COMLEX random Flashcards
Physicians continue to commit to a diagnosis because there has been a large amount of time, energy, and resources devoted to a diagnosis
Sunk-Cost effect
Discontinuing the search for the answer once any finding has been discovered
Search-Satisfying Error
Overestimating the possibility of a diagnosis with devastating consequences in order to eliminate potential regret if the diagnosis is missed
Regret
Using recent instead of older information, even if the older information is more relevant
Recency
The tendency towards inaction rather than action based on fear of being held responsible for the outcome
omission
When knowledge of the outcome influences perception of past events, hindering understanding or critical appraisal of events (e.g. physician simply concludes they “knew it all along” and does not critically evaluate the situation)
Hindsight
Decision/judgment made based on how a problem/situation is presented
Framing
Gathering and interpretation of medical data which confirms the diagnosis, to the exclusion of conflicting information
Confirmation
The tendency towards action rather than inaction
commission
Use of recent examples/experiences in forming a clinical impression instead of a careful assessment of the data
Availability
Clinical decisions based on initial judgment/impression and failing to change from initial impression/diagnosis despite additional information
Anchoring
The mistaken belief that population (eg, aggregate) data does not apply to the individual patient scenario, leading a physician to ignore guidelines
Aggregate
Can a Point of Service plan cover visits with providers that are out of network?
Yes, but higher co-pays and deductibles
if OUT OF NETWORK.
* Need referral from primary care physician
Health Maintenance Organization denies care that is not……………………
Denies care that is not evidence-based!
Need referral from primary care.
Can only see certain providers unless its an emergency.
Preferred Provider Organization (PPO) CAN be out of network, but………
Higher co-pays and deductibles for ALL SERVICES!
No referral is needed.
Accountable Care Organization uses providers that are voluntarily enrolled. They take……….
Medicare
Exclusive Provider Organization has limited providers covered, unless emergency care. Do you need referral?
Nope.
Medicare part A
Stays in hospitals
Skilled nursing facilities
Hospices
Medicare part B
Certain doctor’s fees
Outpatient care services
Medical supplies
Diagnostic testing
Medicare part C
A bundling of Parts A, B, and sometimes D delivered by private insurance companies approved by Medicare
