Chapter 3- Legal Concerns and Insurance Issues Flashcards Preview

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Flashcards in Chapter 3- Legal Concerns and Insurance Issues Deck (17):
1

A legal wrong

Tort

2

Results in an unreasonable risk of harm to others

Negligence

3

A specific amount paid by the policy holder

Copayment

4

Acknowledgement of risk in sports

Assumption of risk

5

The length in time of which an individual can sue

Statute of limitations

6

Treatment not covered by the insurance

Exclusions

7

Written guarantee that a product is safe

Product liability

8

A combination of HMO and HPO

Point of service plan

9

Members make a monthly payment

Capitation

10

Owed by the insured annually before an insurance company pays

deductibles

11

Traditional form of billing for health care

Fee-for-service

12

Describe the standard of reasonable care

Assumes an individual is not skillful or cautious

13

What are the two types of tort?

commission and omission

14

What is liability?

Being legally responsible for the harm of another being

15

What is third party reimbursement

health professionals are paid directly by the insurance company

16

What is a premium?

a periodic payment from an individual to an insurance company

17

What are some health care systems that are designed to contain cost?

HMO
HPO
point of service
indemnity
capitation