Professional Issues Flashcards

1
Q

Schedule I drugs

A

Illegal for rx
heroin
MDMA (ecstasy, Molly)
PCP (angel dust)

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2
Q

Schedule II drugs

A
legal to rx but significant abuse potential
morphine
fentanyl
methadone
oxycodone
hydrocodone
methylphenidate
anabolic steroids
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3
Q

Schedule III drugs

A

less abuse potential than I and II drugs
testosterone
butalbital (Fioricet)

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4
Q

Schedule IV (4) drugs

A

low potential for abuse compared to III; commonly sleep aids

  • zolpidem (Ambien)
  • short-acting benzos
  • phentermine
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5
Q

Schedule V (5) drugs

A

low potential for abuse compared to IV

- antidiarrheals diphenoxylate/atropine (Lomotil)

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6
Q

Beneficence

A

Provider’s obligation to help people in need

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7
Q

Nonmaleficence

A

Do no harm, or minimize harm

think = not doing harm

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8
Q

Paternalism

A

When the provider believes the patient would benefit from therapy but the informed patient declines intervention

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9
Q

Utilitarianism

A

the allocation of healthcare resources so that the best is done for the greatest number of people
- specifically primary prevention can help with cost savings

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10
Q

Veracity

A

the provider should be truthful and avoid deception, report known lapses of standards of care
think veritas = truth

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11
Q

Justice

A

equal, fair and unbiased

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12
Q

components of competency

A

pt must have ability to

  • communicate choice
  • understand relevant info
  • appreciate consequences
  • provide reason of choice
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13
Q

Occurrence Basis policy

A

covers injuries that occur during the active policy period

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14
Q

Claims-made policy

A

covers injuries if a claim is filed during the active policy or if there is a “tail” policy

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15
Q

Medicare covers

A

age ≥65
age ≤65 with certain disabilities
anyone with End-Stage Renal Disease requiring dialysis or kidney transplant

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16
Q

Medicare Part A covers

A

Hospital services and other healthcare institutions

17
Q

Medicare Part B covers

A

Outpatient services and home health
supplemental
NPs can be reimbursed for “physician-like” services, not RN services

18
Q

Medicare Part C provides

A

Part A and B by private companies

PPO and HMO services

19
Q

Medicare Part D provides

A

Prescription drug coverage with annual premium

must have Part A and B to qualify for Part D

20
Q

“Incident to” Billing

A

Allows 100% reimbursement if NP employed by MD who initiates treatment and is present

21
Q

Medicaid Requirements

A
US citizen or permanent resident
low or very low income
blind
disabled
elder in needs of nursing home care
pregnant women
those with children with disability or is responsible for children under 19
22
Q

Power Analysis

A

mathematical calculation used to determine minimum sample size needed to reasonably detect a given effect

23
Q

General standard of power analysis

24
Q

Confidence interval

A

margin of error

the range in which the response is likely to be accurate

25
Absolute Risk Reduction
the % risk in a control group minus the % risk in a treatment group
26
Relative Risk Reduction
the percentage of risk removed by the treatment
27
Validity
the results indicate what the researcher thinks they indicate
28
Internal Validity
"problem w/ study structure" includes research design and step of the scientific method Great results are invalidated by sloppy or poor design
29
External Validity
"problem making the causal relationship" includes assessment of inferences or causal relationship design and process may be perfect but the inference is not supported
30
CPT
Current procedural terminology
31
New to practice CPT code
99201
32
Existing patient CPT code
99211
33
Level 2 visit
2/3: problem focused history problem focused exam straightforward medical decision making
34
Level 3 visit
2/3: expanded problem focused history expanded problem focused exam low complexity medical decision making
35
Level 4
2/3: detailed history detailed exam moderate complexity medical decision making
36
Level 5
2/3: comprehensive history comprehensive exam high complexity medical decision making