Shared Flashcard Set

Details

Legal Concerns and Insurance Issues
N/A
26
Fitness
Undergraduate 2
01/25/2011

Additional Fitness Flashcards

 


 

Cards

Term
Liability
Definition
State of being legally responsible for the harm one causes to another person.
Term
Negligence
Definition
failure to use ordinary or reasonable care
Term
Torts
Definition
legal wrongs committed against a person (liability results).
Term
Nonfeasance
Definition
fail to perform legal duty (i.e. fail to refer)
Term
Malfeasance
Definition
Performs action that is not his/hers to legally perform. 
Term
Misfeasance
Definition
Performs an action incorrectly that the he/she has the legal right to do. 
Term
Successful Negligence Suit
Definition
AT breached duty, connection to reasonable care & injury suffered by individual
Term
Statutes of Limitation
Definition
length of time an individual can sue, varies but ranges 1-3 years, minors have extension
Term
Assumption of Risk
Definition
Individual is made aware of inherent risks involved in sport 
Term
Product Liability
Definition
Liability of any or all parties involved in manufacture product damages caused by product
Term
Sovereign Immunity
Definition
Neither the government nor any individual who is employed by the government can be held liable for negligence. 
Term
Good Samaritan Law
Definition
Provides limited protection against legal liability to any person who voluntarily chooses to provide first aid.
Term
General Health Insurance
Definition
Policy that covers illness, hospitalization, and emergency care. 
Term
Secondary Insurance
Definition
pays the remaining medical bills once the personal insurance company has made its payment
Term
Professional Liability Insurance
Definition
Covers against claims of negligence on part of individuals.
Term
Third-Party Reimbursement
Definition
Policyholder insurance company reimburses health care providers for services rendered.
Term
Health Maintenance Organization (HMO)
Definition
Provide preventive measures and limit where the individual can receive care. They'll pay 100% of costs if go to HMO plan providers.
Term
Exclusive Provider Organization
Definition
similar to HMO and PPO. Most will not pay anything if you use out-of-network providers.
Term
Preferred Providers Organization
Definition
Provide discount health care, but limit where person go for treatment. 
Term
Point of Service
Definition
Combination of HMO and PPO plans
Term
Physician Hospital Organization (PHOs)
Definition
Major hospital or hospital chain and its physicians. Contracts directly with employers to provide services and contracts with a managed care organization. 
Term
Medicare
Definition
Federal health insurance program for the aged and disabled.
Term
Medicaid
Definition
Health insurance program for people with low incomes and limited resources. 
Term
Indemnity Plan
Definition
Fee-for-service plan that allows insured party to seek care without restrictions.
Term
Capitation
Definition
Form of reimbursement where members make standard payment monthly regardless of services rendered.
Term
Athletic Trainers Equal Access to Medicare Act
Definition
2009- allow for midcare beneficiaries to receivve care provided by AT's
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