CPHRM Claims and Litigation
Domain Questions and Answers
AdverseAEventA-
AAnswerAAnyAinjuryA(undesirableAclinicalAoutcome)AcausedAbyAmedicalAcareAandAnotAanAunderlyingA
diseaseAprocess.
AdverseAOutcomeA-
AAnswerAClinicalAoutcomeAthat,AwhileAneitherAdesirableAnorAnecessarilyAanticipated,AmayAstillAhaveA
beenAaAknownApossibilityAassociatedAwithAtheAtreatmentAorAprocedure.
AlternativeADisputeAResolutionA-
AAnswerAAAprocessAorAsystemAtoAresolveAdisputesAoutsideAtheAformalAjudicialAprocess.
NegotiationA-AAnswerAAAvoluntary,AusuallyAinformal,AunstructuredAprocess.AThereAisAnoAthird-
partyAfacilitator,AbutApartiesAmayAbeArepresentedAbyAlegalAcounsel.
MediationA-AAnswerAAAprocessAinAwhichAaAneutralAthirdApartyAhelpsAtheApartiesAreachAaAmutually-
acceptableAagreement.
ArbitrationA-
AAnswerATheAhearingAandAdeterminationAofAaAcaseAinAquestionAsomeoneAeitherAchosenAbyAtheAoppo
singApartiesAorAbyAaApersonAappointedAunderAstatutoryAauthority.
BindingA-AAnswerAAnAagreementAthatAisAfinalAandAnotAappealable.
Non-BindingA-
AAnswerAAnAagreementAisAnotAfinalAuntilAitAisAenteredAbyAtheAcourtAintoAtheArecordAallowingAtheA
partyAtoAcontinueAtheAcivilAlitigationAprocess.
AnswerA-
AAnswerAAAdocumentAfiledAwithAtheAcourtAinAresponseAtoAaAcomplaintAorApetition.AGenerallyAtheAA
nswerAmust:A1.AAdmitAthatAtheAplaintiffs'AallegationsAareAtrueA2.ADenyAthatAtheAplaintiffs'Aallegati
onsAareAtrueAorA3.AStateAthatAtheAdefendantAdoesAnotAhaveAinformationAregardingAtheAtruthAorAfal
sityAofAtheAallegations.
AppealA-
AAnswerAAnAactionAthatAisAtakenAafterAtheAtrialAofAaAmatterAorAafterAaAdispositiveAmotionAhasAbe
enAenteredAinAaAmatter.AAnAappealAmayAbeAtakenAforAtheApurposeAofAcorrectingAanAerrorAmadeAb
yAtheAtrialAcourtAorAtoAobtainAaAnewAtrial.AAlso,AitAisAaAresortAtoAaAhigherAcourtAtoAobtainAaArevi
, ewAofAaAlowerAcourt'sAdecisionAandAaAreversalAofAtheAlowerAcourt'sAjudgmentAorAgrantingAofAaAne
wAtrial.
AssaultA-
AAnswerAAnAinternationalAactAthatAisAdesignedAtoAmakeAtheAvictimAfearfulAandAthatAproducesAreaso
nableAapprehensionAofAharm.
Attorney-ClientAPrivilegeA-
AAnswerAAAlegalAdoctrineArecognizedAbyAbothAcommonAandAstatutoryAlawAprotectingAcertainAconfide
ntialAcommunicationsAbetweenAanAattorneyAandAhisAorAherAclientAfromAdiscoveryAinAaAlegalAproceed
ingAunlessAtheAprivilegeAisAwaivedAbyAtheAclient.
AttorneyAWorkAProductAPriviligeA-
AAnswerAAAlegalAdoctrineArecognizedAbyAbothAcommonAandAstatutoryAlawAprotectingAtheAdocuments
Agenerated,AtheoriesAdevised,AlegalAstrategiesAformulated,Aetc.,AbyAanAattorneyAonAbehalfAofAaAclie
ntAfromAdiscoveryAinAaAlegalAproceedingAunlessAtheAprivilegeAisAwaivedAbyAtheAclient.
