Poly Med Ethics Review Question Back of Chap 4

Physicians agree to share expenses of a facility
a legal agreement in which physicians agree to share a facility and staff but do not, as a rule, share responsibility for the legal actions of each other (4)

A fixed monthly fee paid by an HMO to health care providers for providing medical services to patients who are members of that HMO (4)

A voluntary credentialing process usually offered by a professional organization (40

An agreed upon fee paid by the insured for certain medical services; usually $10 to $20 (4)

A a type of medical practice, as established by law, which is managed by a board of directors

Designations used to identify reimbursement ;per condition in a hospital ; used for Medicare patient

Exclusive provider organization
a type of managed care that combines the concepts of the HMO and PPO

An agreement to pay a fee to another physician or agency for the referral of patients this illegal in some states and is considered to be an unethical medical practice

A payment plan for medical bills that offers subscribers (members) complete medical care in return for a fixed monthly fee

A listing of names that assists with peer review of physicians

A business run by an individual to whom a franchisor grants the exclusive right to market a product or service in a certain market area

The person, such as a primary care physician, aor entity, such as an insurance company, that approves patient referrals to other physicians or services.

Three or more physicians who share the same facility and practice medicine together

Provides for peer review of physicians by other physicians and by other physicians and healthcare professionals

Health maintenance organization
a type of managed care plan that offers a range of health services to plan members for a predetermined fee per member by a limited group of providers