Unit 3 & 4 Review

What is a preferred provider organization (PPO)?

• Health care providers recognized as providing the highest-quality care
• Government program that pays for the care of low-income families
• Membership organization that helps self-employed individuals secure affordable health care
• Group of health care providers who contract to provide certain types of health care to specific groups of people at reduced rates

Medicare is a government insurance program that helps cover the cost of health care for

• individuals who are serving in the military.
• individuals who are employed but do not earn enough to pay for health insurance.
• persons who are injured on the job and can no longer work.
• most people over the age of 65 and certain disabled persons.

Which of these guarantees certain rights pertaining to health insurance coverage?

• Health Insurance Portability and Accountability Act (HIPAA)
• Patient Protection and Affordable Care Act (PPACA)
• Omnibus Budget Reconciliation Act (OBRA)
• Resident's Bill of Rights

When the care provider fails to perform the care provider’s legal duty of care it is called:

• negligent
• malfeasance
• misfeasance
• nonfeasance

When an individual takes the responsibility for the danger taken while participating in the sport is called:

• liability
• risk management
• standards of care
• assumption of risk

A _________________ is a wrongful act resulting in injury to another’s person, property, or reputation, for which the injured party is entitled to seek compensation.

• negligence
• tort
• malpractice
• battery

For minor injuries, an investigation is generally conducted by the sports medicine staff; however, the cause of moderate and major injuries may be further analyzed in a court of law. The purpose of such litigation (a lawsuit) is to determine:

• liability
• negligence
• malpractice
• tort

An athletic trainer is performing ultrasound on a patient and accidentally burns the patient by failing to moving the ultrasound head. What type of legal concern is this?

• Misfeasance
• Act of omission
• Act of commission
• Sovereign immunity

What type of code identifies specific medical procedures used in treating a patient?

• HCFA-1500
• HCFA-1450
• UB-92
• CPT

Any healthcare provider who uses standard electronic transactions, such as electronic claims, eligibility verifications, claims status inquiries, and claim attachments is required to have one of these:

• Licensure
• Certification
• NPI number
• CPT code