Ethical and Legal Considerations- Sports Medicine

Ethical and Legal Considerations- Sports Medicine

memorize.aimemorize.ai (lvl 286)
Section 1

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Third Party Parties

Front

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Last updated

6 years ago

Date created

Mar 1, 2020

Cards (26)

Section 1

(26 cards)

Third Party Parties

Front

private insurance carriers HMOs PPOs

Back

Accident Insurance

Front

covers accidents on school grounds while the student is in attendance

Back

Malfeasance, or An Act of Commission

Front

when an individual commits an act that is not legally his or hers to perform

Back

Secondary Insurance

Front

pays the athlete's remaining medical bills after a general health insurance plan has made its payment

Back

Standard of Reasonable Care

Front

assumes that an individual is a person of reasonable and ordinary prudence

Back

Capitation

Front

a form of reimbursement used by manage care providers in which members make a standard payment each month regardless of how much service is rendered to the member by the provider

Back

Negligence

Front

the failure to use ordinary or reasonable care

Back

Managed Care

Front

costs of health care are monitored closely by insurance carriers

Back

Statute of Limitation

Front

a specific length of time to sue for damages from negligence

Back

Torts

Front

legal wrongs committed against a person

Back

Assumption of Risk

Front

the individual, though expressed or implied agreement, assumes that some risk or danger will be involved in the particular undertaking

Back

Reimbursement

Front

comes from the policyholder's insurance company for services provided

Back

Duty of Care

Front

a requirement that a person act toward others and the public with watchfulness, attention, caution and prudence that a reasonable person in the circumstances would

Back

Medicare

Front

a federal health insurance program; for the aged and disabled

Back

Preferred Provider Organizations (PPOs)

Front

provides discount health care but also limit where a person can go for treatment of an illness

Back

Medicaid

Front

a health care program for people with low incomes and limited resources

Back

Medical Insurance

Front

a contract between the insurance company and the policyholder

Back

National Federation of State High School Associations

Front

catastrophic insurance for secondary schools; provides medical, rehabilitation, and transportation costs in excess of $10,000 not covered by other insurance benefits

Back

Misfeasance

Front

when an individual improperly does something he or she has the legal right to do

Back

Good Samaritan Law

Front

provides limited protection to someone who chooses to provide first aid; does not apply to someone who has a duty to act as dictated by the nature of his or her job

Back

Liability

Front

the state of being legally responsible for the harm one causes another person

Back

Nonfeasance, or An Act of Omission

Front

when an individual fails to perform a legal duty

Back

Catastrophic Insurance

Front

provides plans that deal with the problem of a lifetime of extensive medical and rehabilitative care because of a permanent disability

Back

Point of Service Plan

Front

a combination of HMO and PPO plans; based on a HMO structure, but also allows members to go outside the HMO to obtain services

Back

Health Maintenance Organizations (HMOs)

Front

provides preventive measures and limit where the individual can receive care

Back

Indemnity Plan

Front

not a type of managed care, but is the most traditional form of billing fore health care

Back