BatteryA-
AAnswerAInAtortAlaw,AtheAintentionalAcausationAofAharmfulAorAoffensiveAcontactAwithAaApersonAwith
outAtheAperson'sAconsent.
ClaimA-
AAnswerAFormalAnotificationAthatAmonetaryAdamagesAareAbeingAsoughtAforAanAallegedAinjury.
Claims-MadeACoverageA-
AAnswerAProvidesAcoverageAforAaAclaimAthatAoccurredAafterAtheAinceptionAorAretroactiveAcoverageAd
ateAofAtheApolicyAandAisAreportedAtoAtheAinsuranceAcompanyAwhileAtheApolicyAorAanyAreplacementA
policyAisAstillAinAeffect.
ClaimsAManagementA-
AAnswerAAAsystemizedAapproachAutilizedAtoAreduceAtheAfinancialAlossAandAnegativeAcommunityAimag
eAofAaAhealthcareAorganizationAinAsituationsAwhereApreventionAfailsAandAinjuryAoccurs.
Complaint/GrievanceA-
AAnswerAAAformalAorAinformalAwrittenAorAverbalAcomplaintAmadeAtoAtheAhospitalAbyAtheApatientAo
rAtheApatient'sArepresentativeAregardingAtheApatient'sAcare.AMedicare/MedicaidAHospitalAConditionsA
ofAparticipationArequireAaAformalAprocessAforApatientAnotificationAofAtheirArightsAandAforAresponseA
andAfollow-upAwithAtheApatient.
ComplaintA(legal)A-
AAnswerAOneAofAtheAinitialAfilingsAwithAaAcourtAtoAbeginAaAlawsuit;AnormallyArecitesAallAofAtheAall
egationsAagainstAtheAdefendantAandAtheoriesAuponAwhichAtheAplaintiffAseeksAtoArecoverAdamagesA(
mayAbeAcalledAaApetitionAinAsomeAjurisdictions).
Domain Questions and Answers
AdverseAEventA-
AAnswerAAnyAinjuryA(undesirableAclinicalAoutcome)AcausedAbyAmedicalAcareAandAnotAanAunderlyingA
diseaseAprocess.
AdverseAOutcomeA-
AAnswerAClinicalAoutcomeAthat,AwhileAneitherAdesirableAnorAnecessarilyAanticipated,AmayAstillAhaveA
beenAaAknownApossibilityAassociatedAwithAtheAtreatmentAorAprocedure.
AlternativeADisputeAResolutionA-
AAnswerAAAprocessAorAsystemAtoAresolveAdisputesAoutsideAtheAformalAjudicialAprocess.
NegotiationA-AAnswerAAAvoluntary,AusuallyAinformal,AunstructuredAprocess.AThereAisAnoAthird-
partyAfacilitator,AbutApartiesAmayAbeArepresentedAbyAlegalAcounsel.
MediationA-AAnswerAAAprocessAinAwhichAaAneutralAthirdApartyAhelpsAtheApartiesAreachAaAmutually-
acceptableAagreement.
ArbitrationA-
AAnswerATheAhearingAandAdeterminationAofAaAcaseAinAquestionAsomeoneAeitherAchosenAbyAtheAoppo
singApartiesAorAbyAaApersonAappointedAunderAstatutoryAauthority.
BindingA-AAnswerAAnAagreementAthatAisAfinalAandAnotAappealable.
Non-BindingA-
AAnswerAAnAagreementAisAnotAfinalAuntilAitAisAenteredAbyAtheAcourtAintoAtheArecordAallowingAtheA
partyAtoAcontinueAtheAcivilAlitigationAprocess.
AnswerA-
AAnswerAAAdocumentAfiledAwithAtheAcourtAinAresponseAtoAaAcomplaintAorApetition.AGenerallyAtheAA
nswerAmust:A1.AAdmitAthatAtheAplaintiffs'AallegationsAareAtrueA2.ADenyAthatAtheAplaintiffs'Aallegati
onsAareAtrueAorA3.AStateAthatAtheAdefendantAdoesAnotAhaveAinformationAregardingAtheAtruthAorAfal
sityAofAtheAallegations.
