Due Process (#1) Flashcards

1
Q

What is due process?

A

Formal proceedings with established rules & principles

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2
Q

What is an appeal?

A

Formal request for reconsideration of an adverse action

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3
Q

What is a hearing?

A

Evidence & arguments are presented to person/ body with decision making authority

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4
Q

What is substantive due process?

A

Requires proof that an adverse recommendation is reasonable

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5
Q

What is procedural due process?

A

Requires adherence to guidelines for communications once an adverse decision has been made.

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6
Q

Due Process in Hospital Settings

A

TJC, AAAHC: Required

HFAP: Required; process can differ for MS vs. AHP

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7
Q

Due Process in MCOs

A

NCQA: Required

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