type of corporation in which licensed individuals organize to render a professional service to the public. Such licensed individuals include physicians, lawyers, and dentists.
Term
Sole Proprietorship
Definition
Type of business management owned by a single individual.
Term
Theft
Definition
Actual taking and carrying of someone else's personal property without consent or authority and with the intent to permanently deprive a person of it.
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