Reg & Laws Flashcards
The federal law prohibiting the payment of anything of value in return for referring a person for services that will be paid for by Medicare, Medicaid, or another federal program
Anti-kickback statute
An organization of hospitals, physicians, and other providers who under a shared governance structure coordinate patient care, are accountable for the quality and cost of that care, and receive bonuses when they deliver care more efficiently
Accountable care organization
The vulnerable principle now discredited that a charitable organization is not to be held liable for the wrongful actions of its agents
Charitable immunity
Certain medical treatments or related work that may not be billed to Medicare or Medicaid if prohibited by the stark law
Designated health services
The federal law that prohibits patient dumping and establishes a duty to render emergency care to those who need it; often referred to as EMTALA
Emergency medical treatment and labor act
Forms that convert patience preferences for end of life care in to enforceable medical orders; similar to advanced directives
Physician orders for life-sustaining treatment forms
Revenue from a line of business that does not further in organizations charitable purpose that is there for subject to taxation
Unrelated business income
A tax imposed in proportion to the value of the property being assessed
Ad valorem tax
A hospital systematic evaluation of its communities health needs, which a tax exempt hospital must undertake at least once every three years to maintain its tax exempt status
Community health needs assessment
As defined by the health insurance portability and accountability act, a health plan, healthcare clearing house, or healthcare provider that transmits any health information in electronic form
Covered entity
The federal law used most often to prosecute those who present false or fraudulent claims to Medicare and Medicaid claims
False claims act
Usually referred to as HIP AAA, the federal law intended to address the security of electronic health transactions and to protect the privacy of health information
Health insurance portability and accountability act
Failure to comply with establish standards for the protection of others; departure from the conduct expected of a reasonably prudent person acting under the same or similar circumstances
Negligence
Legislation passed in 1946 that established a program of federal grants and loans designed to modernize existing hospitals and construct new ones in underserved areas; formally known as the hospital survey and construction act
Hill Burton act
Agreement to permit a medical procedure after disclosure of all relevant facts needed to make an intelligent decision
Informed consent
