Health Care Laws Flashcards
Who do health care law effect?
- Health Care providers
- Health Care workforce
- Health Care organizations
- Payers and payees
- Consumers
- Health Care agencies
Health care providers
Patient ratios, practice acts, professional boards, licensure requirements, standards of care, malpractice insurance rates
Health care workforce (nurses)
Patient ratios, staff licensing, scope of practice / practice acts, confidentiality, privacy, delegation
Health care organizations
Policies and procedures, restraint protocols, medical records access, liability, access to services, EMTALA, HIPAA, organizations licensure.
Payers and payees
To bill within certain time frame, to bill period (cannot not bill for services if CMS participant), duty to pay for services rendered, contractual obligations
Consumers
Right to safe care, right to access care, right to privacy, right for informed consent
Health Care agencies
Policies and procedures, restraint protocols, medical records access, liability, access to services, EMTALA, HIPAA, contractual relationships (medical group, hospital, insurers, etc.), licensure
CMS stands for
Centers for Medicare and Medicaid Services