Ch 3: Review Test

Question 1

A breach of medical care can result in what?

Answer 1

A malpractice lawsuit

Question 2

Loosely translated, the Latin term “respondeat superior” means what?

Answer 2

The employer is ultimately responsible for employee actions

Question 3

Failure to exercise a reasonable degree of care is referred to as what?

Answer 3

Negligence

Question 4

A health insurance policy and the relationship between a healthcare provider and a patient are considered what?

Answer 4

Legal contracts

Question 5

In terms of contract law, when an individual completes an application for health insurance, he or she is doing what?

Answer 5

Making an offer

Question 6

When the insurance company agrees to grant health insurance coverage to an individual, this is called what?

Answer 6

Completing an acceptance

Question 7

The binding force in any contract that gives it legal status - the thing of value that each party gives to the other - is the ____?

Answer 7

Consideration

Question 8

For a contract to be enforceable, it must be what?

Answer 8

Legal

Question 9

The parties to a legal contractual agreement must be what?

Answer 9

Mentally competent

Question 10

Individuals younger than 18 years of age who are independent and living away from home are called ____?

Answer 10

Emancipated minors

Question 11

The contract between a healthcare provider and a patient is referred to as a(n) ____?

Answer 11

Implied contract

Question 12

Ceasing to provide care to a patient without taking prudent steps is a breach of the physician-patient contract referred to as what?

Answer 12

Abandonment

Question 13

What act regulates disclosure of Social Security numbers or other confidential information?

Answer 13

Federal Privacy Act of 1974

Question 14

What act allows current or former employees or dependents younger than age 65 to become eligible for Medicare because of end-stage renal disease?

Answer 14

Federal Omnibus Budget Reconciliation Act (OBRA) of 1987

Question 15

The Patient Protection and Affordable Care Act (PPACA) along with the Health Care and Education Reconciliation Act make up what?

Answer 15

Healthcare Reform Act

Question 16

What are standards of human conduct - sometimes called morals - of a particular group or culture known as?

Answer 16

Ethics

Question 17

Adhering to the rules and conventions governing correct or polite behavior in society is called what?

Answer 17

Etiquette

Question 18

Timeliness, according to The Joint Commission, is within ____ hours of the encounter.

Answer 18

24 hours

Question 19

What is a chronological account of a patient’s medical assessment, investigation, and course of treatment called?

Answer 19

Medical record

Question 20

A medical record is considered privileged communication; information in it should not be divulged to anyone without a patient’s ___?

Answer 20

Written consent

Question 21

If additional information needs to be added to a patient’s record, it should be in the form of a(n) ____.

Answer 21

Appropriate addendum

Question 22

Adequate and complete documentation of medical records helps to do what?

Answer 22

• Determine the level of service
• Establish medical necessity
• Justify the fees charged

Question 23

Lack of proper documentation of medical records often results in what?

Answer 23

• Denied claims

- Reduced claim payments

Question 24

HIPAA’s objective stating that employees cannot be denied health insurance coverage when moving from one group health plan to another is called what?

Answer 24

Portability

Question 25

If medical personnel in a reception room call a patient by name, HIPAA refers to the exposure as ____?

Answer 25

Incidental disclosure

Question 26

Situations that do not come under the umbrella of patient confidentiality include what?

Answer 26

• Communicable diseases
• Abuse of a child (or an adult)
• Wounds inflicted by firearms

Question 27

Under what circumstances may a signed release of information not be required?

Answer 27

• The patient is a Medicaid recipient

- The patient is being treated as a result of an on-the-job injury

Question 28

A legal document the requires an individual to appear in court with a piece of evidence that can be used or inspected by the court is called a(n) ____?

Answer 28

Subpoena duces tecum