AppealA-
AAnswerAAnAactionAthatAisAtakenAafterAtheAtrialAofAaAmatterAorAafterAaAdispositiveAmotionAhasAbe
enAenteredAinAaAmatter.AAnAappealAmayAbeAtakenAforAtheApurposeAofAcorrectingAanAerrorAmadeAb
yAtheAtrialAcourtAorAtoAobtainAaAnewAtrial.AAlso,AitAisAaAresortAtoAaAhigherAcourtAtoAobtainAaArevi
, ewAofAaAlowerAcourt'sAdecisionAandAaAreversalAofAtheAlowerAcourt'sAjudgmentAorAgrantingAofAaAne
wAtrial.
AssaultA-
AAnswerAAnAinternationalAactAthatAisAdesignedAtoAmakeAtheAvictimAfearfulAandAthatAproducesAreaso
nableAapprehensionAofAharm.
Attorney-ClientAPrivilegeA-
AAnswerAAAlegalAdoctrineArecognizedAbyAbothAcommonAandAstatutoryAlawAprotectingAcertainAconfide
ntialAcommunicationsAbetweenAanAattorneyAandAhisAorAherAclientAfromAdiscoveryAinAaAlegalAproceed
ingAunlessAtheAprivilegeAisAwaivedAbyAtheAclient.
AttorneyAWorkAProductAPriviligeA-
AAnswerAAAlegalAdoctrineArecognizedAbyAbothAcommonAandAstatutoryAlawAprotectingAtheAdocuments
Agenerated,AtheoriesAdevised,AlegalAstrategiesAformulated,Aetc.,AbyAanAattorneyAonAbehalfAofAaAclie
ntAfromAdiscoveryAinAaAlegalAproceedingAunlessAtheAprivilegeAisAwaivedAbyAtheAclient.
BatteryA-
AAnswerAInAtortAlaw,AtheAintentionalAcausationAofAharmfulAorAoffensiveAcontactAwithAaApersonAwith
outAtheAperson'sAconsent.
ClaimA-
AAnswerAFormalAnotificationAthatAmonetaryAdamagesAareAbeingAsoughtAforAanAallegedAinjury.
Claims-MadeACoverageA-
AAnswerAProvidesAcoverageAforAaAclaimAthatAoccurredAafterAtheAinceptionAorAretroactiveAcoverageAd
ateAofAtheApolicyAandAisAreportedAtoAtheAinsuranceAcompanyAwhileAtheApolicyAorAanyAreplacementA
policyAisAstillAinAeffect.
ClaimsAManagementA-
AAnswerAAAsystemizedAapproachAutilizedAtoAreduceAtheAfinancialAlossAandAnegativeAcommunityAimag
eAofAaAhealthcareAorganizationAinAsituationsAwhereApreventionAfailsAandAinjuryAoccurs.
Complaint/GrievanceA-
AAnswerAAAformalAorAinformalAwrittenAorAverbalAcomplaintAmadeAtoAtheAhospitalAbyAtheApatientAo
rAtheApatient'sArepresentativeAregardingAtheApatient'sAcare.AMedicare/MedicaidAHospitalAConditionsA
ofAparticipationArequireAaAformalAprocessAforApatientAnotificationAofAtheirArightsAandAforAresponseA
andAfollow-upAwithAtheApatient.
ComplaintA(legal)A-
AAnswerAOneAofAtheAinitialAfilingsAwithAaAcourtAtoAbeginAaAlawsuit;AnormallyArecitesAallAofAtheAall
egationsAagainstAtheAdefendantAandAtheoriesAuponAwhichAtheAplaintiffAseeksAtoArecoverAdamagesA(
mayAbeAcalledAaApetitionAinAsomeAjurisdictions).