SM3 Unit 4 Medical Law, Ethics & Insurance

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Across
  1. 1. For patient who can't afford insurance-low income, children, single mothers
  2. 3. To cover lifetime medical and disability coverage
  3. 4. a fixed amount you pay for covered services, typically when you get the service.
  4. 9. amount paid on an insurance policy per a given time period
  5. 12. Combines characteristics of the health maintenance organization (HMO) and the preferred provider organization (PPO).
  6. 13. A wrongful act resulting in injury to another's person, property or reputation for which the injured party is entitled to seek compensation
  7. 14. Commits an act that is the care provider's responsibility to perform, but uses the wrong procedures
  8. 15. Dealing with legal relationships between people and protection of a person's rights
  9. 17. Federal law that applies to all educational agents under the Dept of Education; prohibits the improper disclosure of personally identifiable information derived from education record
  10. 18. to commit; care causes harm
  11. 21. Dealing with wrongs against a a person, property or society
  12. 24. Allows people to direct their own health care & visit almost any doctor or hospital preferred.
  13. 25. Legal responsibility to perform duties in a reasonable and prudent manner
  14. 27. Commits a negligent act while delivering care they are not trained to perform
  15. 28. The degree to which the injured athlete is determined to have contributed to own injury
  16. 29. (1) Duty, (2) Breach of Duty, (3) Causation, (4) Damages.
  17. 32. A comprehensive health care plan that allows people to choose their own physicians and other medical providers
  18. 33. Provides health insurance for people meeting criteria (not all must be met) Age 65+ who are eligible for social security, Have end-stage renal disease, Eligible disability
  19. 34. Occurs when one person or group of people has a duty of care toward another person but fails to live up to that standard
  20. 35. Any rights not expressly granted herein are reserved
  21. 37. Protects athletes against future loss of earnings to disability while competing
  22. 38. Group health care plan that provides a predetermined, prepaid medical care benefit package
Down
  1. 2. Implies that an athlete and his/her parents must be informed of the risks inherent in a particular sport before they voluntarily assume the risk of participation
  2. 5. The degree of care, skill and diligence an equally qualified caregiver in the profession would provide in similar circumstances
  3. 6. Unrelated amendments added to a bill
  4. 7. A deductible is the amount that the insured has agreed to pay before the insurer is obliged to pay anything on a covered claim. The higher the deductible the lower the monthly premium (payment) - the lower the deductible the higher the monthly premium (payment).
  5. 8. Refers to someone who renders aid in an emergency to an injured personal on a voluntary basis; Protects non-contracted individuals and non-healthcare providers attempting to assist in a reasonable manner in an emergency situation
  6. 10. State mandated program provides benefits to injured workers
  7. 11. An athlete assumes certain risk of injury voluntarily & knowingly
  8. 16. Remainder of money owed
  9. 19. When care provider fails to perform the care provider's legal duty of care
  10. 20. The failure to give reasonable care or to do what another prudent person with similar experience, knowledge and background would have done under the same or similar circumstances.
  11. 22. Established in 1973, a list of rights that are designed to protect both the patient and healthcare provider
  12. 23. Legally defined responsibility to perform certain acts to meet certain standards of performance
  13. 26. Contributory Negligence, Assumption of Risk/Informed consent, Act of God, Good Samaritan Law, Statue of Limitations
  14. 30. Payments agreed upon in contract by a health insurance company & medical provider.
  15. 31. Developed in 1996; federal regulation establishing national standards for health care information to protect health information
  16. 36. to omit; care does not occur