HCM 388 Final Exam| QUESTIONS WITH VERIFIED ANSWERS 100% SOLVED| LATEST UPDATE
GUARANTEED PASS
Joint venture a mutual endeavor by two or more organizations for a specific purpose or for a
limited duration. Parties have fiduciary responsibilities to each other; profits and losses shared
according to agreements, each participant may be liable to third parties
Concierge medicine a relationship between a patient and a primary care physician in which
the patient pays an annual fee in return for direct personalizes care, aka boutique medicine
Account Care Organization (ACO) an organization of hospitals and physicians who jointly-
under a shared governance structure-manage, coordinate, and are accountable for the quality
and cots of their Medicare patient's care
Apparent agency closely related doctrines that can be used to counter the independent
contractor defense
Duty of loyalty requires an individual to put the interests of the corporation before self-
interest
Duty of responsibility to act with due care in every activity of the board. Good faith and
honesty are the major tests in determining whether due care has been exercised.
Multihospital systems two or more acute care hospitals that are owned, leased, sponsored,
or contract-managed by a central organization.
Independent contractor has sole control over the means and methods of the work to be
accomplished, although the person who employs, hires, or appoints a contactor retains the
general power of approval over the final work product.
,Utilization management proactive techniques to improve the efficiency and to control the
cost of health services by influencing providers' medical decisions; typically includes concurrent
peer review process.
Dictum a comment in a legal opinion that is not binding because it is not required to reach
the decision but that may state a related legal principle as the judge understands it; Latin for
"remark"
Employee Retirement Income Security Act (ERISA) passed in 1974 to protect employer-
sponsored pension plans and later expanded the act to cover health plans as well. It eliminates
conflicting state laws by creating a uniform regulatory structure and preempts (supersedes)
"any and all State laws insofar as they may now or hereafter relate to any employee benefit
plan"
Credentials documented evidence of licensure, education, training, experience, or other
qualifications.
Privileging the process whereby the specific scope and content of patient care (clinical)
services are authorized for a healthcare organization on the basis of evaluation of the
individual's credentials and performance
Remittitur a judge's order reducing an excessive jury award
Credentialing process (1) Formal application: Background & qualification; (2) Contacting:
state where doctor reports active medical license, schools & hospital programs---accepted by
the specialty board, National Technical Information Service, Drug Enforcement Agency or
Controlled Substance Registration as confirmation that dr is authorized to prescribe, M/M to
confirm dr is not banned from caring for M/M patients; (3) Reviewing physician's: personal
history—determine if any disciplinary actions have been taken, malpractice insurance to
, confirm active coverage, malpractice claims history, hospital privileges, to determine if
privileges have been lost or limited, work history & employment background
Covered entity a healthcare plan, healthcare clearinghouse, or healthcare provider that
transmits any health information in electronic form
Protected Health Information (PHI) any health-related information that identifies or can be
used to identify the individual to whom it pertains
dated and signed or verified by the person making the entry Electronic Health Records
(EHRs) must be ______________ to be authenticated
Elements of Informed Consent Diagnosis and prognosis
Nature/purpose of proposed treatment (in lay terms)
Risks, consequences, side effects
Probability of success
Reasonable alternatives
Prognosis without treatment (informed refusal)
Type of recuperation likely
Brain death irreversible cessation of all functions of the brain, including the brain stem
Living will directive executed by a competent adult instructing their physician to withhold or
withdraw certain life-sustaining procedures in the event of a terminal illness.
Justiciable capable of being settled by a court of law
GUARANTEED PASS
Joint venture a mutual endeavor by two or more organizations for a specific purpose or for a
limited duration. Parties have fiduciary responsibilities to each other; profits and losses shared
according to agreements, each participant may be liable to third parties
Concierge medicine a relationship between a patient and a primary care physician in which
the patient pays an annual fee in return for direct personalizes care, aka boutique medicine
Account Care Organization (ACO) an organization of hospitals and physicians who jointly-
under a shared governance structure-manage, coordinate, and are accountable for the quality
and cots of their Medicare patient's care
Apparent agency closely related doctrines that can be used to counter the independent
contractor defense
Duty of loyalty requires an individual to put the interests of the corporation before self-
interest
Duty of responsibility to act with due care in every activity of the board. Good faith and
honesty are the major tests in determining whether due care has been exercised.
Multihospital systems two or more acute care hospitals that are owned, leased, sponsored,
or contract-managed by a central organization.
Independent contractor has sole control over the means and methods of the work to be
accomplished, although the person who employs, hires, or appoints a contactor retains the
general power of approval over the final work product.
,Utilization management proactive techniques to improve the efficiency and to control the
cost of health services by influencing providers' medical decisions; typically includes concurrent
peer review process.
Dictum a comment in a legal opinion that is not binding because it is not required to reach
the decision but that may state a related legal principle as the judge understands it; Latin for
"remark"
Employee Retirement Income Security Act (ERISA) passed in 1974 to protect employer-
sponsored pension plans and later expanded the act to cover health plans as well. It eliminates
conflicting state laws by creating a uniform regulatory structure and preempts (supersedes)
"any and all State laws insofar as they may now or hereafter relate to any employee benefit
plan"
Credentials documented evidence of licensure, education, training, experience, or other
qualifications.
Privileging the process whereby the specific scope and content of patient care (clinical)
services are authorized for a healthcare organization on the basis of evaluation of the
individual's credentials and performance
Remittitur a judge's order reducing an excessive jury award
Credentialing process (1) Formal application: Background & qualification; (2) Contacting:
state where doctor reports active medical license, schools & hospital programs---accepted by
the specialty board, National Technical Information Service, Drug Enforcement Agency or
Controlled Substance Registration as confirmation that dr is authorized to prescribe, M/M to
confirm dr is not banned from caring for M/M patients; (3) Reviewing physician's: personal
history—determine if any disciplinary actions have been taken, malpractice insurance to
, confirm active coverage, malpractice claims history, hospital privileges, to determine if
privileges have been lost or limited, work history & employment background
Covered entity a healthcare plan, healthcare clearinghouse, or healthcare provider that
transmits any health information in electronic form
Protected Health Information (PHI) any health-related information that identifies or can be
used to identify the individual to whom it pertains
dated and signed or verified by the person making the entry Electronic Health Records
(EHRs) must be ______________ to be authenticated
Elements of Informed Consent Diagnosis and prognosis
Nature/purpose of proposed treatment (in lay terms)
Risks, consequences, side effects
Probability of success
Reasonable alternatives
Prognosis without treatment (informed refusal)
Type of recuperation likely
Brain death irreversible cessation of all functions of the brain, including the brain stem
Living will directive executed by a competent adult instructing their physician to withhold or
withdraw certain life-sustaining procedures in the event of a terminal illness.
Justiciable capable of being settled by a court of law
