Medical Law and Bioethics Unit 2 Seminar Chapters 4 and 8 Dimitria Adkins

9/21/2015 Medical Law and Bioethics 2 A fixed payment plan of health insurance offers coverage for A. Hospital care B. Physicians visits C. Complete medical care D. Dental care

9/21/2015 Medical Law and Bioethics 3 Third party payers are: –A. Physicians –B. Insurance companies –C. Patients –D. hospitals

9/21/2015 Medical Law and Bioethics 4 The purpose of the gatekeeper is to: –A. Approve all nonemergency services –B. Approve hospitalizations –C. Approve tests before they are given –D. All of the above

9/21/2015 Medical Law and Bioethics 5 In a managed care organization, financial risk is shared by the A. Organization B. Hospital C. Physician D. all of the above

9/21/2015 Medical Law and Bioethics 6 A gag clause in contracts between physicians and managed are organizations A. Prohibits the physicians from discussion the income of the organization B. Allows the physician to share financial incentives only with patients C. prohibits the physician from discussion financial incentives given by the organization D. Allows the managed care organization to refuse to pay for care given by the physician

9/21/2015 Medical Law and Bioethics 7 Managed care organizations may attempt to limit A. Choice of hospitals B. Referrals to specialists C. Length of stay in a hospital D. All of the above

9/21/2015 Medical Law and Bioethics 8 A health maintenance organization provides –a. Health care services available for a predetermined fee per member by a limited group of providers –B. Health care services through a medical provider who is under contract with the insurer for an agreed-upon fee –C. Health care services by requiring copayment –D. Health care services through a nonrestricted group of providers

9/21/2015 Medical Law and Bioethics 9 Capitation is –A. A fixed monthly fee paid to the health care provider for providing patient services –B. An additional payment for services paid directly by the patient at the time of service –C. limitation of services for care to a fixed dollar amount –D. A fixed amount the managed care organization may charge the patient for membership in the organization

9/21/2015 Medical Law and Bioethics 10 Medicare is federal program of –A. Health care coverage for the poor and indigent –B. Health care coverage in which rationing of care may occur –C. Health care coverage for the elderly and disabled –D. B and C

9/21/2015 Medical Law and Bioethics 11 Medicaid is a –A. Federally implemented program of indigent care –B. State-funded program of indigent care –C. Federal program of care for the indigent implemented by the states –D. Locally implemented program of indigent care

9/21/2015 Medical Law and Bioethics 12 Medicare instituted method of hospital payment is A.HMO B. DRG C. PPO D. EPO

9/21/2015 Medical Law and Bioethics 13 Diagnostic related groups refers to –A. Classification of patients of illness by diagnoses –B. Persons without funds –C. Limiting care to a certain number of persons with a diagnosis –D. Limiting care to a set number of days

9/21/2015 Medical Law and Bioethics 14 Thos persons most likely to receive the best care under a managed care system are A. The wealthy B. The poor and ignorant C. Those who understand the system D.all of the above

9/21/2015 Medical Law and Bioethics 15 Medicare and Medicaid prohibit physicians from A.referring to services they own B. Charging a reasonable fee for service C. Referring to rehabilitation or long-term care D.ordering expensive tests

9/21/2015 Medical Law and Bioethics 16 Different methods of medical practice, such as partnerships and corporations, are the result of A. Increased insurance coverage costs B.increased desire by physicians to have time off C.increase in patient-initiated malpractice lawsuits D. All of the above

9/21/2015 Medical Law and Bioethics 17 A practice in which the physician employs other physicians and pays them a salary is called A.solo practice B.sole proprietorship C.partnership D.associated practice

9/21/2015 Medical Law and Bioethics 18 An associate practice is a legal agreement in which the physicians –A. Share a facility and staff –B. Share the loss and profits –C. Share responsibility for legal actions of each other –D. All of the above

9/21/2015 Medical Law and Bioethics 19 A business operation of a medical practice in which two or more physicians are responsible for the actions of each, including debts, is called a/an A. Associate practice B. Solo practice C. partnership D. Group practice

9/21/2015 Medical Law and Bioethics 20 A medical practice consisting of three or more physicians who practice the same specialty and share expenses and income is a(n) A. Group practice B. Partnership C. Associate practice D. corporation

9/21/2015 Medical Law and Bioethics 21 Fee splitting occurs when A. A hospital is paid in proportion to business received for holders of the franchise B. One physician pays another physician for the referral of patients C. Income in a group practice is shared D. A physician receives payment from both the insurance company and the patient

9/21/2015 Medical Law and Bioethics 22 Begin Chapter 8 Employment at will allows the A.employee to quit at any time B.employer to terminate the employee at any time C.a and b Dnone of the above

9/21/2015 Medical Law and Bioethics 23 Sexual harassment includes: A.unwelcome sexual advances Brequest for sexual favors Cverbal or physical conduct of sexual nature Dall of the above

9/21/2015 Medical Law and Bioethics 24 The Age Discrimination in Employment Act of 1967 protects persons ___ years or older against employment discrimination A30 B40 C50 D60

9/21/2015 Medical Law and Bioethics 25 The Americans with Disabilities Act of 1990 requires the employer to make A. Every possible accommodation for disabled employees B. No accommodations for disabled employees C. Reasonable accommodations for disabled employees D. Accommodations even if they are a hardship to the employer

9/21/2015 Medical Law and Bioethics 26 Rules to protect health care workers from bloodborne pathogens are regulated by the A. OSHA B. EPA C. HMO D. EEOC

9/21/2015 Medical Law and Bioethics 27 COBRA of 1985 provides that a company with 20 or more employees must provide extended health care insurance to terminated employees for up to A.18 months usually at the employee’s expense B.1 year usually at the employee’s expense C. 18 months at the employer’s expense D. 1 year at the employer’s expense

9/21/2015 Medical Law and Bioethics 28 The Equal Pay of 1963 makes it illegal for an employer to discriminate on the basis of A.age B.race C.nationality D.gender

9/21/2015 Medical Law and Bioethics 29 The Fair Debt Collection Practices Act prohibits phone calls for the purpose of debt collection A.after 8 AM B.after 7PM C.except on the weekends D.before 8 AM

9/21/2015 Medical Law and Bioethics 30 The Family and Medical Leave Act of 1994 allows A.the father to take a leave of absence of up to 12 weeks in any 12 month period when a baby is born B.the mother to take a leave of absence of up to 12 weeks in any 12 month period when a baby is born C. Unpaid medical leave for up to 12 weeks for leave for their own family member’s medical or family-related situation D.all of the above

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