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Medical Law & Ethics- Chapter 10 & 11
Medical Law & Ethics- Chapter 10 & 11
50
Other
Professional
12/09/2019

Additional Other Flashcards

 


 

Cards

Term

Hiring and keeping employees are expensive and time-consuming tasks.

 

True

False

Definition
True
Term

Bloodborne Pathogens Standard is part of OSHA.

 

True

False

Definition
True
Term

A policy manual is a working document that:

  • Identifies concerns of clients of the practice.
  • Serves as an unsigned contract between practice employee and clients.
  • Includes topics such as client confidentiality, smoking, work week and hours, discipline.
  • Law mandates updating every 5 years.
Definition

Includes topics such as client condentiality, smoking, work week and hours, discipline.

Term

The Occupational Exposure to Hazardous Chemicals Standard:

  • Is part of the Bloodborne Pathogens Law.
  • Requires employers to provide educational training for employees within 30 days of employment.
  • Addresses Universal Precautions.
  • All of the above

 

Definition

Requires employers to provide educational training for employees within 30 days of employment.

Term

About _____% of employers do not check references on potential employees.

Definition

75

Seventy five

seventy five

Seventy-five

seventy-five

Term

Always ask permission from the ______________________ prior to checking references on the job application.

Definition
applicant
Term

It is recommended that the employer establish a __________ month probationary period for the new employee.

Definition

3

Three

three

Term

Federal law states that an employer must provide ________________ accommodations to a qualified person with disabilities.

Definition
reasonable
Term
CPT
Definition

Identifies procedural categories

Term
ICD-9-CM
Definition

 Identifies diagnostic categories

Term
 UCR
Definition

Describes how providers are reimbursed for their services and is widely accepted by insurance carriers

Term
 deductible
Definition

Cost-sharing arrangement in which a member pays a set amount toward covered services before the insurer begins to make payments

Term
 COBRA
Definition

Mandates that there is a continuation of group insurance coverage offered to persons who lose health coverage due to a qualifying event

 

Term
 TRICARE
Definition

Federal insurance plan that covers military personnel and military retirees and their families

Term
 coordination of benefits
Definition

Agreement between insurance carriers that if a client has two insurance plans, neither the provider nor the subscriber will receive more than 100% of the covered charges

Term
 co-payment
Definition

Amount that a member of an insurance plan must pay each time he or she visits his or her PCP

Term
capitation
Definition

Providers are paid a fixed monthly amount for each HMO member in their care for that particular insurance

Term
DRG
Definition

Prospective payment system that reimburses hospitals in a lump sum rather than on a fee-for-service basis

Term
 OSH Act
Definition

Piece of legislation passed to ensure a safe and healthy workplace environment

Term
Chemical Hygiene Plan
Definition

Regulations that address training, information requirements, and provisions to be implemented if there is a chemical exposure in the ambulatory health-care setting

Term
 personnel manual 
Definition

Manual created to identify and address concerns of employees and state the desires of management

Term
ADA
Definition

Prohibits discrimination of individuals with physical or mental disabilities from accessing employment

Term
Protecting America's Worker Act
Definition

Update to the OSH Act that increased civil and criminal penalties for job safety violations

Term
FMLA
Definition

Requires employers with 50 or more employees to provide up to 12 weeks of unpaid leave for employee illness or family-related issues

Term
 procedure manual
Definition

Manual that explains to an employee how to perform certain tasks

Term

bloodborne pathogen 

standard

Definition

Requires controls to eliminate or minimize employee exposure to diseases from needlestick or other sharps-related injuries

Term

policy manual

Definition

Manual that sets the tone for the clinic and expresses the philosophy of the providers regarding client care.

Term
quid pro quo
Definition

Plan to get something of value in return for giving something of value

Term

The Equal Credit Opportunity Act allows clients 60 days to complain about any error in their billing.   

 

True

False

Definition

True

 

The Equal Credit Opportunity Act ensures that all consumers are given an equal chance to obtain credit. If clients are denied credit, they have 60 days to request the rationale for the denial in writing.

Term

Which one of the following does not represent good collection practices?

  • Establish appropriate fees for service and discuss with clients
  • Allow clients to pay later for co-payments, deductibles, or exclusions
  • Provide an opportunity to pay cash when services are received
  • Provide office brochures that give information about the clinic's services
Definition

Allow clients to pay later for co-payments, deductibles, or exclusions

 

**Clients should be expected to pay for any co-payments, deductibles, or exclusions at the time of service.

 

Term

Federal health insurance plans include all but one of the following:

  • TRICARE
  • CHAMPUS
  • Medicare
  • Worker's Compensation
Definition

Worker's Compensation

 

**Worker's Compensation is administered by the states.

Term

Federal Wage Garnishing Law:

 

a. Addresses payment of debts utilizing employee salaries.

 

b. Puts no limit on the amount of money that can be garnished per pay period.

 

c. Can be used to collect fairly large delinquent accounts.

 

d. a and c are correct

Definition

d. a and c are correct

Term

____________________________ provide a method for some individuals to purchase medical insurance by making taxfree deposits to this type of account.  Hint:  There are 3 words to this answer. 

Definition

Medical savings accounts

medical savings account

Medical savings account

medical savings accounts

Term

Medicare covers all but which of the following situations:

  • Patients on kidney dialysis
  • Individuals 65 years of age or older
  • Low-income individuals
  • Disabled individuals

 

Definition

Low-income individuals

 

**Medicaid covers low-income individuals

Term

DRG is a classification system grouping clients together who are similar in diagnosis, treatment, and their consumption of hospital resources.

 

True

False

 

Definition
True
Term

 

In today's health care climate of managed care, clients do not expect and are not interested in cost estimates of

their medical services.

 

True

False

Definition
False
Term

The Truth in Lending Act:

 

a. Is enforced by the Federal Trade Commission.

b. Applies when three installment payments are made.

c. Requires providing information related to finance charges.

d. A, B, and C

e. A and C only

Definition

e. A and C only

Term

The Federal Trade Commission's regulations for debt collection suggest:

  • Notifying a debtor's employer of the unpaid debt.
  • Sending a postcard saying, "Please call me," signed "Janet."
  • Properly identifying yourself when contacting a debtor.
  • Calling debtors before 8 a.m. and after 9 p.m. to avoid their work schedule.
Definition

Properly identifying yourself when contacting a debtor.

Term

The collection of overdue accounts:

 

  • Will usually be handled by the physician.
  • Will determine which clients are seen first.
  • Should be described in an appropriate collection policy.
  • Should always be turned over to a collection agency.

 

Definition

Should be described in an appropriate collection policy.

Term

Collection agencies:

  • Generally are employed as a last resort.
  • Generate positive emotions from clients.
  • Are not recommended by the Better Business Bureau.
  • Will require the release of specific medical information about clients.

 

Definition

Generally are employed as a last resort.

Term

In general, Medicaid covers all but which of the following situations:

  • Persons 65 years of age or older
  • Persons who receive federal and state aid.
  • Persons who are medically indigent.
  • Recipients of Aid to Families with Dependent Children.

 

Definition

Persons 65 years of age or older

 

**Medicare covers individuals who are 65 years of age or older.

Term

The ______________ prohibits a provider from referring Medicare clients for services to a laboratory in which the

provider has a financial interest.

 

a. Truth in Lending Act

b. Equal Credit Opportunity Act

c. Deficient Reduction Act

d. Stark Laws

e. C and D

Definition

d. Stark Laws

Term

If an applicant who has a disability meets all of the qualifications of the job, the employer must hire them even if the accommodation would require significant expense.

 

True

False

 

Definition

False

 

The employer must make "reasonable" accommodation for the disability.  The employer is not required to make an accommodation that imposes "undue hardship" or requires an action with significant difficulty or expense.

 

 

Term

A federal law states employers cannot discriminate on any form of application when the practice has how many

employees?

  • 10 or more employees
  • 15 or more employees
  • 20 or more employees
  • More than 50 employees
Definition

15 or more employees

Term

Which of the following is not a valid reason to decline an applicant for employment?

  • Applicant has health problem that precludes safe and efficient job performance
  • Applicant is not fully available for required work schedule of the particular job
  • Insufficient skills or education for the job to perform the duties of the job
  • Applicant is in a wheelchair which would not interfere with job duties and reasonable accommodations can be made.
Definition

Applicant is in a wheelchair which would not interfere with job duties and reasonable accommodations can be made.

Term

Job descriptions:

  • Indicate maximum qualifications required of the job.
  • Indicate to whom an employee is responsible.
  • Are generally shared only after the person is hired.
  • Are verbal contracts with an employee.

 

Definition

Indicate to whom an employee is responsible.

Term

Which of the following is not an appropriate interview question?

  • Do you foresee any difficulties that may prevent you from doing a good job here?
  • Why are you leaving your present position?
  • Do you plan on becoming pregnant anytime soon?
  • What are your likes and dislikes about the medical profession?
Definition

Do you plan on becoming pregnant anytime soon? 

Term

The suggested way for an employee to address a situation where another employee is sexually harassing him or her is to ignore it. 

 

True

False

Definition
False
Term

The OSH Act

 

a. is known as the Occupational Safety and Health Act

b. includes the Bloodborne Pathogen Standard

c. requires training to all employees handling any hazardous chemicals

d. all of the above

e. Only A and B above

Definition

d. all of the above

Term

Which of the following actions is cause for immediate dismissal of an employee?  Choose all that apply.

 

  • Receptionist is in an accident and comes back with a disfigured face which scares your patients
  • Your female nurse undergoes a sex change operation and returns to work as a male and your patients are offended by this
  • Your medical assistant changes religions and asks to be off on Fridays after sundown
  • Your medical assistant writes down vital signs in a patient's chart without actually taking them
Definition

Your medical assistant writes down vital signs in a patient's chart without actually taking them

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